数字化导板引导的口腔种植修复术在牙列缺损患者中的应用效果

Application Effect of Dental Implant Repair Guided by Digital Guide Plate in Patients with Dentition Defect

目的分析数字化导板引导的口腔种植修复术在牙列缺损患者中的应用效果。方法选取2021年5月至2022年4月南阳市口腔医院收治的96例牙列缺损患者,按随机数表法分为两组,各48例。对照组接受常规口腔种植修复术治疗,试验组接受数字化导板引导的口腔种植修复术。比较两组种植精准度、术后恢复情况、牙周健康指数[牙龈指数(GI)、菌斑指数(PLI)]、术后修复美学效果[红色美学评分(PES)、白色美学评分(WES)]及并发症发生率。结果与对照组比较,试验组颈部距离偏差、根尖部距离偏差、深度偏差、角度偏差小(P<0.05),术后疼痛持续时间、肿胀持续时间、饮食恢复正常时间短(P<0.05)。术后7 d与对照组比较,试验组GI、PLI指数低(P<0.05);术后7 d、术后6个月与对照组比较,试验组PES评分、WES评分高(P<0.05);试验组并发症发生率较对照组低(P<0.05)。结论数字化导板引导的口腔种植修复术应用于牙列缺损治疗中,可提升种植精准度和修复美学效果,缩短术后疼痛及肿胀持续时间,改善患者牙周健康,且术后并发症较少。

Objective To analyze the application effect of dental implant repair guided by digital guide plate in patients with dentition defect.Methods Ninety-six patients with dentition defect admitted to Nanyang Stomatological Hospital from May 2021 to April 2022 were selected and divided into two groups according to random number table method,48 cases in each group.The control group received conventional oral implant repair surgery,while the experimental group received digital guided oral implant repair surgery.The accuracy of implantation,postoperative recovery,periodontal health index[gingival index(GI),plaque index(PLI)],aesthetic effect of restoration[red esthetic score(PES),white esthetic score(WES)],and incidence of complications were compared between the two groups.Results Compared with the control group,the experimental group had smaller neck distance deviation,apical distance deviation,depth deviation,and angle deviation(P<0.05),and shorter postoperative pain duration,swelling duration,and normal diet recovery time(P<0.05).Compared with the control group,seven days after surgery,the experimental group had lower GI and PLI indices(P<0.05).Compared with the control group,after seven days and six months after surgery,the experimental group had higher PES and WES scores(P<0.05).The incidence of complications in the experimental group was lower than that in the control group(P<0.05).Conclusion The application of digital guide plate guided oral implant restoration in the treatment of dentition defects can improve implant accuracy and aesthetic effects,shorten the duration of postoperative pain and swelling,improve patient periodontal health,and reduce postoperative complications.