不翻瓣上颌前牙即刻牙种植术临床效果评价

Clinical effect of flapless immediate tooth implantation for maxillary anterior teeth

目的 :研究不翻瓣上颌前牙即刻牙种植术在牙种植患者中的临床价值。方法 :选取2014年9月—2015年8月收治的88例即刻牙种植术患者,根据投硬币法分为实验组和对照组,每组各44例。对照组为翻瓣上颌前牙即刻种植术,实验组为不翻瓣上颌前牙即刻种植术。观察比较2组患者的手术时间、种植体成活率、牙槽骨状况、满意度、美观度及术后症状。采用SPSS11.5软件包进行数据分析。结果:实验组手术时间[(29.34±2.42)min]显著短于对照组[(55.32±3.54)min](P<0.05),牙槽骨质量[(0.84±0.04)mm]显著优于对照组[(1.21±0.07)mm](P<0.05),种植成活率[93.18%(41/44)]显著高于对照组[72.73%(32/44)](P<0.05)。治疗后,实验组患者的VAS评分[(8.32±0.42)分]和PES评分[(11.24±0.43)分]显著高于对照组[(5.78±0.24)分、(8.45±0.58)分](P<0.05)。实验组患者术后疼痛[18.18%(8/44)]、红肿[15.91%(7/44)]、出血[11.36%(5/44)]发生率显著低于对照组[38.64%(17/44)、34.09%(15/44)、29.55%(13/44)](P<0.05)。结论:不翻瓣种植术能提高牙种植患者的满意度、美观度及种植成功率,减少手术时间,减轻患者的疼痛感,降低术后疼痛、红肿等症状的发生率。

PURPOSE： To evaluate the effect of flapless immediate tooth implantation for maxillary anterior teeth. METHODS： Eighty-eight patients treated from September 2014 to August 2015 in our hospital were collected. They were randomly divided into experimental group and control group, 44 cases in each group. Patients in the control group underwent traditional immediate tooth implantation, while patients in the experimental group underwent flapless immediate tooth implantation. The operation time, the survival rate of the implant, alveolar bone health, satisfaction, aesthetics, and postoperative symptoms in 2 groups were recorded and compared. SPSS 11.5 software package was used for data analysis. RESULTS： The operation time in the experimental group was significantly shorter than the control group, which was （29.34±2.42）min vs （55.32±3.54） min; alveolar bone in the experimental group was significantly superior to the control group （P〈0.05）, which was （0.84 ±0.04） mm vs （1.21 ±0.07） ram; the survival rate of the experimental group was significantly higher than the control group（P〈0.05）, which was 93.18% （41/44） vs 72.73% （32/44）. After treatment, VAS score and PES score in the experimental group were significantly higher than the control group, which was （8.32±0.42） vs （5.78±0.24）, （11.24±0.43） vs （8.45±0.58）, respectively（P〈0.05）. The incidence of postoperative pain, redness and swelling, bleeding in the experimental group was significantly lower than control group, which was 18.18% （8/44） vs 38.64% （17/ 44）, 15.91% （7/44） vs 34.09% （15/44） and 11.36% （5/44） vs 29.55% （13/44）, respectively（P〈0.05）. CONCLUSIONS： Flapless dental implantation can improve the satisfaction of patients with dental implants, aesthetic, and success rate of implantation, reduce operation time, pain, and incidence of postoperative pain, redness and other symptoms.