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在上颌前牙美学区软组织使用触控式微创植入技术的优势。

Advantages of using touch-controlled, minimally invasive implantation technique on soft tissue in the aesthetic zone of maxillary anterior teeth.

作者信息

Li Wenchao, Ruan Ning, Tian Yuan, Li Senhao, Boldbaatar Damdindorj, Badral Batbayar

机构信息

Department of Oral and Maxillofacial Surgery, School of Dentistry, Mongolian National University of Medical Sciences, Ulaanbaatar, Mongolia.

Department of Oral Implantology, Affiliated Hospital of Chifeng University, Inner Mongolia Key Laboratory of Oral Craniomaxillofacial Diseases Research, Chifeng, China.

出版信息

Medicine (Baltimore). 2024 Dec 13;103(50):e40051. doi: 10.1097/MD.0000000000040051.

Abstract

Endosseous implant is an ideal treatment option for the treatment of denture defects and omissions. However, how to maintain the perfect gum contour of patients has been an important research topic for stomatologists and has attracted much attention. The objective of this study was to explore the advantages of minimally invasive touch-controlled implantation in maintaining soft tissue morphology in the aesthetic area of maxillary anterior teeth. Forty patients underwent preoperative cone-beam computed tomography and were randomly divided into 2 groups: experimental group (touch-controlled, minimally invasive implantation approach, n = 20) and control group (traditional flap implantation approach, n = 20). The operative time, postoperative pain, gingival recession, and patient satisfaction were compared between the 2 groups. The independent sample t test was employed to compare the results, with a significance level of α = 0.05. Statistical significance was determined at P < .05. The operative time was 4.50 and 9.21 minutes, respectively, for 2 groups, P < .001. The mean pain scores of 2 groups were 1.09 and 2.14, respectively, at 24 hours after surgery, P < .001. The H values (the distance from the labial edge of the implant healing cap to the lowest gingival margin), 6 weeks after surgery, of 2 groups were 2.69 and 3.05, respectively, P = .023. There was a significant difference in patient satisfaction between 2 groups 24 hours after surgery (P < .001). Touch-controlled minimally invasive implantation has shorter operative time and lesser bleeding, postoperative pain, and gingival recession than traditional flap implantation, which is conducive to the preservation of gingival shape.

摘要

骨内种植体是治疗义齿缺损和缺失的理想选择。然而,如何保持患者完美的牙龈轮廓一直是口腔医学专家的重要研究课题,并备受关注。本研究的目的是探讨微创触觉控制种植在上颌前牙美学区维持软组织形态方面的优势。40例患者术前行锥形束计算机断层扫描,并随机分为2组:实验组(触觉控制微创种植方法,n = 20)和对照组(传统翻瓣种植方法,n = 20)。比较两组的手术时间、术后疼痛、牙龈退缩和患者满意度。采用独立样本t检验比较结果,显著性水平α = 0.05。P <.05为差异有统计学意义。两组的手术时间分别为4.50分钟和9.21分钟,P <.001。术后24小时两组的平均疼痛评分分别为1.09和2.14,P <.001。术后6周两组的H值(种植体愈合帽唇缘至最低牙龈边缘的距离)分别为2.69和3.05,P =.023。术后24小时两组患者满意度有显著差异(P <.001)。与传统翻瓣种植相比,触觉控制微创种植手术时间更短,出血、术后疼痛和牙龈退缩更少,有利于牙龈形态的保存。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b66e/11651473/f5f7597b2a55/medi-103-e40051-g001.jpg

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