引导骨再生术对前牙区种植牙龈美学及牙槽骨吸收的影响

doi:10.19438/j.cjoms.2020.03.009

中国口腔颌面外科杂志 ›› 2020, Vol. 18 ›› Issue (3): 236-239.doi: 10.19438/j.cjoms.2020.03.009

引导骨再生术对前牙区种植牙龈美学及牙槽骨吸收的影响

秦坤^1,2, 刘红红², 章润宇², 张志宏²

1.皖南医学院研究生学院,安徽芜湖 241002;
2.中国科学技术大学附属第一医院（安徽省立医院）口腔医学中心,安徽合肥 230000

收稿日期:2019-12-23 修回日期:2020-03-24 发布日期:2020-06-18
通讯作者: 张志宏,E-mail：zzhzqr@126.com
作者简介:秦坤（1994-）,男,硕士研究生,E-mail：18356540641@126.com
基金资助:
2018年度安徽省中央引导地方科技发展专项项目(YDZ-X20183400004841)

Effect of guided bone regeneration on gingival aesthetics and alveolar bone resorption of dental implants in the anterior region

QIN Kun^1,2, LIU Hong-hong², ZHANG Run-yu², ZHANG Zhi-hong²

1. Graduate School, Wannan Medical College. Wuhu 241002;
2. Dental Clinical Center, The First Affiliated Hospital of University of Science and Technology of China. Hefei 230001, Anhui Province, China

Received:2019-12-23 Revised:2020-03-24 Published:2020-06-18

摘要/Abstract

摘要： 目的了解前牙美学区种植位点存在骨缺损的患者行引导骨再生术（guided bone regeneration,GBR）在种植术后能否获得无明显骨缺损患者相近的牙龈美学效果,评价引导骨再生术对牙槽骨吸收的影响。方法选取2017年8月—2018年6月间在中国科学技术大学附属第一医院（安徽省立医院）口腔医学中心行前牙种植术的患者31例,术前测量种植位点牙槽骨宽度,宽度小于6.8 mm的患者为GBR组,宽度大于6.8 mm患者为非GBR组,比较2组二期修复时牙龈美学评分、探诊深度及牙槽骨吸收的差异。采用SPSS 19.0软件包对数据进行两独立样本t检验。结果 GBR组牙龈美学评分显著高于非GBR组（P<0.01）,GBR组与非GBR组探诊深度无显著差异（P>0.05）,GBR组牙槽骨吸收显著小于非GBR组（P<0.01）。结论使用GBR术可以减缓骨吸收速度,使存在局部牙槽骨缺损的患者达到无骨缺损患者牙种植术后的美学效果。

关键词: 引导骨再生术, 牙种植, 红色美学评分, 骨吸收, 探诊深度

Abstract: PURPOSE: To understand whether guided bone regeneration (GBR) can be used in patients with bone defects at the implantation site in the anesthetic area of the anterior teeth to obtain similar gingival aesthetic effects in patients without obvious bone defects after implantation, and to evaluate the effects of GBR on bone alveolar resorption. METHODS: A total of 31 patients who underwent anterior dental implantation at the Stomatology Center of the First Affiliated Hospital of the University of Science and Technology of China (Anhui Provincial Hospital) from August 2017 to June 2018 were selected. The width of the alveolar bone at the implantation site was measured in all 31 patients before surgery. The patients with a width of less than 6.8 mm were in the GBR group, and the patients with a width of more than 6.8 mm were in the non-GBR group. The two groups of patients were compared for gingival esthetic score, probing depth and alveolar bone resorption during the second-stage restoration. SPSS 19.0 software package was used to perform two independent sample t tests on the data. RESULTS: The gingival aesthetic score of the GBR group was significantly higher than that of the non-GBR group(P<0.01). There was no significant difference in the probing depth between the GBR group and the non-GBR group(P>0.05). Alveolar bone resorption in the GBR group was significantly smaller than that in the non-GBR group(P<0.01). CONCLUSIONS: The use of GBR can slow down the rate of bone resorption and make the patients with local alveolar bone defect reach the similar aesthetic effect of patients without alveolar bone defect after dental implantation.

Key words: Guided bone regeneration, Dental implant, Pink esthetic score, Bone resorption, Probing depth

中图分类号:

R782.1

秦坤, 刘红红, 章润宇, 张志宏. 引导骨再生术对前牙区种植牙龈美学及牙槽骨吸收的影响[J]. 中国口腔颌面外科杂志, 2020, 18(3): 236-239.

QIN Kun, LIU Hong-hong, ZHANG Run-yu, ZHANG Zhi-hong. Effect of guided bone regeneration on gingival aesthetics and alveolar bone resorption of dental implants in the anterior region[J]. China J Oral Maxillofac Surg, 2020, 18(3): 236-239.

参考文献

[1] Fürhauser R, Florescu D, Benesch T, et al.Evaluation of soft tissue around single-tooth implant crowns: the pink esthetic score[J].Clin Oral Implants Res, 2005, 16(6): 639-644.
[2] 范静, 黄秀珍. 引导性骨再生技术在前牙美学区即刻种植和延期种植中的临床疗效研究[J].中国医学创新, 2015, 12(33): 17-20.
[3] Kolerman R, Tal H, Calvo Guirado JL, et al.Aesthetics and survival of immediately restored implants in partially edentulous anterior maxillary patients[J]. Appl Sci, 2018, 8(3): 377.
[4] 刘伟林. 上颌前牙区不翻瓣即刻牙种植术对患者口腔内软硬组织的影响分析[J]. 河北医学, 2015, 21(11): 2237-2239.
[5] Simon BI,Von Hagen S,Deasy M,et al.Changes in alveolar bone height and width following ridge augmentation using bone graft and membranes[J].J Periodontol, 2000,71(11): 1774-1791.
[6] 李雪倩, 张巧, 张晓欣. rhBMP-2联合Bio-oss骨粉在前牙美学区种植中的成骨效果[J].口腔疾病防治, 2018, 26(9): 584-591.
[7] Phillips DJ, Swenson DT, Johnson TM.Buccal bone thickness adjacent to virtual dental implants following guided bone regeneration[J]. J Periodontol, 2019, 90(6): 595-607.
[8] Ramos UD, Suaid FA, Wikesjo UME, et al.Comparison between two antimicrobial protocols with or without guided bone regeneration in the treatment of peri-implantitis. A histomorphometric study in dogs[J]. Clin Oral Implants Res, 2017, 28(11): 1388-1395.
[9] 封伟, 耿进友, 孙园园, 等. 不同种植深度Ankylos种植体边缘骨吸收的对比研究[J]. 临床口腔医学杂志, 2016, 32(12): 744-746.
[10] Grunder U, Gracis S, Capelli M.Influence of the 3-D bone-to-implant relationship on esthetics[J]. Int J Periodontics Restorative Dent, 2005, 25(2): 113-119.
[11] 张碧楚, 李杏, 戴丽霞. 上颌前牙美学区唇侧骨的锥形束CT分析[J].临床口腔医学杂志, 2019, 35(4): 216-219.
[12] Bramanti E, Norcia A, Cicciu M, et al.Postextraction dental implant in the aesthetic zone, socket shield technique versus conventional protocol[J]. J Craniofac Surg, 2018, 29(4): 1037-1041.
[13] 宿玉成. 美学区种植修复的评价和临床程序[J].口腔医学研究, 2008, 24(3): 241-244.
[14] Basler T, Naenni N, Schneider D, et al.Randomized controlled clinical study assessing two membranes for guided bone regeneration of peri-implant bone defects:3-year results[J]. Clin Oral Implants Res, 2018, 29(5): 499-507.
[15] Arunjaroensuk S, Panmekiate S, Pimkhaokham A.The stability of augmented bone between two different membranes used for guided bone regeneration simultaneous with dental implant placement in the esthetic zone[J]. Int J Oral Maxillofac Implants, 2018, 33(1): 206-216.
[16] 范园园, 宋岩, 高宇飞. 前牙美学区牙槽骨宽度不足牙种植的临床观察[J]. 临床口腔医学杂志, 2017, 33(2): 101-104.

引导骨再生术对前牙区种植牙龈美学及牙槽骨吸收的影响

Effect of guided bone regeneration on gingival aesthetics and alveolar bone resorption of dental implants in the anterior region

PDF (PC)

可视化

摘要/Abstract

引用本文

使用本文

参考文献

相关文章 15

编辑推荐

Metrics

本文评价

[1]	宋昊天, 洪多, 瞿晓辉. 末端游离单颗种植体远期骨吸收量回顾性分析[J]. 中国口腔颌面外科杂志, 2023, 21(1): 55-58.
[2]	马捷, 王齐帅, 张兵华, 陈天天, 蔡国平, 宋涛. 口腔种植体-基台微间隙充填对种植修复系统及周围骨力学的影响[J]. 中国口腔颌面外科杂志, 2022, 20(2): 117-122.
[3]	孙丹丹, 石飒飒, 尹伟娇. 78例氧化锆种植体边缘骨吸收5年随访观察[J]. 中国口腔颌面外科杂志, 2022, 20(2): 168-172.
[4]	张楚南, 赵旭, 乔士冲, 张晓梦, 顾迎新. 拔牙窝内植入不同深度骨水平种植体周围软硬组织改建的组织形态变化[J]. 中国口腔颌面外科杂志, 2021, 19(3): 193-196.
[5]	杨路鹏, 樊林峰, 史俊宇, 张枭, 顾迎新, 张楚南. 磨牙区使用角度螺丝一体冠不同全瓷材料修复种植单冠：1年前瞻性半口自身对照研究[J]. 中国口腔颌面外科杂志, 2021, 19(3): 222-225.
[6]	李成, 施乐. 2种修复膜材料用于牙种植引导骨再生的临床效果比较[J]. 中国口腔颌面外科杂志, 2020, 18(5): 438-441.
[7]	马晓玉, 冯晓洁, 戚孟春, 王艺睿, 董伟, 杜硕. A-PRF膜促进种植体周围附着龈再生的临床研究[J]. 中国口腔颌面外科杂志, 2019, 17(2): 146-149.
[8]	万绍楠, 浦益萍, 杨驰. 后牙区即刻种植与延期种植后牙槽骨吸收的影像学比较分析[J]. 中国口腔颌面外科杂志, 2019, 17(2): 150-154.
[9]	欧阳骞, 黄燕飞, 杨向红, 李德宏, 周静. 即刻种植联合组织清理术对犬种植体周围软组织形态的影响[J]. 中国口腔颌面外科杂志, 2018, 16(4): 334-337.
[10]	高岭，王启博，周民战，张博，窦志超，郅克谦. 黄金比例在上颌窦外提升术及同期种植体植入术中的应用评价[J]. 中国口腔颌面外科杂志, 2018, 16(3): 227-230.
[11]	郭克, 何佳嘉, 刘宗霖, 张耀升, 王文超, 王烨欣, 徐伟峰, 张善勇. 低分子壳寡糖对LPS诱导的小鼠颅骨吸收的抑制作用[J]. 中国口腔颌面外科杂志, 2018, 16(2): 97-101.
[12]	张晓东, 刘茜, 张民主, 王敏, 朱坤. 2型糖尿病血糖控制水平对种植体稳定性和血液炎症指标的影响[J]. 中国口腔颌面外科杂志, 2017, 15(6): 488-492.
[13]	史俊宇，张晓梦，顾迎新，莫嘉骥，乔士冲，赖红昌. 种植体支持的单端悬臂修复体的临床疗效：系统回顾和meta分析[J]. 中国口腔颌面外科杂志, 2017, 15(5): 457-462.
[14]	李慧萍, 孙守福, 甄锦泽, 王烨欣, 徐伟峰, 郑吉驷, 张善勇, 朱应超, 钟晓琪. 钛网+膜联合使用修复种植体周围牙槽骨缺损的实验研究[J]. 中国口腔颌面外科杂志, 2017, 15(2): 109-114.
[15]	李慧萍, 孙守福, 甄锦泽, 王烨欣, 徐伟峰, 郑吉驷, 张善勇, 朱应超, 钟晓琪. 钛网+膜联合使用修复种植体周围牙槽骨缺损的实验研究[J]. 中国口腔颌面外科杂志, 2017, 15(2): 127-130.