前牙外伤后即刻种植美学修复的临床应用疗效分析及价值评价

目的:观察和评价即刻种植用于前牙外伤后的美学修复效果及价值.方法:选取2014年6月至2016年6月就诊于邯郸市人民医院口腔种植科的32例前牙外伤患者,共植入50枚种植体.外伤患牙予以即刻种植,部分患者同期实施骨组织再生,并3个月后实施最终修复.随访1年,观察期间的种植体成功率,分析红白美学指数和龈乳头指数、测量边缘骨水平.结果:本研究即刻种植成功率均为100%.修复完成后1周,测量并统计得出的白色美学总分(7.22±1.16)分.软组织得到良好恢复,牙龈乳头未见退缩,随着植入时间的增加红色美学得分相应上升,修复后12个月与修复后1周、修复后6个月相比,差异具有统计学意义(P<0.05).修复后12个月与修复后1周、修复后6个月相比,边缘骨水平,差异具有统计学意义(P<0.05).结论:前牙外伤患者应用即刻种植能够减缓种植体周围软硬组织的吸收,可以缩短患者的疗程,且可实现较高的美学满意度,值得临床推广.

The Curative Analysis and Value Evaluation of Immediate Implantation and Aesthetic Repair in the Traumatically Area

Objective:To observe the curative effect of immediate implantation and aesthetic repair in the traumatically area and evaluate the clinical value. Methods:Thirty-two patients visited department of oral implantology,People's Hospital of Handan from June 2014 to June 2016 were given immediate implantation (50 tooth). The injured teeth were planted immediately,and some patients underwent bone regeneration dur-ing the same period,and the final restoration was performed 3 months later. After 1 years of follow-up, the success rate of implant was analyzed, the red and white aesthetic index and gingival papilla index were ana-lyzed,and the marginal bone level was measured. Results:The implantation success rate was 100%. 1 weeks after the completion of the restoration, the total score of white aesthetics (7.22 ±1.16) was measured and counted;and the soft tissue was recovered well; the gingival papilla did not flinch. As the implantation time increased,the scores of red aesthetics increased accordingly. 12 months after the repair, compared with 1 weeks after the repair and 6 months after the repair,the difference was significant ( P<0.05) . Compared with 1week and 6 months after the repair,the difference of the marginal bone level of the repair after 12 months was significant (P<0.05) difference. Conclusion: The immediate implant can slow the absorption of soft tissue surrounding the implant,shorten the course of the patient's treatment, and achieve higher aesthetic satisfac-tion,which is worthy of clinical promotion.