骨劈開聯(lián)合GBR技術(shù)同期種植的短期臨床效果觀察
發(fā)布時(shí)間：2019-06-26 13:20
【摘要】：目的:牙槽嵴骨劈開技術(shù)是解決牙槽骨水平骨量不足情況下種植治療的有效方法,本課題的目的是為了研究在牙槽骨垂直骨量充足但是水平骨量不足情況下,運(yùn)用超聲骨刀與手動(dòng)骨劈開器進(jìn)行骨劈開聯(lián)合GBR技術(shù)進(jìn)行口腔種植后,種植體穩(wěn)定性,種植位點(diǎn)骨寬度變化量以及修復(fù)后紅色美學(xué),患者滿意程度等臨床問題,評(píng)價(jià)超聲骨刀與手動(dòng)骨劈開器進(jìn)行骨劈開聯(lián)合GBR技術(shù)在牙槽骨水平寬度不足情況下進(jìn)行種植修復(fù)治療的臨床效果。方法:本研究按照納入/排除標(biāo)準(zhǔn),收集并整理缺牙區(qū)牙槽骨垂直骨量足夠但水平骨量不足的種植修復(fù)治療的患者資料,共34名。所有患者均采用超聲骨刀與手動(dòng)骨劈開器進(jìn)行骨劈開聯(lián)合GBR的口腔種植技術(shù),并且同期植入種植體,共34枚。術(shù)后6個(gè)月行種植二期手術(shù),置換愈合基臺(tái)進(jìn)行牙齦成形,兩周后制取硅橡膠模型進(jìn)行冠部修復(fù),囑患者填寫滿意程度調(diào)查表。通過比較術(shù)中和術(shù)后6個(gè)月種植體穩(wěn)定性及種植位點(diǎn)骨寬度增加量,修復(fù)后和行使功能6個(gè)月后的紅色美學(xué)評(píng)分,患者滿意程度等臨床參數(shù),評(píng)價(jià)術(shù)后臨床效果。結(jié)果:本課題共納入患者34名,其中一名患者于術(shù)中發(fā)生唇側(cè)骨板骨折,其數(shù)據(jù)排出統(tǒng)計(jì)。33名患者平均年齡51.82±9.40歲,所有患者種植體骨結(jié)合良好,均完成了上部結(jié)構(gòu)修復(fù),成功率100%。1.種植治療患者種植體穩(wěn)定性系數(shù)在術(shù)中和術(shù)后6個(gè)月時(shí)分別為:48.94±3.77和70.27±3.55,差異具有統(tǒng)計(jì)學(xué)意義(p0.01)。2.種植治療患者缺牙位點(diǎn)術(shù)前,術(shù)后6個(gè)月水平骨量分別為:3.47±0.23 mm和4.72±0.22 mm,二者具有統(tǒng)計(jì)學(xué)差異(p0.01)。3.種植體上部修復(fù)體修復(fù)完成后和修復(fù)體使用6個(gè)月后的紅色美學(xué)評(píng)分分別為:7.76±1.19和9.69±2.17,二者具有統(tǒng)計(jì)學(xué)差異(p0.01)。4.患者對(duì)種植修復(fù)治療的總體滿意程度跟修復(fù)完成后修復(fù)體的咀嚼功能,異物感程度,美觀性,以及治療花費(fèi)具有相關(guān)性,修復(fù)體的異物感和舒適程度也具有相關(guān)性(p0.05)。滿意程度調(diào)查表里面的各項(xiàng)指標(biāo)跟術(shù)后紅色美學(xué)評(píng)分均沒有相關(guān)性(p0.05)。結(jié)論:超聲骨刀與手動(dòng)骨劈開器聯(lián)合GBR技術(shù)擴(kuò)大了種植治療的相對(duì)適應(yīng)癥,對(duì)缺牙區(qū)域水平骨量不足情況下的種植治療,術(shù)后骨量和牙周軟組織美學(xué)方面評(píng)價(jià)均具有良好的臨床效果,患者對(duì)于種植修復(fù)治療的滿意程度也較高。
[Abstract]:Objective: alveolar crest bone split technique is an effective method to solve the problem of alveolar bone horizontal bone mass insufficiency. The purpose of this paper is to study the stability of implantation body, the change of bone width at implantation site and red aesthetics after oral implantation with ultrasonic bone knife and manual bone splitter combined with GBR technique under the condition of sufficient vertical bone mass but insufficient horizontal bone mass of alveolar bone. To evaluate the clinical effect of ultrasonic bone knife and manual bone splitter combined with GBR in the treatment of alveolar bone with insufficient horizontal width of alveolar bone. Methods: according to the inclusion / exclusion criteria, the data of 34 patients with sufficient vertical bone mass but insufficient horizontal bone mass in alveolar bone were collected and sorted out. All patients were treated with ultrasonic bone knife and manual bone splitter for oral implantation of bone split combined with GBR, and 34 implants were implanted at the same time. Six months after operation, the secondary implantation operation was performed, and the gums were formed with the replacement healing platform. Two weeks later, the silicone rubber model was made for crown repair, and the patients were told to fill out the satisfaction questionnaire. The clinical effects were evaluated by comparing the stability of the implantation during and 6 months after operation, the increase of bone width at the implantation site, the red aesthetic score after repair and the exercise of function for 6 months, and the satisfaction of the patients. Results: a total of 34 patients were included in this study. One of them had labial plate fracture during operation, and the data were counted. The average age of 33 patients was 51.82 鹵9.40 years old. All the patients had good bone union and completed the repair of superstructure with a success rate of 100%. The stability coefficient of implantation in patients treated with implantation was 48.94 鹵3.77 and 70.27 鹵3.55 during operation and 6 months after operation, the difference was statistically significant (p0.01). Before and 6 months after operation, the bone mass was 3.47 鹵0.23 mm and 4.72 鹵0.22 mm, respectively, and there was significant difference between the two groups (p0.01). The red aesthetic scores were 7.76 鹵1.19 and 9.69 鹵2.17 after the restoration was completed and 6 months after the restoration was used, respectively, and there was significant difference between the two groups (p0.01). 4 months after the restoration was completed and 6 months after the restoration was used, the red aesthetic scores were 7.76 鹵1.19 and 9.69 鹵2.17, respectively. There was a correlation between the overall satisfaction of the patients and the masticatory function, the degree of foreign body perception, aesthetics, and the cost of treatment, as well as the foreign feeling and comfort of the restoration body after the restoration was completed (p0.05), and there was a correlation between the overall satisfaction of the patients and the masticatory function, the degree of foreign body perception, the aesthetic degree and the cost of treatment. There was no correlation between the indexes in the satisfaction questionnaire and the postoperative red aesthetic score (p0.05). Conclusion: ultrasonic bone knife combined with manual bone splitter combined with GBR technique can expand the relative indication of implantation therapy, and has good clinical effect on bone mass and periodontal soft tissue aesthetics in the case of insufficient bone mass in missing tooth area, and the patients are satisfied with the treatment of implantation and repair.
【學(xué)位授予單位】：山西醫(yī)科大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2017
【分類號(hào)】：R783.6
本文編號(hào)：2506212
[Abstract]:Objective: alveolar crest bone split technique is an effective method to solve the problem of alveolar bone horizontal bone mass insufficiency. The purpose of this paper is to study the stability of implantation body, the change of bone width at implantation site and red aesthetics after oral implantation with ultrasonic bone knife and manual bone splitter combined with GBR technique under the condition of sufficient vertical bone mass but insufficient horizontal bone mass of alveolar bone. To evaluate the clinical effect of ultrasonic bone knife and manual bone splitter combined with GBR in the treatment of alveolar bone with insufficient horizontal width of alveolar bone. Methods: according to the inclusion / exclusion criteria, the data of 34 patients with sufficient vertical bone mass but insufficient horizontal bone mass in alveolar bone were collected and sorted out. All patients were treated with ultrasonic bone knife and manual bone splitter for oral implantation of bone split combined with GBR, and 34 implants were implanted at the same time. Six months after operation, the secondary implantation operation was performed, and the gums were formed with the replacement healing platform. Two weeks later, the silicone rubber model was made for crown repair, and the patients were told to fill out the satisfaction questionnaire. The clinical effects were evaluated by comparing the stability of the implantation during and 6 months after operation, the increase of bone width at the implantation site, the red aesthetic score after repair and the exercise of function for 6 months, and the satisfaction of the patients. Results: a total of 34 patients were included in this study. One of them had labial plate fracture during operation, and the data were counted. The average age of 33 patients was 51.82 鹵9.40 years old. All the patients had good bone union and completed the repair of superstructure with a success rate of 100%. The stability coefficient of implantation in patients treated with implantation was 48.94 鹵3.77 and 70.27 鹵3.55 during operation and 6 months after operation, the difference was statistically significant (p0.01). Before and 6 months after operation, the bone mass was 3.47 鹵0.23 mm and 4.72 鹵0.22 mm, respectively, and there was significant difference between the two groups (p0.01). The red aesthetic scores were 7.76 鹵1.19 and 9.69 鹵2.17 after the restoration was completed and 6 months after the restoration was used, respectively, and there was significant difference between the two groups (p0.01). 4 months after the restoration was completed and 6 months after the restoration was used, the red aesthetic scores were 7.76 鹵1.19 and 9.69 鹵2.17, respectively. There was a correlation between the overall satisfaction of the patients and the masticatory function, the degree of foreign body perception, aesthetics, and the cost of treatment, as well as the foreign feeling and comfort of the restoration body after the restoration was completed (p0.05), and there was a correlation between the overall satisfaction of the patients and the masticatory function, the degree of foreign body perception, the aesthetic degree and the cost of treatment. There was no correlation between the indexes in the satisfaction questionnaire and the postoperative red aesthetic score (p0.05). Conclusion: ultrasonic bone knife combined with manual bone splitter combined with GBR technique can expand the relative indication of implantation therapy, and has good clinical effect on bone mass and periodontal soft tissue aesthetics in the case of insufficient bone mass in missing tooth area, and the patients are satisfied with the treatment of implantation and repair.
【學(xué)位授予單位】：山西醫(yī)科大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2017
【分類號(hào)】：R783.6
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