口腔医学研究

口腔医学研究 ›› 2021, Vol. 37 ›› Issue (3): 264-268.DOI: 10.13701/j.cnki.kqyxyj.2021.03.018

• 口腔种植学研究 • 上一篇    下一篇

重度牙周炎磨牙拔除运用微翻瓣位点保存术后种植修复效果短期观察

徐涛1,2, 李丽曼2, 刘云松3, 危伊萍2, 胡文杰2*   

  1. 1.北京大学口腔医学院·口腔医院急诊科,国家口腔疾病临床医学研究中心,国家口腔数字化医疗技术和材料国家工程实验室,口腔数字医学北京市重点实验室 北京 100081;
    2.北京大学口腔医学院·口腔医院牙周科,国家口腔疾病临床医学研究中心,国家口腔数字化医疗技术和材料国家工程实验室,口腔数字医学北京市重点实验室 北京 100081;
    3.北京大学口腔医学院·口腔医院修复科,国家口腔疾病临床医学研究中心,国家口腔数字化医疗技术和材料国家工程实验室,口腔数字医学北京市重点实验室 北京 100081
  • 收稿日期:2021-01-11 发布日期:2021-03-19
  • 通讯作者: *胡文杰,E-mail:huwenjie@pkuss.bjmu.edu.cn
  • 作者简介:徐涛(1980~ ),男,北京人,主治医师,硕士,主要从事牙周、口腔急诊、口腔种植相关领域。
  • 基金资助:
    北京市科学技术委员会首都临床特色应用研究基金(编号:Z161100000516042);北京大学临床科学家计划专项(编号:BMU2019LCKXJ010)

Short-term Observation of Implant Restoration Following Minimal Flap and Ridge Preservation at Molar Extraction Sockets with Severe Periodontitis

XU Tao1,2, LI Liman2, LIU Yunsong3, WEI Yiping2, HU Wenjie2*   

  1. 1. Department of Emergency,Peking University School and Hospital of Stomatology & National Clinical Research Center for Oral Diseases & National Engineering Laboratory for Digital and Material Technology of Stomatology & Beijing Key Laboratory of Digital Stomatology, Beijing 100081, China;
    2. Department of Periodontology, Peking University School and Hospital of Stomatology & National Clinical Research Center for Oral Diseases & National Engineering Laboratory for Digital and Material Technology of Stomatology & Beijing Key Laboratory of Digital Stomatology, Beijing 100081, China;
    3. Department of Prosthodontics, Peking University School and Hospital of Stomatology & National Clinical Research Center for Oral Diseases & National Engineering Laboratory for Digital and Material Technology of Stomatology & Beijing Key Laboratory of Digital Stomatology, Beijing 100081, China
  • Received:2021-01-11 Published:2021-03-19

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摘要： 目的:评价重度牙周炎磨牙进行微创拔牙和微翻瓣位点保存术后植体负重1年的效果。方法:纳入2015年1月~2017年1月于牙周科就诊的18名患者共20颗磨牙,种植修复后负重1个月(基线)和12个月对种植牙进行临床检查,记录菌斑指数(silness & leo plaque index,PLI)、植体周软组织探诊深度(peri-implant probing depth,PPD)、出血指数(mazza bleeding index,BI)、颊侧角化组织宽度(width of keratinized tissue,KTW);基线和负重1年拍摄平行投照根尖片测量边缘骨丧失(marginal bone loss ,MBL)。结果:20颗种植修复体负重1年后存留率和成功率为100%。负重即刻和负重1年PLI、 PPD、 BI、 KTW变化均无统计学差异(P>0.05),MBL为(0.12±0.24) mm。结论:微翻瓣位点保存术后种植修复负重1年获得了良好的临床效果。

关键词: 磨牙, 重度牙周炎, 微创拔牙, 位点保存, 牙种植

Abstract: Objective: To evaluate the effects of implants following minimally invasive extraction and minimal flap in ridge preservation at molar extraction sockets with severe periodontitis after 1 year load. Methods: Eighteen patients with a total of 20 molar extraction sockets were recruited in the study from January 2015 to January 2017. At 1-month (baseline) and 1-year post-load,each implant was examined with the following parameters: plaque index (Silness & Leo Plaque Index,PLI), peri-implant probing depth (PPD), bleeding index (Mazza,BI), and width of keratinized tissue (KTW). Parallel periapical radiographs were taken at baseline and 1-year post-load to evaluate the peri-implant marginal bone loss (MBL). Results: The survival rate and success rate were 100% for 20 implants. There were no statistically significant differences in the PLI, PPD, BI, and KTW between baseline and 1-year post-load (P>0.05). MBL was (0.12±0.24) mm(P>0.05). Conclusion: The clinical outcomes of implant restoration were favorable following minimal flap and ridge preservation at molar extraction sockets with severe periodontitis after 1-year load.

Key words: molar, severe periodontitis, atraumatic extraction, ridge preservation, dental implant