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牙种植手术中骨整形术的必要性——一项回顾性分析

Requirement of Osteoplasty in Dental Implant Surgery-A Retrospective Analysis.

作者信息

Kalaivani N, Arun Murugaiyan, Abhinav Rajendra Prabhu, Ramakrishnan Mahesh

机构信息

Saveetha Dental College and Hospitals, Saveetha Institute of Medical and Technical Sciences, Saveetha University, Chennai-77, 151501084, India.

Department of Oral and Maxillofacial Surgery, Saveetha Dental College and Hospitals, Saveetha Institute of Medical and Technical Sciences, Saveetha University, Chennai-77, India.

出版信息

J Long Term Eff Med Implants. 2020;30(2):141-145. doi: 10.1615/JLongTermEffMedImplants.2020035926.

Abstract

Osteoplasty is a surgical procedure for reshaping or recontouring bone. As dental implants are the most commonly preferred treatment for prosthetic rehabilitation, adequate bone height and width are important prerequisites for a successful implant. There is continuous resorption of the alveolar crestal region after extraction of the tooth, which may form sharp edges or sharp bony margins. Osteoplasty is required in such cases to remove the sharp bony margins and flatten the alveolar bone so as to provide increased stability of the implant in the socket. The aim of this retrospective, university-based study was to assess the requirement of osteoplasty in dental implant surgery. Data of patients who underwent implant surgery were collected. A total of 554 patients (331 males and 223 females) with 1,044 implant sites were included. The data were further sorted with respect to age, gender, implant site, and requirement of osteoplasty, and analyzed using SPSS software. The mean age of the patients was 42.70 ± 13.03. A chi-square test assessed association and correlation. The requirement of osteoplasty was higher in the mandibular posterior region (42.2%) than in any other clinical site. In comparison with gender, the requirement was significantly higher in males than in females.

摘要

骨成形术是一种对骨骼进行重塑或重新塑形的外科手术。由于牙种植体是修复性康复最常用的首选治疗方法,充足的骨高度和宽度是成功植入种植体的重要前提条件。拔牙后牙槽嵴区域会持续吸收,这可能会形成尖锐边缘或锐利的骨边缘。在这种情况下,需要进行骨成形术以去除锐利的骨边缘并使牙槽骨变平,从而提高种植体在牙槽窝中的稳定性。这项基于大学的回顾性研究的目的是评估牙种植手术中骨成形术的需求。收集了接受种植手术患者的数据。总共纳入了554例患者(331例男性和223例女性),共1044个种植位点。数据进一步按年龄、性别、种植位点和骨成形术需求进行分类,并使用SPSS软件进行分析。患者的平均年龄为42.70±13.03。采用卡方检验评估关联性和相关性。下颌后牙区骨成形术的需求(42.2%)高于其他任何临床部位。与性别相比,男性的需求明显高于女性。

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