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前牙美学区条件不佳时牙种植体的个性化修复设计与临床评价

[Individualized restorative designs and clinical evaluation for dental implants in the anterior esthetic zone with inappropriate conditions].

作者信息

Dai Wen-yong, Zhou Guo-xing, Zhang Xiao-zhen, Zhao Yi, Wang Jie, Yang Yi, Zhu Zhi-jun, Tang Chun-bo

机构信息

Institute of Stomatology, Nanjing Medical University. Nanjing 210029;Jiangsu Province, China.E-mail:

出版信息

Shanghai Kou Qiang Yi Xue. 2014 Aug;23(4):446-51.

PMID:25338796
Abstract

PURPOSE

To offer individualized restorative strategies for patients receiving dental implants in the anterior esthetic zone but with inappropriate available conditions and evaluate the clinical outcomes.

METHODS

Forty-six patients with 58 implants were recruited for the study in accordance with the criteria and received individualized implant prostheses in the anterior esthetic zone. The patients were followed up for 3-24 months, and the clinical outcomes were evaluated by pink and white esthetic scores (PES/WES).

RESULTS

The patients were from 18 to 69 years old, and followed up for 12.6 months in average. According to the third month follow-up esthetic scores, for PES, 1.72% of the patients got low scores, 44.83% got medium scores and 53.45% got high scores; For WES, 0% got low scores, 20.69% got medium scores and 79.31% got high scores. No implant failure or peri-implantitis occurred.

CONCLUSIONS

Individualized restorative designs for implants in the esthetic zone can effectively improve the appearance of the prostheses which originally have no appropriate available space. Close follow-up and monitoring of the peri-implant soft tissue and proper oral hygiene instructions are important to ensure the conditions of the prostheses.

摘要

目的

为在前牙美学区接受牙种植但可用条件不佳的患者提供个性化修复策略,并评估临床效果。

方法

根据标准招募了46例患者共58颗种植体,在前牙美学区接受个性化种植修复。对患者进行3至24个月的随访,并通过粉红美学评分(PES)和白色美学评分(WES)评估临床效果。

结果

患者年龄在18至69岁之间,平均随访12.6个月。根据第三个月的随访美学评分,对于PES,1.72%的患者得低分,44.83%得中等分数,53.45%得高分;对于WES,0%得低分,20.69%得中等分数,79.31%得高分。未发生种植体失败或种植体周围炎。

结论

美学区种植体的个性化修复设计可有效改善原本没有合适可用空间的修复体外观。密切随访和监测种植体周围软组织以及适当的口腔卫生指导对于确保修复体状况很重要。

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