口腔医学研究 ›› 2020, Vol. 36 ›› Issue (7): 683-687.DOI: 10.13701/j.cnki.kqyxyj.2020.07.017

• 口腔种植学研究 • 上一篇    下一篇

短种植体冠根比对骨改建的影响:5年临床观察

夏勋, 胡常琦, 黄江琴, 郭水根, 魏洪武*   

  1. 南昌大学第四附属医院口腔科 江西 南昌 330000
  • 收稿日期:2019-09-11 出版日期:2020-07-28 发布日期:2020-07-24
  • 通讯作者: 魏洪武,E-mail:Nc.whw@163.com
  • 作者简介:夏勋(1995~),男,贵州毕节人,硕士在读,住院医师,主要从事口腔种植学研究。

Effect of Crown-root Ratio of Short Implants on Bone Remodeling:a 5-year Clinical Observation

XIA Xun, HU Changqi, HUANG Jiangqin, GUO Shuigen, WEI Hongwu*   

  1. Department of Stomatology, The Fourth Affiliated Hospital of Nanchang University, Nanchang 330000, China
  • Received:2019-09-11 Online:2020-07-28 Published:2020-07-24

摘要: 目的: 评估短种植体不同冠根比对种植体周骨改建的影响。方法: 选取2011年1月~2013年6月后牙区种植患者27例,共69枚Bicon短种植体。经过5年功能负载后,通过影像学资料分析边缘骨吸收(marginal bone loss,MBL)、种植体周骨灰度值(grey-scale value,GSV)的改变与冠根比(crown-to-implant ratio,CIR)关系。结果: 纳入研究的69枚Bicon种植体,经过(65±9)个月的功能负载,成功率为 94.2%。按CIR进行分组,MBL、△GSV与CIR之间未发现显著相关(P>0.05);仅有2枚植体发生崩瓷,机械并发症比较差异无统计学意义(P>0.05)。结论: Bicon短种植体CIR对种植体周MBL、GSV改变没有明显影响,骨组织具有足够的改建活性以应对更大的应力刺激。高CIR未导致更多的机械并发症和种植体失败。

关键词: Bicon, 短种植体, 冠根比, 影像学特征

Abstract: Objective:To observe the effects of increased crown-to-root ratios on bone remodeling of short implants. Methods:27 patients with a total of 69 Bicon short implants in the posterior region from January 2011 to June 2013 were enrolled in the study. The relationship between marginal bone loss (MBL), peri-implant bone grey-scale value (GSV), and crown-to-implant ratio (CIR) was analyzed using imaging data. Results:The 69 Bicon implants enrolled in the study had a functional load of (65 ± 9) months with a success rate of 94.2%. Grouped by CIR, no significant correlation was found between MBL, ΔGSV and CIR (P>0.05). There were only two implants with cracking of the porcelain, and the mechanical complications were not significant different (P>0.05). Conclusion:CIR of Bicon short implant has no significant effect on MBL and △GSV, and alveolar bone has sufficient ability to cope with greater stress stimulation. Higher CIR does not lead to more mechanical complications and implant failure.

Key words: Bicon, short implant, crown-to-implant ratio, imaging characteristics