微创拔牙即刻种植技术在42例前牙修复中的应用效果观察

Application of minimally invasive tooth extraction and immediate implant technique in 42 cases of anterior tooth restoration

目的:观察微创拔牙即刻种植技术在42例前牙修复中的效果。方法:选取2017年5月至2018年5月粤北人民医院口腔科收治的84例上颌前牙缺失患者为研究对象,采用随机数字表法将其分为即刻组与延期组(各42例),即刻组微创拔牙后实施即刻种植技术,延期组微创拔牙后实施延期种植技术,观察两组患者美学效果及修复满意度。结果:修复完成时两组红色美学指数与白色美学指数得分比较均无统计学意义(P>0.05);修复后6个月两组红色美学指数与白色美学指数得分均高于修复完成时,且即刻组显著高于延期组(P<0.05);修复12个月后即刻组修复满意度评分(9.08±0.85)显著高于延期组(8.13±0.93)。结论:微创拔牙即刻种植技术可有效提高上颌前牙缺失患者美学效果及修复满意度,可在临床广泛推广应用。

Objective: To observe the effect of minimally invasive tooth extraction and immediate implant technique in 42 cases of anterior tooth restoration. Methods: A total of 84 patients with missing maxillary anterior teeth who were admitted to the Department of Stomatology, Yuebei People’s Hospital from May 2017 to May 2018 were selected as the research objects, and they were divided into an immediate group and a delayed group(42 cases in each) using a random number table method. The immediate implantation technique was implemented after minimally invasive tooth extraction in the immediate group,and the delayed implantation technique was implemented after minimally invasive tooth extraction in the delayed group. The aesthetic effects and restoration satisfaction of the two groups were observed.Results: There was no statistical significance between the red aesthetic index and white aesthetic index scores of the two groups at the completion of the restoration(P>0.05), the red aesthetic index and white aesthetic index scores of the two groups were higher than that at the completion of the restoration 6 months after the restoration, and the immediate group was significantly higher than the deferred group(P<0.05), the repair satisfaction score(9.08±0.85) of the immediate group was significantly higher than the deferred group(8.13±0.93) after 12 months of repair. Conclusion: The minimally invasive tooth extraction and immediate implant technique can effectively improve the aesthetic effect and satisfaction of patients with maxillary anterior tooth loss, and can be widely used in clinical practice.