数字化技术配合模型制作种植导板在牙缺失患者口腔种植修复中应用

The Use of Digital Technology with Model-Made Implant Guides in the Restoration of Oral Implants in Patients with Missing Teeth

目的:探究数字化技术配合模型制作种植导板在牙缺失患者口腔种植修复中应用效果。方法:选取2020年8月至2021年8月我院80例牙缺失患者,采用随机数字表法分为对照组(n=40)和研究组(n=40)。对照组行传统种植修复治疗,研究组行数字化技术配合模型制作种植导板种植修复治疗。比较两组治疗效果、种植体位置偏差、术前后咀嚼效率、生活质量(OHIP-14评分)、口腔种植满意度及并发症发生率。结果:研究组治疗优良率(97.50%)高于对照组(80.00%)(P<0.05);研究组种植体顶部偏差、根部偏差、角度偏差、深度偏差均小于对照组(P<0.05);研究组术后3个月、6个月咀嚼效率高于对照组,OHIP-14评分低于对照组(P<0.05);研究组修复效果自我评估、并发症满意度、生活质量满意度评分均高于对照组(P<0.05);研究组并发症发生率(7.50%)与对照组(20.00%)比较,差异无统计学意义(P>0.05)。结论:牙缺失患者口腔种植修复中应用数字化技术配合模型制作种植导板能明显降低种植体偏差,获得更佳修复治疗效果及满意度,值得推广应用。

Objective:To explore the application effect of digital technology combined with model-made implant guide in dental implant restoration for patients with missing dentition.Methods:A total of 80 patients with missing teeth in our hospital from August 2020 to August 2021 were selected and divided into a control group(n=40)and a study group(n=40)using the random number table method.The control group was treated with traditional implant restoration,and the study group was treated with digital technology with model-made implant guide implant restoration.The treatment results,implant position deviation,pre-and post-operative masticatory efficiency,quality of life(OHIP-14 score),oral implant satisfaction and complication rate were compared between the two groups.Results:The excellent treatment rate of the study group(97.50%)was higher than that of the control group(80.00%)(P<0.05);the top deviation,root deviation,angle deviation,and depth deviation of the study group implants were smaller than those of the control group(P<0.05);the masticatory efficiency of the study group at 3 months and 6 months after surgery was higher than that of the control group,and the OHIP-14 score was lower than that of the control group(P<0.05);the restoration effect of the study group self-assessment,complication satisfaction,and quality of life satisfaction scores were higher in the study group than in the control group(P<0.05);the difference was not statistically significant(P>0.05)when comparing the complication rate in the study group(7.50%)with that in the control group(20.00%).Conclusion:The application of digital technology and model to make implant guides in dental implant restoration for patients with missing dentition can significantly reduce implant deviation and achieve better restoration treatment effect and satisfaction,which is worthy of popularization and application.