即刻种植与位点保存种植在上前牙微创拔牙术后种植的效果比较

Comparison of immediate implantation and site-saving implantation after minimally invasive extraction of upper teeth

目的探讨比较即刻种植与位点保存种植治疗对上前牙微创拔牙患者红白美学效果的影响术后种植效果。方法回顾性分析2021年1月至2023年7月我院收治的上前牙微创拔牙患者64例,按收治时间先后分为2组,各32例。对照组微创拔牙后行位点保存种植,观察组微创拔牙后行即刻种植。比较两组红白美学效果[红色美学指数评分(PES)、白色美学指数(WES)]评分、牙槽骨相关指标及满意度。结果治疗后6个月,观察组PES评分(13.53±0.21)分及WES评分(9.75±0.11)分均高于对照组的(11.86±0.16)分、(8.69±0.05)分,差异有统计学意义(P<0.05);观察组牙槽骨高度(14.66±1.32)mm、牙槽骨宽度(6.87±0.83)mm及牙槽骨密度(1.67±0.11)g/cm^(2)分别高于对照组的(12.54±1.41)mm、(5.71±0.76)mm、(1.33±0.24)g/cm^(2),差异有统计学意义(P<0.05);观察组满意度高于对照组,差异有统计学意义(P<0.05)。结论上前牙微创拔牙患者采用即刻种植治疗相较于位点保存种植治疗,效果更佳,可有效提升红白美学效果,并改善牙槽骨相关指标,提升满意度,值得推广。

Objective To compare the effffects of immediate implantation and site-preserving implantation on anterior teeth after minimally invasive extraction.Methods From January 2021 to July 2023,64 patients with minimally invasive extraction of anterior teeth in our hospital were retrospectively analyzed.They were divided into two groups according to the time of admission,with 32 cases in each group.The control group was implanted with site preservation after minimally invasive tooth extraction,while the observation group was implanted immediately after minimally invasive tooth extraction.The aesthetic effffects of red and white[red aesthetic index score(PES)and white aesthetic index(WES)],alveolar bone related indexes and satisfaction were compared between the two groups.Results Six months after treatment,the PES score(13.53±0.21)and WES score(9.75±0.11)in the observation group were higher than those in the control group(11.86±0.16)and(8.69±0.05),and the difffference was statistically signifificant(P<0.05).The alveolar bone height,alveolar bone width and alveolar bone density in the observation group were(14.66±1.32)mm,(6.87±0.83)mm and(1.67±0.11)g/cm^(2)respectively higher than those in the control group(12.54±1.41)mm,(5.71±0.76)mm and(1.33±0.24)g/cm^(2).The satisfaction of the observation group was higher than that of the control group,and the difffference was statistically signifificant(P<0.05).Conclusion Immediate implant therapy for patients with minimally invasive extraction of anterior teeth is better than site preservation implant therapy,which can effffectively improve the aesthetic effffect of red and white,improve alveolar bone related indexes and improve satisfaction,and is worth popularizing.