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单颗牙种植体植入延迟和早期加载的临床与影像学评估:一项为期6个月的前瞻性随机随访临床研究。

Clinical and Radiological Evaluation of Delayed and Early Loading of Single-Tooth Implant Placement: A 6-Month, Prospective, Randomized, Follow-up Clinical Study.

作者信息

Sekar Santhosh, Suthanthiran Thangakumaran, Thangavelu Arthiie, Karupannan Sasi Kumar, Prem Fairlin, Rajendran Dhivya

机构信息

Department of Periodontics, JKK Nattraja Dental College and Hospital, Komarapalayam, Tamil Nadu, India.

出版信息

J Pharm Bioallied Sci. 2019 May;11(Suppl 2):S278-S284. doi: 10.4103/JPBS.JPBS_12_19.

Abstract

PURPOSE

The purpose of the study was to compare delayed and early loaded single-tooth implant technique.

MATERIALS AND METHODS

A randomized, prospective clinical trial was conducted to evaluate the clinical and radiological parameters of delayed and early loading of single-tooth implant placement. Fourteen male or female patients were selected randomly, who had single tooth missing in mandibular posterior region. A delayed implant placement technique was followed in these regions. A Hi-Tech implant (Life Care Implants) was performed. The patients were divided into two groups: delayed loading group and early loading group. In delayed loading groups, implants were loaded after 3 months, and in early loading groups, implants were loaded within 7 days to 2 months. Soft tissue and radiological bone loss were assessed at baseline, 3 months, and 6 months. The parameters assessed were plaque index, gingival index, probing pocket depth, thickness of peri-implant mucosa, and bone loss (radiographically).

RESULTS

The results show that there was no statistical difference in indexes taken between delayed loading and early loading groups.

CONCLUSION

In this study, after first 6 months there was no difference in success rate between delayed loading or early loading of implants. This study also showed that more bone loss occurred around delayed loading implants. So it can be concluded that early loading technique can be successfully practiced instead of delayed loading of implants.

摘要

目的

本研究的目的是比较延期负重和早期负重单颗牙种植技术。

材料与方法

进行了一项随机前瞻性临床试验,以评估单颗牙种植体植入延期负重和早期负重的临床及影像学参数。随机选择14例下颌后牙区单颗牙缺失的男性或女性患者。在这些区域采用延期种植体植入技术。植入一颗高科技种植体(Life Care Implants)。将患者分为两组:延期负重组和早期负重组。在延期负重组中,种植体在3个月后负重,在早期负重组中,种植体在7天至2个月内负重。在基线、3个月和6个月时评估软组织和影像学骨丢失情况。评估的参数包括菌斑指数、牙龈指数、探诊袋深度、种植体周围黏膜厚度和骨丢失(影像学)。

结果

结果显示,延期负重组和早期负重组之间的各项指标无统计学差异。

结论

在本研究中,最初6个月后,种植体延期负重或早期负重的成功率无差异。本研究还表明,延期负重种植体周围发生的骨丢失更多。因此可以得出结论,早期负重技术可以成功实施,而无需对种植体进行延期负重。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/12d3/6555379/b482e51e8675/JPBS-11-278-g001.jpg

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