微创种植术在老年牙列缺损患者中的应用

目的:探讨老年牙列缺损患者采用微创种植技术实施修复治疗的临床价值。方法:选取笔者医院采用种植修复的牙列缺损患者80例为研究对象,采用随机区组设计分为微创组和对照组,每组40例,微创组:采用微创种植技术实施修复治疗;对照组:采用常规牙种植技术实施修复治疗,比较两组患者术后恢复情况,术后1年评价两组患者修复后美学效果及种植成功率。结果:微创组的抗生素使用时间、疼痛消失时间均显著低于对照组(P<0.05);修复手术完成1年后,微创组的近中龈乳头、远中龈乳头、唇侧龈缘曲度、唇侧龈缘高度、根部凸度、软组织颜色和软组织质地7个项目的评分均高于对照组(P<0.05);修复手术完成1年后,微创组的种植体成功率97.5%,对照组种植成功率95.0%,两组间种植成功率差异比较,不具有统计学意义(P>0.05)。结论:老年牙列缺损患者采用微创种植技术实施修复治疗能够取得与传统方法相同的效果,同时具有术后抗生素使用时间及术后疼痛时间缩短,修复后近期修复体美观效果更好的优势。

Application Value of Minimally Invasive Implantation in Elderly Patients with Dental Defects

Objective To explore the clinical value of minimally invasive implantation techniques for the treatment of elderly patients with dentition defects.Methods Eighty patients who were scheduled to undergo implant restoration in our hospital were selected as subjects.The randomized group design was divided into 40 cases of minimally invasive group and control group.Invasive implant technique was used to carry out repair treatment,and the control group was treated with conventional dental implant technique.Results The time of antibiotic use and the time of pain disappeared in the minimally invasive group were significantly lower than those in the control group (P<0.05).One year after the completion of the repair operation,the proximal sacrum,the distal sacrum,and the labial margin of the minimally invasive group The scores of the 7 items of degree,labial height,root crown,soft tissue color and soft tissue texture were higher than those of the control group (P<0.05).After 1 year of repair surgery,the implant success rate was 97.5 in minimally invasive group.was 95.0% in control group,and there was no difference in statistics (P>0.05).Conclusion In the elderly patients with dentition defect,the minimally invasive implantation technique can achieve the same effect as the traditional method,and it has the advantages of postoperative antibiotic use and postoperative pain time shortening,and the effect of the recent restoration is better after repair.