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对上颌美学区即刻和延期负载种植体最终修复后邻间隙乳头体积的临床评估:一项研究。

A clinical assessment of the volume of interproximal papilla after definitive prosthesis around immediate and delayed loading implants placed in the maxillary esthetic zone: An study.

作者信息

Nariman Rushad Hosi, Pai Umesh Yeshwanth, Soumya M K, Hegde Rakshith

机构信息

Department of Prosthodontics, A. B. Shetty Memorial Institute of Dental Sciences, Mangalore, Karnataka, India.

Department of Prosthodontics, Manipal College of Dental Sciences, Manipal University, Mangalore, Karnataka, India.

出版信息

J Indian Prosthodont Soc. 2018 Apr-Jun;18(2):168-173. doi: 10.4103/jips.jips_289_17.

DOI:10.4103/jips.jips_289_17
PMID:29692571
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5903181/
Abstract

BACKGROUND

The presence of the dental papilla is critical to achieve esthetics in a single tooth implant restoration.

AIM

The purpose of this study was to determine if there were differences in the papilla fill between implant and teeth comparing immediate implant placement and provisionalised single tooth implant restorations with delayed implant placement and provisionalised single tooth implant restorations. The papilla fill in these two groups was evaluated using the Jemt papilla index.

RESULTS

It was seen that there was no statistically significant difference seen in the volume of the papilla between both the groups. There was a statistically significant difference seen in both the groups on the distal and mesial side from the initial stage go the follow up period of 10 days, 3 months and 6 months.

CONCLUSION

The interpretation of clinical papilla is a difficult task since many different clinical situations can be encountered while studying single tooth implant restorations. The single tooth implant restoration is a specific entity; the distance between the mesial and the distal side of one implant is never the same. Therefore the present study analysed the papilla as a unit and focused on the vertical fill related to the implant and adjacent teeth.

摘要

背景

牙乳头的存在对于单颗牙种植修复的美学效果至关重要。

目的

本研究的目的是确定在即刻种植并临时修复的单颗牙种植修复与延期种植并临时修复的单颗牙种植修复中,种植体与天然牙之间的龈乳头充盈情况是否存在差异。使用耶姆特(Jemt)龈乳头指数对这两组的龈乳头充盈情况进行评估。

结果

两组之间龈乳头体积在统计学上无显著差异。从初始阶段到10天、3个月和6个月的随访期,两组在远中侧和近中侧均存在统计学上的显著差异。

结论

临床中对龈乳头的解读是一项艰巨的任务,因为在研究单颗牙种植修复时可能会遇到许多不同的临床情况。单颗牙种植修复是一个特定的个体;一个种植体近中侧和远中侧之间的距离各不相同。因此,本研究将龈乳头作为一个整体进行分析,并重点关注与种植体及相邻牙齿相关的垂直向充盈情况。

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本文引用的文献

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Immediate implant placement: a case report.即刻种植:病例报告
J Indian Prosthodont Soc. 2012 Jun;12(2):120-2. doi: 10.1007/s13191-012-0120-2. Epub 2012 Jun 2.
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Gingival biotype - Prosthodontic perspective.
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Peri-implant papilla reconstruction: realities and limitations.种植体周围乳头重建:现状与局限
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Correlation of papilla to crestal bone levels around single tooth implants in immediate or delayed crown protocols.即刻或延期牙冠修复方案下单颗牙种植体周围龈乳头与嵴顶骨水平的相关性
J Oral Maxillofac Surg. 2005 Aug;63(8):1184-95. doi: 10.1016/j.joms.2005.04.025.
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Immediate tooth extraction, placement of a Tapered Screw-Vent implant, and provisionalization in the esthetic zone: a case report.美学区即刻拔牙、植入锥形螺纹通风式种植体及临时修复:病例报告
Implant Dent. 2003;12(2):123-31. doi: 10.1097/01.id.0000055822.98106.94.
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Clinical and radiographic evaluation of the papilla level adjacent to single-tooth dental implants. A retrospective study in the maxillary anterior region.单颗牙种植体相邻牙龈乳头水平的临床及影像学评估:一项在上颌前部区域的回顾性研究
J Periodontol. 2001 Oct;72(10):1364-71. doi: 10.1902/jop.2001.72.10.1364.
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Regeneration of gingival papillae after single-implant treatment.单颗种植治疗后牙龈乳头的再生
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