附着龈重建对口腔种植患者的临床修复效果

Repair effects of dental implantation on patients with attached gingiva reconstruction

目的探讨附着龈重建对口腔种植患者的修复效果。方法选取72例行附着龈重建的患者作为研究对象,采用数字表法将其随机分为两组,治疗组37例,常规组35例。常规组采用常规牙龈缝合方法进行治疗,治疗组行附着龈重建术,分别测定并比较常规组和治疗组患者术后1个月的有效角化黏膜平均宽度、牙冠修复后的出血指数、改良菌斑指数和探诊深度等指标以及两组患者附着龈宽度好转情况。结果治疗后,治疗组患者有效角化黏膜宽度高于常规组,治疗组出血指数、探诊深度及改良菌斑指数等指标均低于常规组,差异有统计学意义(P<0.05)。治疗组附着龈宽度好转率(91.9%)高于常规组(77.1%),差异有统计学意义(P<0.05)。结论运用附着龈重建的方法对口腔种植患者修复不仅能有效增加角化黏膜宽度,还可以降低出血率以及抑制种植体周围菌斑的滋生,更利于种植体存留且美观度及修复效果均优于传统牙龈缝合方法,具有临床参考价值。

Objective To investigate the repair effects of dental implantation on patients with attached gingiva reconstruction. Methods A total of 72 patients with attached gingival reconstruction were selected and randomly divided into treatment group and control group,with 37 cases in treatment group and 35 cases in control group. The patients in control group were treated with conventional gingival suture method. The patients in treatment group were treated with attached gingiva reconstruction. The average width of the effective keratinized mucosa in the treatment group and the control group was measured respectively. The index of bleeding and spot,the depth of probing and other indicators of the patients in the two groups improved. Results The effective width of keratinized mucosal in the treatment group was higher than that of the control group（ P 0. 05）. The index of bleeding and the improved plaque,the depth of the probe of the treatment group were lower than those of the control group,the differences were significant（ P 0. 05）. The improvement rate of gingival width was 91. 9% in the treatment group and 77. 1% in the conventional group,the difference was significant（ P 0. 05）. Conclusions Attached gingiva reconstruction can not only increase the width of keratinized mucosa,but also reduce the bleeding rate and inhibit the growth of plaque around the implant,which is more favorable for the survival of the implant and the superiority and repair effect,and it is worthy of clinical application.