發(fā)布時間：2018-05-14 19:02

  本文選題：種植體 + 軟組織水平　； 參考：《安徽醫(yī)科大學》2017年碩士論文

【摘要】：目的評價士卓曼(Straumann)種植系統(tǒng)的軟組織水平種植體和骨水平種植體應(yīng)用于后牙缺失區(qū)的臨床效果。方法選取2013年1月至2014年12月期間在我院種植中心接受后牙區(qū)單顆種植修復(fù)的108例患者,均缺牙區(qū)骨量充足無需行骨增量手術(shù),其中男性60例,女性48例。分別植入58顆Straumann軟組織水平種植體(A組)和50顆骨水平種植體(B組),共108顆種植體,術(shù)后3個月行冠修復(fù)。隨訪2年,統(tǒng)計兩組種植成功率,術(shù)前及術(shù)后3月、6月、12月、24月拍攝X線片測量種植體周圍骨高度,通過牙周檢查得到的探診深度、改良菌斑和改良齦溝出血指數(shù)評估牙周探診軟組織情況及調(diào)查患者的滿意度。結(jié)果術(shù)后2年內(nèi)108顆種植體無一脫落,成功率均為100%。軟組織水平種植體周圍骨呈遞減式吸收,骨水平種植體周圍骨緩慢均勻吸收,骨水平種植體骨高度優(yōu)于軟組織水平種植體。術(shù)后一年牙周探診檢查,兩組牙周軟組織健康相當,P0.05,種植體周圍無明顯炎癥,牙周探診深度A組為2.86±0.56mm,B組為2.78±0.54mm。兩組的改良齦溝出血指數(shù)為0或1,改良菌斑指數(shù)為0、1或2。兩組患者滿意程度相近,不滿意各僅為1~2例。結(jié)論在規(guī)范的手術(shù)操作及恰當?shù)倪m應(yīng)癥前提下,后牙區(qū)種植體植入后效果顯著,成功率高,牙周軟組織情況良好,骨水平種植體周圍的骨吸收較之軟組織水平種植體相對平緩且少量。但長期臨床效果和成功率有待進一步觀察研究。
[Abstract]:Objective to evaluate the clinical effects of the soft tissue horizontal implants and bone implants in the Stroman (Straumann) implant system for the missing posterior teeth. Methods 108 patients who received a single implant in the posterior teeth area from January 2013 to December 2014 were selected and repaired in the posterior teeth area. 60 male and 48 women were implanted in 58 Straumann soft tissue implants (group A) and 50 bone horizontal implants (group B). A total of 108 implants were planted, and the crown was repaired in 3 months after the operation. The success rates of two groups were followed up for 2 years. The bone height around the implant was measured before and after the operation, in June, December, and 24 months, through the periodontal examination. The depth of detection, improved plaque and improved gingival bleeding index were used to evaluate the soft tissue of the periodontal tissue and the satisfaction of the patients. Results 2 years after the operation, 108 implants were not dropped, the success rate was subtractive absorption around the 100%. soft tissue level implants, bone water level around the implant bone slowly and evenly absorbed, bone level species. The height of bone graft was better than that of soft tissue. After one year of periodontal examination, the two groups of periodontal soft tissues were healthy, P0.05, no obvious inflammation around the implant, 2.86 0.56mm in group A, and 0 or 1 in group B with 2.78 + 0.54mm. two groups, and the improved plaque index was 0,1 or 2. two. Conclusion in the precondition of standardized operation and proper indications, the effect of implant in the posterior teeth area is remarkable, the success rate is high, the periodontal soft tissue is good, the bone absorption around the bone level implants is relatively gentle and small compared with the soft tissue level implants, but the long-term clinical effect and success rate are the same as the standard operation and appropriate indications. Further observation and research are needed.

【學位授予單位】：安徽醫(yī)科大學
【學位級別】：碩士
【學位授予年份】：2017
【分類號】：R783.6

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