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不翻瓣即刻牙种植术治疗前牙或前磨牙缺损患者的效果观察

Effect of immediate dental implant without flap flap in the treatment of anterior or premolar tooth defect
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摘要 目的探讨不翻瓣即刻牙种植术治疗前牙或前磨牙缺损患者的效果观察。方法收集2022年1月至2023年12月72例本院收治的前牙或前磨牙缺损患者,按照手术方式分为A组和B组,每组36例,A组采用翻瓣即刻牙种植术,B组采用不翻瓣即刻牙种植术。比较2组治疗后各项相关指标。结果相较于治疗前,治疗6个月后2组红色美学指数(PES)均升高,且B组更高;治疗3 d后,2组疼痛视觉模拟评估法(VAS)评分均降低,且B组更低;治疗6个月后,B组龈沟深度及牙槽嵴顶吸收均明显低于A组;治疗1个月后,B组疼痛(5例)、出血(3例)、红肿(4例)发生例数均明显低于A组(13例、11例、10例),且治疗6个月后,B组种植成功率明显高于A组[86%(31/36)与64%(23/36),χ^(2)=4.741,P=0.029];治疗后,B组修复总满意度明显高于A组,差异具有统计学意义[94%(34/36)与75%(27/36),χ^(2)=5.258,P<0.05)]。结论对前牙及前磨牙缺损患者采取不翻瓣即刻牙种植术治疗可以改善术后美观程度、缓解痛苦程度、减少龈沟深和齿槽的嵴顶吸收、降低术后并发症发生风险、提高种植成功率提高患者满意度。 Objective To investigate the effect of immediate dental implantation without flap flap in the treatment of anterior or premolar tooth defect.Methods Seventy-two patients with anterior or premolar tooth defect treated in our hospital were collected and divided into group A and group B according to surgery,with 36 cases in each group.The selection time interval was set from January 2022 to December 2023.Group A underwent immediate flap implant,group B underwent immediate non-flap implant.The relevant indexes were compared between the two groups after treatment.Results Compared with before treatment,pink estheticscore(PES)increased in both groups after 6 months of treatment,and higher in group B;After 3 days of treatment,the score of visual analogue scales(VAS)was decreased in both groups,and the score was lower in group B.After 6 months of treatment,the depth of gingival groove and the resorption of alveolar crest in group B were significantly lower than those in group A.After 1 month of treatment,the number of cases of pain(13 cases vs 5 cases),bleeding(11 cases vs 3 cases),redness and swelling(10 cases vs 4 cases)in group B was significantly lower than that in group A[86%(31/36)vs 64%(23/26),Х^(2)=4.741,P=0.029].After treatment,the total satisfaction of repair in group B was significantly higher than that in group A,and the above data were significantly different with statistical significance[94%(34/36)vs 75%(27/36)],Х^(2)=5.258,P<0.05).Conclusion Immediate dental implantation without flap can improve postoperative aesthetics,relieve pain,reduce gingival crevicular depth and crest resorption of alveoli,reduce the risk of postoperative complications,increase the success rate of implantation and improve patient satisfaction.
作者 姚星 Yao Xing(Department of Stomatology,Zhangshu People′s Hospital,Zhangshu 331200,China)
出处 《实用医技杂志》 2024年第10期736-739,共4页 Journal of Practical Medical Techniques
关键词 牙种植术 牙列缺损 种植成功率 视觉模拟评分 红色美学指数 Implantation of tooth Dentition defect Planting success rate Visual simulation score Pink estheticscore
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