前牙美学区即刻种植修复要点及临床观察

Key points and clinical observation of immediate implant restoration in the aesthetic area of anterior teeth

目的探讨在前牙美学区行即刻种植修复的治疗方法和效果,阐述其技术的优势。方法前瞻性选取湖南省第二人民医院口腔科2019年6月至2022年6月期间收治的因前牙美学区牙缺失行种植手术的患者100例,将患者随机分为即刻组与常规组,每组各50例。即刻组拔牙后即刻种植修复,常规组拔牙后延期种植修复。对手术后不同时间的美学效果以及种植成功率、患者满意度进行比较。结果术后12个月评估,两组患者种植修复均获得了成功。即刻组种植术后当天的牙龈红色美学指数评分高于常规组,差异有统计学意义(P<0.05);术后6、12个月,两组评分差异无统计学意义(均P>0.05)。在完成永久修复后,即刻组患者的满意度明显高于常规组,差异有统计学意义(P<0.05)。结论在前牙美学区采用即刻种植修复技术,可以减少手术次数和缩短治疗时间,早期可获得较佳的美学效果,提升患者的满意度。

Objective To explore the treatment methods and effects of immediate implant restoration in the aesthetic area of anterior teeth,and explain the advantages of its technology.Methods A prospective selection was conducted on 100 patients admitted to the Department of Stomatology at the Hunan Second People′s Hospital from June 2019 to June 2022 who underwent implant surgery due to missing teeth in the aesthetic area of the anterior teeth.The patients were randomly divided into an immediate group and a conventional group,with 50 patients in each group.The immediate group received immediate implant restoration after tooth extraction,while the conventional group received delayed implant restoration after tooth extraction.We compared the aesthetic effects,implant success rate,and patient satisfaction at different times after surgery.Results After 12 months of postoperative evaluation,both groups of patients achieved successful implant repair.The gingival red aesthetic index score on the day after immediate implantation surgery in the immediate group was higher than that in the conventional group,and the difference was statistically significant(P<0.05);At 6 and 12 months after surgery,there was no statistically significant difference in scores between the two groups(all P>0.05).After completing permanent repair,the satisfaction of patients in the immediate group was significantly higher than that in the conventional group,and the difference was statistically significant(P<0.05).Conclusions Adopting immediate implant restoration technology in the aesthetic area of anterior teeth can reduce the number of surgeries and treatment time,achieve better aesthetic results in the early stage,and improve patient satisfaction.