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组织水平(TL)和骨水平(BL)单颗种植体周围龈乳头的比较:一项临床试验。

Comparison of interdental papillae around single implants in the tissue-level (TL) and bone-level (BL) implants: A clinical trial.

作者信息

Banihashem Rad Seyed Ahmad, Forouzanfar Ali, Banihashemrad Seyed Ali

机构信息

Student Research Committee, School of Dentistry, Mashhad University of Medical Sciences, Mashhad, Iran.

Department of Periodontics, School of Dentistry, Mashhad University of Medical Science, Mashhad, Iran.

出版信息

J Adv Periodontol Implant Dent. 2020 May 19;12(1):30-36. doi: 10.34172/japid.2020.007. eCollection 2020.

Abstract

BACKGROUND

This study aimed to evaluate the effect of bone-level implants in comparison with tissue-level implants on dental papilla dimensions in single-tooth implants.

METHODS

In the present clinical trial, 50 patients, 24 females (48%) and 26 males (52%), were selected among patients requesting single implants in the posterior area of the jaws. The subjects were divided into two groups (n=25). The subjects in the first group were treated with a bone-level implant (Implantium, Dentium, Korea), and the subjects in the second group were treated with a tissue level implant (Implantium, Dentium, Korea). None of the implants were loaded during this period, and only the healing effect was measured. All the implants underwent one-stage surgery (none-submerged), and healing abutments were placed after implantation. The papilla heights in both the mesial and distal aspects of the adjacent teeth were measured. A periodontal probe was used to measure from the top of the papilla to the CEJ of the adjacent teeth in two time intervals. Descriptive statistics were performed using tables and Shapiro-Wilk, chi-squared, Mann-Whitney, and independent t-tests.

RESULTS

The findings showed that the interdental papilla in TL single implants performed better than that in BL implants at the three-month interval. This difference was statistically significant on the mesial aspect but not on the distal aspect. However, the difference was not clinically significant.

CONCLUSION

A comparison of papilla dimensions in two implant types showed that papilla formation in TL implants was better than that in BL implants at the three-month postoperative interval.

摘要

背景

本研究旨在评估骨水平种植体与软组织水平种植体相比,对单颗牙种植时牙乳头尺寸的影响。

方法

在本临床试验中,从要求在下颌后部区域进行单颗种植体植入的患者中选取了50例患者,其中女性24例(48%),男性26例(52%)。受试者被分为两组(n = 25)。第一组受试者接受骨水平种植体(韩国登腾公司的Implantium)治疗,第二组受试者接受软组织水平种植体(韩国登腾公司的Implantium)治疗。在此期间,所有种植体均未加载,仅测量愈合效果。所有种植体均采用一期手术(非潜入式),植入后放置愈合基台。测量相邻牙齿近中及远中面的牙乳头高度。使用牙周探针在两个时间间隔内从牙乳头顶部测量至相邻牙齿的牙釉质牙骨质界。使用表格以及Shapiro-Wilk检验、卡方检验、Mann-Whitney检验和独立t检验进行描述性统计。

结果

研究结果表明,在三个月的观察期内,软组织水平单颗种植体的牙间乳头表现优于骨水平种植体。这种差异在近中面具有统计学意义,但在远中面没有。然而,这种差异在临床上并不显著。

结论

两种种植体类型的牙乳头尺寸比较表明,术后三个月时,软组织水平种植体的牙乳头形成情况优于骨水平种植体。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/54dc/9327465/d967e2795762/japid-12-30-g001.jpg

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