早期负载种植体部位采用“不翻瓣”和“翻瓣”技术植入种植体后嵴顶骨高度的比较。
Comparison of Crestal Bone Heights Following Implant Placement with "Flapless" and "Flap" Techniques in the Sites of Early Loaded Implants.
作者信息
Pahuja Suhani Kukreja, Negi Pooja, Singh Anjali, Singh Gangesh Bahadur, Rayast Deepa, Minz Manisha
机构信息
Department of Prosthodontics, Maharishi Markandeshwar College of Dental Sciences and Research, MMU, Mullana, India.
Department of Prosthodontics, Government Dental College, Shimla, Himachal Pradesh, India.
出版信息
J Pharm Bioallied Sci. 2021 Jun;13(Suppl 1):S370-S374. doi: 10.4103/jpbs.JPBS_580_20. Epub 2021 Jun 5.
PURPOSE
The purpose was to evaluate the difference in crestal bone loss (CBL) around implants with flap and flapless methods followed by early loading.
MATERIALS AND METHODS
Twenty implants were placed in twenty patients - ten using flap and ten using flapless techniques. The difference in CBL was measured on standardized digital periapical radiograph taken at 0 week, 6 weeks, 12 weeks, and 6 months.
RESULTS
The present study showed the mean CBL on proximal surfaces when evaluated at intervals of 0 week, 6 weeks, 12 weeks, and 6 months for flapless method was significantly lower than with flap method the values of which were +0.07 mm against +0.26 mm on mesial side and +0.15 mm against +0.33 mm on distal side at 6 months.
CONCLUSION
The flapless approach is a predictable procedure when patient selection and surgical technique are appropriate, and results in lesser CBL.
目的
本研究旨在评估采用翻瓣术和不翻瓣术植入种植体并早期负重后，种植体周围牙槽嵴顶骨吸收（CBL）的差异。
材料与方法
在20例患者中植入20颗种植体，其中10颗采用翻瓣术，10颗采用不翻瓣技术。在0周、6周、12周和6个月时拍摄标准化数字化根尖片，测量CBL的差异。
结果
本研究显示，不翻瓣术在0周、6周、12周和6个月时评估的近中面平均CBL显著低于翻瓣术，6个月时，不翻瓣术近中面为+0.07mm，翻瓣术为+0.26mm；远中面不翻瓣术为+0.15mm，翻瓣术为+0.33mm。
结论
当患者选择和手术技术合适时，不翻瓣术是一种可预测的手术方法，且导致的CBL较少。
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