上颌中切牙微创拔牙即刻种植联合牙龈诱导的美学效果

doi:10.13701/j.cnki.kqyxyj.2017.12.021

口腔医学研究 ›› 2017, Vol. 33 ›› Issue (12): 1323-1327.DOI: 10.13701/j.cnki.kqyxyj.2017.12.021

上颌中切牙微创拔牙即刻种植联合牙龈诱导的美学效果

曾小法¹,陈宁²,尹颖^3*

1. 江苏昆山城北牙博士口腔门诊部江苏苏州 215300;
2. 南京医科大学附属口腔医院江苏南京 210029;
3. 南京大学医学院附属口腔医院,南京市口腔医院口腔种植科江苏南京 210008

收稿日期:2017-11-26 出版日期:2017-12-20 发布日期:2018-01-03
通讯作者: 尹颖,E-mail: yinying5413@163.com
作者简介:曾小法(1973~ ),男,湖北云梦人,本科,主治医师,主要从事口腔种植修复的临床诊疗工作。

Aesthetic Effect of Minimally Invasive Extraction and Immediate Implant Placement Combined with Inducing Gingival Formation for Maxillary Central Incisors.

ZENG Xiao-fa¹, CHEN Ning², YIN Ying^3*.

1. Dental Doctor Clinics of Stomatology North of Kunshan, Suzhou 215300, China;
2. Institute of Stomatology, Nanjing Medical University, Nanjing 210029, China;
3. Department of Oral Implantology, Nanjing Stomatological Hospital, Medical School of Nanjing University, Nanjing 210008, China.

Received:2017-11-26 Online:2017-12-20 Published:2018-01-03

摘要/Abstract

摘要： 目的: 观察并探讨上颌中切牙微创拔牙即刻种植联合牙龈诱导的美学效果。方法: 选择2014年5月~2016年12月就诊的上颌中切牙因疾患无法保留的患者共16例,共18颗上颌中切牙,均采取微创拔除后即刻植入,2.5~3个月行种植体支持临时义齿牙龈诱导成形术,6个月进行永久冠修复。采用牙槽骨吸收水平、红色美学评分、患者满意率来对种植美学效果进行评价。结果: 18枚种植体均获得良好的骨结合,修复后6个月种植体唇侧骨板厚度(2.13±0.78) mm,近中侧骨吸收量为(0.21±0.54) mm,远中侧骨吸收量为(0.24±0.41) mm;PES为(7.78±1.11),与拔牙前无显著性差异。患者美观满意度平均为97.5%。结论: 上颌中切牙微创拔牙后即刻种植联合牙龈诱导的修复美学效果良好,微创拔牙、种植体唇侧骨板的厚度、近远中骨量保存和永久修复前牙龈诱导是成功的关键。

关键词: 即刻拔牙, 即刻种植, 牙龈诱导

Abstract: Objective: To investigate aesthetic effect of minimally invasive extraction and immediate implant placement combined with inducing gingival formation for maxillary central incisors. Methods: 16 patients with hopeless maxillary central incisors were enrolled in the research form May 2014 to Dec 2016.The 18 maxillary central incisors were extracted without flap reflection and 18 implants were replaced immediately. Gingival contour was induced using implant-supported temporary crowns from 2.5 months to 3 months after implantation. Permanent prostheses were delivered 6 months later. The peri-implant bone level, the pink esthetic score and subjective satisfaction were evaluated 6 months after the permanent restoration. Results: 18 implants osseointegrated successfully. The labial bone thickness was(2.13±0.78)mm, while mesial and distal marginal bone resorption were (0.21±0.54) mm and (0.24±0.41) mm. PES was (7.78±1.11) after loading for 6 months. The patient’s satisfaction was 97.5%. Conclusion: Minimally invasive extraction and immediate implant placement combined with inducing gingival formation for maxillary central incisors achieves great aesthetic effects. The keys to success are minimally invasive extraction, labial bone thickness, mesial and distal marginal bone reservation and inducing gingival formation.

Key words: Minimally invasive extraction , Immediate implant replacement, Inducing gingival formation

中图分类号:

R782.12

曾小法,陈宁,尹颖. 上颌中切牙微创拔牙即刻种植联合牙龈诱导的美学效果[J]. 口腔医学研究, 2017, 33(12): 1323-1327.

ZENG Xiao-fa, CHEN Ning, YIN Ying.. Aesthetic Effect of Minimally Invasive Extraction and Immediate Implant Placement Combined with Inducing Gingival Formation for Maxillary Central Incisors.[J]. Journal of Oral Science Research, 2017, 33(12): 1323-1327.

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上颌中切牙微创拔牙即刻种植联合牙龈诱导的美学效果

Aesthetic Effect of Minimally Invasive Extraction and Immediate Implant Placement Combined with Inducing Gingival Formation for Maxillary Central Incisors.

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