种植二期手术同期临时冠塑形牙龈的临床观察

doi:10.13701/j.cnki.kqyxyj.2019.05.015

口腔医学研究 ›› 2019, Vol. 35 ›› Issue (5): 476-479.DOI: 10.13701/j.cnki.kqyxyj.2019.05.015

种植二期手术同期临时冠塑形牙龈的临床观察

刘晓庆, 周弘^*

郑州大学第一附属医院口腔科河南郑州 450052

收稿日期:2018-10-10 出版日期:2019-05-28 发布日期:2019-05-21
通讯作者: 周弘,E-mail:15138930086@163.com
作者简介:刘晓庆(1992~ ),女,河南人,硕士在读,医师,研究方向:口腔种植。
基金资助:
河南省科技攻关项目(编号:152102310055)

Clinical Observation of Gingival Shaping by Temporary Crown during Second-stage Surgery of Implantation.

LIU Xiao-qing, ZHOU Hong^*

Department of Stomatology, The First Affiliated Hospital of Zhenzhou University, Zhenzhou 450052, China.

Received:2018-10-10 Online:2019-05-28 Published:2019-05-21

摘要/Abstract

摘要： 目的: 评估单颗上前牙种植二期手术同期临时冠塑形牙龈的美学评分与患者满意度的相关性。方法: 依纳入标准选取单颗上前牙缺失患者30例,种植二期手术同期临时冠塑形牙龈,3～6个月后永久修复。永久修复1年后用红色美学分值PES及白色美学分值WES进行美学评分;以视觉测量尺VAS测量患者主观满意度;分析PES与WES、VAS与PES和WES之间的相关性。结果: PES平均得分(8.03±0.85),WES平均得分(8.10±0.40),PES值与WES值存在正相关关系(r=0.90,P＜0.01);VAS平均得分为(8.68±0.58),VAS值与PES值和WES值均存在正相关关系(r=0.93,P＜0.01;r=0.81,P＜0.01)。结论: 单颗上前牙二期手术同期临时冠塑形牙龈后再永久修复可获得较好的美学效果和较高的患者满意度,PES与WES、VAS与PES和WES均存在相关性。

关键词: 种植修复, 临时冠塑形, 患者满意度, 美学评估

Abstract: Objective: To evaluate the correlation between the esthetic score and the satisfaction of the patients by temporary crown gingival shaping performed during the maxillary anterior single-tooth implant second-stage surgery. Methods: 30 patients with single anterior teeth loss were selected according to the inclusion criteria before surgery. The temporary crown was used to shape the gingiva during the second-stage surgery. Permanent restoration was completed after 3-6 months. The pink esthetic score (PES) and white esthetic score (WES) were used for aesthetically evaluation 1 year after permanent restoration and the visual analog scale (VAS) was used for subjective satisfaction of patients. The correlation between PES and WES, VAS and PES, and VAS and WES was analyzed. Results: The average score of PES and WES were (8.03+0.85) and (8.10+0.40). PES value and WES value were significantly positive correlated (r=0.90,P<0.01). The average score of VAS was (8.68+0.58). VAS was significantly positive correlated with PES value and WES value (r=0.93,P<0.01; r=0.81, P<0.01). Conclusion: Permanent restoration of the maxillary anterior single-tooth implant with temporary crown shaping during second-stage surgery can achieve good aesthetic effect and high satisfaction. There is a high correlation between PES and WES, VAS and PES, and VAS and WES.

Key words: Implant restoration, Temporary crown shaping, Patient satisfaction, Aesthetic evaluation

刘晓庆, 周弘. 种植二期手术同期临时冠塑形牙龈的临床观察[J]. 口腔医学研究, 2019, 35(5): 476-479.

LIU Xiao-qing, ZHOU Hong. Clinical Observation of Gingival Shaping by Temporary Crown during Second-stage Surgery of Implantation.[J]. Journal of Oral Science Research, 2019, 35(5): 476-479.

参考文献

[1] 宿玉成.口腔种植学[M].北京:人民卫生出版社,2014.366-369.
[2] Jaramillo R, Santos R, Lázaro P,et al. Comparative analysis of 2 resonance frequency measurement devices: osstell ,entor and osstell ISQ [J]. Implant Dent,2014,23(3): 351-356.
[3] McLarnon C, Johnson I, Davison Tom, et al. Resonance frequency analysis of osseo-integrated implants for bone conduction in a pediatric population- A novel approach for assessing stability for early loading [J]. Int J Pediatr Otorhinolaryngol,2014,78(4): 641-644.
[4] Kim TH, Cascione D, Knezevic A,et al. Restoration using gingival-colored ceramic and a ridge lap pontic with circumferential pressure:a clinical report [J]. J Prosthet Dent, 2010, 104(2):71-76.
[5] Jacques LB, Coelho AB, Hollweg H, et al. Tissue sculpturing: an alternative method for improving esthetics of anterior fixed prosthodontics [J]. J Prosthet Dent, 1999, 81(5):630-633.
[6] Nam J, Aranyarachkul P. Achieving the optimal peri-implant soft tissue profile by the selective pressure method via provisional restorations in the esthetic zone [J]. J Esthet Restor Dent, 2015, 27(3): 136-144.
[7] Belser UC, Grutter L, Vailati F, et al. Outcome evaluation of early placed maxillary anterior single-tooth implants using objective esthetic criteria:a cross sectional retrospective study in 45 patients with a 2 to 4 year follow up using pink and white esthetic scores [J]. J Periodontol, 2009, 80(1):140-151.
[8] Furhauser R, Florescu D, Benesch T, et al. Evaluation of soft tissue around single-tooth implant crowns: the pink esthetic score [J]. Clin Oral Implants Res, 2005, 16:639-644.
[9] Cho H, Lee JK, Um HS, et al. Esthetic evaluation of maxillary single-tooth implants in the esthetic zone [J]. J Periodontal Implant Sci, 2010, 40(4):188-193.
[10] Buser D, Martin W, Belser UC. Optimizing esthetics for implant restorations in the anterior maxilla:anatomic and surgical considerations [J]. Int J Oral Maxillofac Implant, 2004, 19 Suppl:43-61.
[11] Buser D, Wittneben J, Bornstein MM, et al. Stability of contour augmentation and esthetic outcomes of implant-supported single crowns in the esthetic zone: 3-year results of a prospective study with early implant placement postextraction [J]. J Periodontol, 2011, 82(3):342-349.
[12] 刘文芳,范挽亭,何姗丹,等.单颗上颌前牙即刻种植即刻修复后美学评价和患者满意度调查[J].口腔医学研究,2015,31(4):397-400.
[13] Fardal O, Johannessen AC, Linden GJ. Patient perceptions of periodontal therapy completed in a periodontal practice [J]. J Periodontol, 2002, 73(9):1060-1066.
[14] Wolfart S, Thormann H, Freitag S, et al. Assessment of dental appearance following changes in incisor proportions [J]. Eur J Oral Sci, 2005, 113(2):159-165.

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种植二期手术同期临时冠塑形牙龈的临床观察

Clinical Observation of Gingival Shaping by Temporary Crown during Second-stage Surgery of Implantation.

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