口腔医学研究

口腔医学研究 ›› 2018, Vol. 34 ›› Issue (2): 181-185.DOI: 10.13701/j.cnki.kqyxyj.2018.02.018

• 口腔种植学研究 • 上一篇    下一篇

改良不翻瓣微创种植术的临床应用观察

何孔炎*, 陈艳, 缪颖, 缪海梅   

  1. 福建医科大学附属闽东医院口腔科 福建 福安 355000;
  • 收稿日期:2017-10-18 出版日期:2018-02-28 发布日期:2018-02-26
  • 通讯作者: 何孔炎,E-mail:13959342090@139.com
  • 作者简介:何孔炎(1980~ ),男,福建人,学士,副主任医师,主要从事口腔种植及口腔修复工作。
  • 基金资助:
    福建省宁德市科学技术计划项目(编号:20140017)

A Modified Mini-invasive Flapless Surgery in Dental Implantation: A Clinical Report

HE Kong-yan*, CHEN Yan, MIAO Ying, MIAO Hai-mei   

  1. Department of Stomatology, Mindong Hospital Affiliated to Fujian Medical University, FuAn 355000, China.
  • Received:2017-10-18 Online:2018-02-28 Published:2018-02-26

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摘要： 目的:比较改良不翻瓣与环切不翻瓣微创种植术在牙种植中的临床效果,为临床医生提供一种更加简便、安全、有效的技术方法。方法:选择后牙区单颗牙缺失患者共60例,将患者随机分为30例为改良不翻瓣组和30例为环切不翻瓣组。比较两组手术时间、术后24 h疼痛程度、术后72 h术区的肿胀程度、术后3个月修复时及修复6个月后种植体边缘骨吸收程度。结果:与环切不翻瓣组相比,改良不翻瓣组的手术时间明显缩短、术后24 h疼痛程度及术后72 h肿胀程度明显减轻,这3个方面均具有统计学意义。结论:改良不翻瓣微创种植术可有效缩短患者手术时间、减轻术后疼痛及肿胀程度,且可以达到稳定的骨结合,是一种值得推荐的手术好方法。

关键词: 种植体, 改良不翻瓣, 微创, 临床应用

Abstract: Objective: To access the clinical outcomes of modified minimally invasive (MMI) and traditional minimally invasive (TMI) surgical technique in oral implantation. Methods: Subjects eligible for this study were randomly assigned into two groups: modified minimally invasive group and traditional minimally invasive group. The evaluation items were the following: implant installation position, soft tissue swelling, the operative time, post-surgical pain, marginal bone loss (MBL), and implant survival rate. Results: Sixty subjects were included in the study. None of the implants demonstrated dehiscence or loss during the follow-up. Subjects in MMI group showed significantly lower post-surgical pain at 24 hours and significantly less wound swelling index scores at 3 days follow-up. At every appointment in the study, no statistical significant difference of MBL was found between two groups. Conclusion: Compared with TMI group, single implant placed applying the MMI technique in selected subjects showed advantages in improving patient comfort and decreasing post-implant placement soft tissue reaction. Meanwhile, implants with MMI approach have the same level of MBL and high success rates as TMI procedure at 6-months follow-up.

Key words: Implant, Modified flapless surgery, Minimally invasive, Clinical application

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