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微创种植治疗的临床效果及美学评价

Clinical Effect and Aesthetic Evaluation of Minimally Invasive Implant Therapy.

作者信息

Li Kefei, Liu Fang, Liu Pan, Wei Cuifang, Li Xue

机构信息

Department of Stomatology, Qingdao Third People's Hospital Affiliated to Qingdao University, Qingdao, Shandong 266041, China.

School of Stomatology, Dalian Medical University, Dalian, Liaoning 116044, China.

出版信息

Emerg Med Int. 2023 Mar 24;2023:9917311. doi: 10.1155/2023/9917311. eCollection 2023.

Abstract

OBJECTIVE

To explore the clinical effect and aesthetic evaluation of minimally invasive implant in the treatment of dentition defect.

METHODS

From April 2020 to May 2021, 60 patients who received implant restoration were collected as the research objects. Randomly divided into minimally invasive surgery group (30 patients) and routine surgery group (30 patients). The postoperative antibiotic use time, pain disappearance time, swelling degree, and pain degree of the two groups were compared. Follow-up for one year, record and compare the success rate of implants and aesthetic evaluation of restoration between the two groups. The evaluation of patients' satisfaction with restoration was collected and compared.

RESULTS

The operation time and antibiotic use time of patients in minimally invasive surgery group were significantly shorter than those in conventional surgery group, and the swelling degree rating was significantly better than that in conventional surgery group, with statistical significance ( < 0.05). The number of patients with no pain (0 degree) and mild pain (degree) in minimally invasive surgery group was significantly higher than that in routine surgery group, and the difference was statistically significant ( < 0.05). One year after the repair, the success rate of implants in minimally invasive surgery group was 100.00% compared with that in routine surgery group (93.33%), and the difference was not statistically significant ( > 0.05). The aesthetic effect scores of patients in minimally invasive surgery group were higher than those in routine surgery group in seven items: proximal gingival papilla, distal gingival papilla, labial gingival margin curvature, labial gingival margin height, root convexity, soft tissue color, and soft tissue texture, with statistical significance ( < 0.05). The satisfaction scores of the patients in minimally invasive surgery group in chewing function, comfort, aesthetics, retention function, and language function were higher than those in conventional surgery group, and the differences were statistically significant ( < 0.05).

CONCLUSION

Minimally invasive implant can achieve the same effect as conventional implant, and it has the advantages of lower postoperative swelling, shorter pain time, better aesthetic effect, and higher satisfaction after restoration.

摘要

目的

探讨微创种植治疗牙列缺损的临床效果及美学评价。

方法

收集2020年4月至2021年5月接受种植修复的60例患者作为研究对象。随机分为微创手术组(30例患者)和常规手术组(30例患者)。比较两组术后抗生素使用时间、疼痛消失时间、肿胀程度及疼痛程度。随访1年,记录并比较两组种植成功率及修复美学评价。收集并比较患者对修复的满意度评价。

结果

微创手术组患者的手术时间和抗生素使用时间明显短于传统手术组,肿胀程度评分明显优于传统手术组,差异有统计学意义(<0.05)。微创手术组无痛(0级)和轻度疼痛(Ⅰ级)患者数量明显高于常规手术组,差异有统计学意义(<0.05)。修复1年后,微创手术组种植成功率为100.00%,传统手术组为93.33%,差异无统计学意义(>0.05)。微创手术组患者在近中牙龈乳头、远中牙龈乳头、唇侧牙龈边缘曲率、唇侧牙龈边缘高度、牙根凸度、软组织颜色和软组织质地7项美学效果评分均高于传统手术组,差异有统计学意义(<0.05)。微创手术组患者在咀嚼功能、舒适度、美观度、固位功能和语言功能方面的满意度评分高于传统手术组,差异有统计学意义(<0.05)。

结论

微创种植与传统种植效果相同,且具有术后肿胀低、疼痛时间短、美学效果好、修复后满意度高等优点。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d6d0/10065858/cd6db387302e/EMI2023-9917311.001.jpg

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