中国口腔颌面外科杂志 ›› 2023, Vol. 21 ›› Issue (1): 55-58.doi: 10.19438/j.cjoms.2023.01.009

• 论著 • 上一篇    下一篇

末端游离单颗种植体远期骨吸收量回顾性分析

宋昊天, 洪多, 瞿晓辉   

  1. 上海交通大学医学院附属第六人民医院 口腔科,上海 200030
  • 收稿日期:2022-07-30 修回日期:2022-11-01 出版日期:2023-01-20 发布日期:2023-06-12
  • 通讯作者: 瞿晓辉,E-mail:xiaohqu@msn.cn
  • 作者简介:宋昊天(1992-),男,硕士,E-mail: 2459776048@qq.com
  • 基金资助:
    上海市第六人民医院院级课题(LY33.X-2312)

A retrospective study on the long-term bone resorption of a single free-end dental implant

SONG Hao-tian, HONG Duo, QU Xiao-hui   

  1. Department of Stomatology, Sixth People's Hospital, Shanghai Jiao Tong University School of Medicine. Shanghai 200030, China
  • Received:2022-07-30 Revised:2022-11-01 Online:2023-01-20 Published:2023-06-12

摘要: 目的: 探讨游离端与非游离端单颗种植体的垂直骨吸收量是否有差异。方法: 选择进行种植修复的牙缺失患者50例(50颗种植体),根据牙位分为非游离端缺失组(A组)和游离端缺失组(B组)。一期植入直径4.1 mm、长度不等的种植体,术后3个月进行全瓷冠修复。应用CBCT测量修复后36个月的骨吸收量。采用SPSS 22.0软件包对数据进行统计学分析。结果: 随访期间,所有种植体无松动、脱落。A组远中骨吸收量为(0.288±0.183)mm,近中骨吸收量为(0.291±0.136)mm;B组远中骨吸收量为(0.562±0.201)mm,近中骨吸收量为(0.425±0.221)mm。A组平均骨吸收量为(0.289±0.144)mm,B组平均骨吸收量为 (0.494±0.182)mm;B组远中骨吸收量显著多于近中骨吸收量(P<0.05),B组平均骨吸收量显著多于A组(P<0.05)。结论: 游离端单颗种植体远中骨吸收量显著高于非游离端,提示游离端单颗种植体存在更高的骨吸收风险。

关键词: 种植体, 骨吸收, 游离端缺失

Abstract: PURPOSE: To investigate whether there is a difference in bone resorption between free-end and non-free-end single implant. METHODS: A total of 50 patients with tooth loss (50 implants) for implant restoration were selected. According to the tooth position, they were divided into non-free-end missing group (group A) and free-end missing group (group B). One-stage surgery was performed with eligible implants which were of different lengths and 4.1 mm in diameter. Single crown was placed after 3 months, Bone resorption was measured on CBCT after 36 months of follow-up. SPSS 22.0 software package was used for data analysis. RESULTS: There was no loosing or falling off of implants during the follow-up period. The distal bone resorption of group A was (0.288±0.183)mm, and the mesial bone resorption of group A was (0.291±0.136)mm, the distal bone resorption of group B was (0.562±0.201)mm, the mesial bone resorption of group B was (0.425±0.221)mm, the average bone resorption of group A was (0.289±0.144)mm, the average bone resorption of group B was (0.494±0.182)mm. Among them, the distal bone resorption of group B was significantly more than that of group A (P<0.05), and the average bone resorption of group B was significantly more than that of group A(P<0.05). CONCLUSIONS: The amount of bone resorption in the free end of a single implant is significantly higher than that of the non-free-end single implant, suggesting that the free-end single implant restoration has a higher risk of bone resorption.

Key words: Implant, Bone resorption, Free-end

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