【摘要】：目的探討微創(chuàng)種植技術(shù)在老年患者中的臨床療效及安全性評價(jià)。方法行牙種植術(shù)的90例老年患者隨機(jī)分成常規(guī)組和微創(chuàng)組各45例。常規(guī)組給予常規(guī)牙植入術(shù),微創(chuàng)組給予微創(chuàng)牙植入術(shù)。記錄并比較兩組患者的手術(shù)時(shí)間、疼痛癥狀消除時(shí)間、術(shù)后抗生素應(yīng)用時(shí)間及術(shù)后激素應(yīng)用時(shí)間。測定并比較兩組患者種植體周圍骨吸收量。評價(jià)并比較兩組患者術(shù)后疼痛評分、種植體成功率及感染、異常感覺等并發(fā)癥發(fā)生率。結(jié)果微創(chuàng)組手術(shù)時(shí)間、疼痛癥狀消除時(shí)間、術(shù)后抗生素應(yīng)用時(shí)間及術(shù)后激素應(yīng)用時(shí)間均明顯小于常規(guī)組(P0.05),種植體周圍骨吸收量、疼痛評分均明顯低于常規(guī)組(P0.05)。兩組種植成功率比較無統(tǒng)計(jì)學(xué)差異(χ2=2.045,P0.05);微創(chuàng)組并發(fā)癥發(fā)生率明顯低于常規(guī)組(χ2=4.050,P0.05)。結(jié)論微創(chuàng)種植技術(shù)相比于常規(guī)植入術(shù),手術(shù)時(shí)間短、疼痛輕、創(chuàng)傷小、并發(fā)癥發(fā)生率較低,且種植體周圍骨吸收量明顯少,值得臨床推廣應(yīng)用。
[Abstract]:Objective to evaluate the clinical efficacy and safety of minimally invasive implantation in elderly patients. Methods 90 elderly patients with dental implants were randomly divided into routine group and minimally invasive group (n = 45). Routine dental implantation was performed in the routine group and minimally invasive dental implantation was performed in the minimally invasive group. The time of operation, time of relieving pain symptom, time of antibiotic application and time of hormone application were recorded and compared between the two groups. Bone resorption around implants was measured and compared between the two groups. To evaluate and compare the postoperative pain score, implant success rate, infection, abnormal sensation and other complications in the two groups. Results in the minimally invasive group, the time of operation, the time of eliminating pain symptoms, the time of antibiotic application and the time of hormone application were significantly lower than those of the routine group (P0.05), and the amount of bone resorption around the implants and the score of pain were significantly lower than those of the routine group (P0.05). There was no significant difference in the success rate of implantation between the two groups (蠂 ~ 2 + 2.045), and the incidence of complications in the minimally invasive group was significantly lower than that in the routine group (蠂 ~ 2 + 4.050). Conclusion compared with the conventional implantation, the minimally invasive implantation technique has the advantages of shorter operation time, less pain, less trauma, lower incidence of complications and less bone resorption around the implant, which is worthy of clinical application.
【作者單位】： 江漢大學(xué)附屬醫(yī)院口腔科;湖北省華潤武鋼總醫(yī)院直屬門診口腔科;
【基金】：武漢市科技計(jì)劃項(xiàng)目(No.201319198412)
【分類號】：R783.4

【參考文獻(xiàn)】

相關(guān)期刊論文 前8條

1 徐泓;徐冰潔;;不翻瓣微創(chuàng)技術(shù)在牙齒種植的臨床效果分析[J];世界最新醫(yī)學(xué)信息文摘;2016年01期

2 林毅;何添榮;陳希楠;;379例老年口腔種植患者的臨床觀察與分析[J];福建醫(yī)科大學(xué)學(xué)報(bào);2015年05期

3 楊懿;郭家平;馬毅慧;邱建勇;何非;;微創(chuàng)種植技術(shù)在老年人牙種植術(shù)中應(yīng)用的臨床觀察[J];臨床口腔醫(yī)學(xué)雜志;2015年09期

4 劉乙穎;栗洪師;劉洪臣;;老年口腔牙列缺損患者微創(chuàng)種植圍手術(shù)期的護(hù)理[J];中華老年口腔醫(yī)學(xué)雜志;2014年04期

5 栗洪師;劉洪臣;;不同植入術(shù)式對老年微創(chuàng)種植牙初期穩(wěn)定性的影響[J];中華老年口腔醫(yī)學(xué)雜志;2014年03期

6 李景;任妮;;淺析用微創(chuàng)技術(shù)為老年患者種植牙齒的臨床效果[J];當(dāng)代醫(yī)藥論叢;2014年05期

7 馬鵬;董跟喜;楊蘭;張凱亮;高志彪;胡朝昌;黃U，

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