2 mm矮愈合基台在前牙美学区早期种植骨增量中的效果分析

doi:10.19438/j.cjoms.2021.06.009

中国口腔颌面外科杂志 ›› 2021, Vol. 19 ›› Issue (6): 531-535.doi: 10.19438/j.cjoms.2021.06.009

2 mm矮愈合基台在前牙美学区早期种植骨增量中的效果分析

李晶^1,2#, 梅东梅^1#, 姜雅萍¹, 徐昊^1,3, 王文雪³, 姚晨阳^1,2, 李亚男^1,2, 赵保东^1,2

1. 青岛大学附属医院口腔种植中心,山东青岛 266100;
2. 青岛大学口腔医学院,山东青岛 266003;
3. 青岛大学青岛市口腔数字医学与3D打印工程实验室,山东青岛 266003

出版日期:2021-12-25 发布日期:2022-03-02
通讯作者: 赵保东,E-mail: zbd315@sina.com
作者简介:李晶（1993-），女，在读硕士研究生，E-mail: 874555202@qq.com；梅东梅（1988-），女，硕士研究生，E-mail: 15954290124@163.com。#并列第一作者
基金资助:
山东省医药卫生科技发展计划项目(2019WS375)

Effect of 2 mm short healing abutment in early implant bone increment in anterior teeth aesthetic area

LI Jing^1,2, MEI Dong-mei¹, JIANG Ya-ping¹, XU Hao^1,3, WANG Wen-xue³, YAO Chen-yang^1,2, LI Ya-nan^1,2, ZHAO Bao-dong¹

1. Department of Dental Implantation, Affiliated Hospital of Qingdao University. Qingdao 266100;
2. College of Stomatology, Qingdao University. Qingdao 266003;
3. Qingdao Dental Digital Medicine &3D Printing Engineering Laboratory, Qingdao University. Qingdao 266003, Shandong Province, China

Online:2021-12-25 Published:2022-03-02

摘要/Abstract

摘要： 目的评价高度为2 mm的矮愈合基台在前牙美学区早期种植中对唇侧骨增量保存的效果。方法选择2018年8月—2019年5月在青岛大学附属医院口腔种植科就诊,行前牙区早期种植+同期引导骨再生术（GBR）埋入式愈合的患者50例,实验组24例采用2 mm矮愈合基台,对照组26例使用封闭螺丝,术后随访18个月。比较术后6个月、18个月2组前牙区唇侧距种植体肩台0、3、6 mm水平骨量变化,术后18个月2组种植体存留率,粉色美学评分（PES）,改良龈沟探诊出血指数（mSBI）。采用SPSS 26.0软件包对实验数据进行统计学分析。结果术后6个月、18个月,实验组种植体唇侧肩台水平骨量变化较对照组低,在肩台处有统计学意义,其余位点均无统计学差异;术后18个月2组种植体留存率均为100%,实验组PES显著高于对照组（P<0.05）,2组mSBI无统计学差异（P>0.05）。结论矮愈合基台对前牙美学区唇侧水平骨量保存、软组织形态维持有明显效果,值得推广应用。

关键词: 美学区种植, 愈合基台, 水平骨增量, 引导骨再生

Abstract: PURPOSE: To evaluate the effect of 2 mm short healing abutment on incremental preservation of labial bone during early implantation in the aesthetic area of anterior teeth. METHODS: From August, 2018 to May, 2019, fifty patients were treated in the Department of Dental Implantation, Affiliated Hospital of Qingdao University. All patients in the experimental group were treated with 2 mm short healing abutment, while patients in the control group were treated with closed screws. The patients were followed up for 18 months. The changes of bone mass at the level of 0, 3 and 6 mm from the labial side of the anterior teeth area to the shoulder of the implant were compared between the two groups 6 and 18 months after operation, and implant retention rate, pink aesthetic score(PES) and improved gingival sulcus bleeding index (mSBI) were compared between the two groups 18 months after operation. SPSS 26.0 software package was used for statistical analysis of the data. RESULTS: After 6 months and 18 months, the changes of bone mass in the labial shoulder of the experimental group were significantly lower than those in the control group(P<0.05). There was no significant difference in other loci. Eighteen months after operation, the retention rate of implants in both groups was 100%. PES in the experimental group was significantly higher than that in the control group(P>0.05). There was no significant difference in mSBI between the two groups. CONCLUSIONS: Low healing abutment has obvious effect on preserving the labial bone mass and maintaining soft tissue morphology in the aesthetic area of anterior teeth, which is worthy of clinical promotion.

Key words: Planting in aesthetic area, Healing abutment, Horizontal bone increment, Guide bone regeneration

李晶, 梅东梅, 姜雅萍, 徐昊, 王文雪, 姚晨阳, 李亚男, 赵保东. 2 mm矮愈合基台在前牙美学区早期种植骨增量中的效果分析[J]. 中国口腔颌面外科杂志, 2021, 19(6): 531-535.

LI Jing, MEI Dong-mei, JIANG Ya-ping, XU Hao, WANG Wen-xue, YAO Chen-yang, LI Ya-nan, ZHAO Bao-dong. Effect of 2 mm short healing abutment in early implant bone increment in anterior teeth aesthetic area[J]. China J Oral Maxillofac Surg, 2021, 19(6): 531-535.

参考文献

[1] Kim YK, Yun PY, Um IW, et al.Alveolar ridge preservation of an extraction socket using autogenous tooth bone graft material for implant site development: prospective case series[J]. J Adv Prosthodont, 2014, 6(6): 521-527.
[2] Elgali I, Omar O, Dahlin C, et al.Guided bone regeneration: materials and biological mechanisms revisited[J]. Eur J Oral Sci, 2017, 125(5): 315-337.
[3] Vidigal GM Jr, Groisman M, Clavijo VG, et al.Evaluation of pink and white esthetic scores for immediately placed and provisionally restored implants in the anterior maxilla[J]. Int J Oral Maxillofac Implants, 2017, 32(3): 625-632.
[4] 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.
[5] Lee CT, Sanz-Miralles E, Zhu L, et al.Predicting bone and soft tissue alterations of immediate implant sites in the esthetic zone using clinical parameters[J]. Clin Implant Dent Relat Res, 2020, 22(3): 325-332.
[6] Araújo MG, Sukekava F, Wennström JL, et al.Ridge alterations following implant placement in fresh extraction sockets: an experimental study in the dog[J]. J Clin Periodontol, 2005, 32(6): 645-652.
[7] Araújo MG, Lindhe J.Ridge alterations following tooth extraction with and without flap elevation: an experimental study in the dog[J]. Clin Oral Implants Res, 2009, 20(6): 545-549.
[8] Fickl S, Zuhr O, Wachtel H, et al.Hard tissue alterations after socket preservation: an experimental study in the beagle dog[J]. Clin Oral Implants Res, 2008, 19(11): 1111-1118.
[9] Canellas JVDS, da Costa RC, Breves RC, et al. Tomographic and histomorphometric evaluation of socket healing after tooth extraction using leukocyte- and platelet-rich fibrin: a randomized, single-blind, controlled clinical trial[J]. J Craniomaxillofac Surg, 2020, 48(1): 24-32.
[10] Sandino C, Mcerlain DD, Schipilow J, et al.The poro-viscoelastic properties of trabecular bone: a micro computed tomography-based finite element study[J]. J Mech Behav Biomed Mater, 2015, 44(1): 1-9.
[11] Fernandes M, Menezes L, De Ataide I.Management of invasive cervical resorption using a surgical approach followed by an internal approach after 2 months due to pulpal involvement[J]. J Conserv Dent, 2017, 20(3): 214-218.
[12] Stimmelmayr M, Güth JF, Schlee M, et al.Vertical ridge augmentation using the modified shell technique-a case report[J]. J Oral Maxillofac Surg, 2014, 72(2): 286-291.
[13] Le B, Rohrer MD, Prasad HS.Screw "tent-pole" grafting technique for reconstruction of large vertical alveolar ridge defects using human mineralized allograft for implant site preparation[J]. J Oral Maxillofac Surg, 2010, 68(2): 428-435.
[14] Li H, Zheng J, Zhang S, et al. Experiment of GBR for repair of peri-implant alveolar defects in beagle dogs[J]. Sci Rep, 2018, 8(1): 16532.e1-16532.e7.
[15] Fu JH, Wang HL.Horizontal bone augmentation: the decision tree[J]. Int J Periodontics Restorative Dent, 2011, 31(4): 429-436.
[16] Jepsen S, Schwarz F, Cordaro L, et al.Regeneration of alveolar ridge defects. Consensus report of group 4 of the 15th European Workshop on Periodontology on Bone Regeneration[J]. J Clin Periodontol, 2019, 46(Suppl 21): 277-286.
[17] Degidi M, Daprile G, Nardi D, et al.Buccal bone plate in immediately placed and restored implant with Bio-Oss collagen graft: a 1-year follow-up study[J]. Clin Oral Implants Res, 2013, 24(11): 1201-1205.
[18] 张宾, 孙丽华, 张俊花, 等. 改良翻瓣即刻种植有利于上颌前牙区的软硬组织重建[J]. 中国组织工程研究, 2021, 25(5): 707-712.
[19] Lemes H, Sartori IA, Cardoso LC, et al.Behaviour of the buccal crestal bone levels after immediate placement of implants subjected to immediate loading[J]. Int J Oral Maxillofac Surg, 2015, 44(3): 389-394.
[20] Linkevicius T, Linkevicius R, Gineviciute E, et al.The influence of new immediate tissue level abutment on crestal bone stability of subcrestally placed implants: a 1-year randomized controlled clinical trial[J]. Clin Implant Dent Relat Res, 2021, 23(2): 259-269.
[21] Di Gianfilippo R, Valente NA, Toti P, et al.Influence of implant mucosal thickness on early bone loss: a systematic review with meta-analysis[J]. J Periodontal Implant Sci, 2020, 50(4): 209-225.
[22] Canullo L, Camacho-Alonso F, Tallarico M, et al.Mucosa thickness and peri-implant crestal bone stability: a clinical and histologic prospective cohort trial[J]. Int J Oral Maxillofac Implants, 2017, 32(5): 675-681.
[23] Verardi S, Orsini M, Lombardi T, et al.Comparison between two different techniques for peri-implant soft tissue augmentation: porcine dermal matrix graft versus tenting screw[J]. J Periodontol, 2020, 91(8):1011-1017.

2 mm矮愈合基台在前牙美学区早期种植骨增量中的效果分析

Effect of 2 mm short healing abutment in early implant bone increment in anterior teeth aesthetic area

PDF (PC)

可视化

摘要/Abstract

引用本文

使用本文

参考文献

相关文章 6

编辑推荐

Metrics

本文评价

[1]	邹多宏, 刘昌奎, 薛洋, 胡开进, 杨驰, 张志愿. 帐篷钉技术在牙槽骨修复与再生中的临床应用及操作规范[J]. 中国口腔颌面外科杂志, 2021, 19(1): 1-5.
[2]	王明一, 傅振, 张陈平. 血管化腓骨重建下颌骨后用腓骨残端游离移植及牙种植的可行性研究[J]. 中国口腔颌面外科杂志, 2020, 18(4): 338-342.
[3]	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.
[4]	姜帅, 姜雅萍, 李晓静, 王文雪, 滕敏华, 李欣, 赵保东, 梅东梅. 去膜化GBR技术在后牙种植中的应用[J]. 中国口腔颌面外科杂志, 2019, 17(3): 251-256.
[5]	张楚南, 倪杰, 莫嘉骥, 乔士冲, 王蓓, 顾迎新. 美学区种植同期应用异种骨行引导骨再生术后愈合期间唇侧骨改建的临床研究[J]. 中国口腔颌面外科杂志, 2018, 16(1): 29-33.
[6]	陈琦, 万光勇, 张善勇, 焦子先. 新型双层骨引导再生壳聚糖膜修复大鼠颅骨缺损的实验研究[J]. 中国口腔颌面外科杂志, 2015, 13(2): 97-104.