口腔医学研究 ›› 2020, Vol. 36 ›› Issue (7): 664-668.DOI: 10.13701/j.cnki.kqyxyj.2020.07.013

• 牙周病学研究 • 上一篇    下一篇

3D手术导板在牙周骨皮质切开术中的应用研究

田明彤, 张明珠*   

  1. 昆明医科大学附属口腔医院牙周病科 云南 昆明 650000
  • 收稿日期:2019-11-21 出版日期:2020-07-28 发布日期:2020-07-24
  • 通讯作者: 张明珠,E-mail:mingzhu_2070@qq.com
  • 作者简介:田明彤(1993~),男,广东兴宁人,硕士在读,研究方向:牙周-正畸联合治疗。

Application of 3D Surgical Guide Plate in Periodontal Corticotomy

TIAN Mingtong, ZHANG Mingzhu*   

  1. Department of Periodontology, Affiliated Stomatological Hospital, Kunming Medical University, Kunming 650000, China
  • Received:2019-11-21 Online:2020-07-28 Published:2020-07-24

摘要: 目的: 探索3D手术导板在骨皮质切开术中的应用效果。方法: 收集就诊于我院的20例正畸患者,分为对照组(A)和试验组(B),A组行传统骨皮质切开术,B组行3D导板结合微创骨皮质切开术。分别记录2组患者在术前、术后6周、12周、24周的PPD、mGI以及术后口腔健康生活质量和瘢痕评分。结果: 术前,2组各观察指标差异无统计学意义。两组术后6周、12周、24周PPD、mGI与基线相比差异无统计学意义;术后3 d、7 d两组OHIP-14差异有统计学意义(P<0.05);术后24周两组瘢痕评分差异有统计学意义(P<0.05)。结论: 3D手术导板结合微创骨皮质切开术可有效改善患者术后不适,美学效果较好。

关键词: 骨皮质切开, 3D手术导板, 微创

Abstract: Objective: To explore the application of 3D surgical guide plate in periodontal corticotomy. Methods: Twenty orthodontic patients admitted to our hospital were collected and divided into control group (A) and test group (B). Group A received traditional corticotomy, while group B received 3D guide plate combined with minimally invasive corticotomy. PPD, mGI, oral health quality of life, and scar score of two groups of patients were recorded before operation, 6 weeks, 12 weeks, and 24 weeks after operation, respectively. Results: Before operation, there was no significant difference between two groups. There was no significant difference in PPD and mGI between two groups 6 weeks, 12 weeks, and 24 weeks after operation in contrast to baseline. The difference of OHIP-14 between two groups at 3 and 7 days after operation was statistically significant(P<0.05). There was significant difference in scar score between two groups 24 weeks after operation(P<0.05). Conclusion: 3D surgical guide plate combined with minimally invasive corticotomy can effectively improve postoperative discomfort of patients with good aesthetic effect.

Key words: corticotomy, 3D printed surgical template, minimally invasive