多单位种植修复中组合运用螺丝固位与粘接固位的临床回顾性研究

doi:10.13701/j.cnki.kqyxyj.2022.02.007

口腔医学研究 ›› 2022, Vol. 38 ›› Issue (2): 125-128.DOI: 10.13701/j.cnki.kqyxyj.2022.02.007

多单位种植修复中组合运用螺丝固位与粘接固位的临床回顾性研究

周立伟, 李孟铨^*

香港大学深圳医院牙科广东深圳 518000

收稿日期:2021-06-21 出版日期:2022-02-28 发布日期:2022-02-23
通讯作者: *李孟铨,E-mail:limq1@hku-szh.org
作者简介:周立伟(1974~ ),男,浙江人,硕士,副主任医师,主要从事口腔外科种植临床及基础的研究工作。

Clinical Retrospective Study on Combination of Screw and Adhesive Retention in Multi-unit Implant Restoration

ZHOU Liwei, LI Mengquan^*

Department of Dental, The University of Hong Kong-Shenzhen Hospital, Shenzhen 518000, China

Received:2021-06-21 Online:2022-02-28 Published:2022-02-23

摘要/Abstract

摘要： 目的: 比较种植联冠修复中组合使用螺丝与粘接固位修复方式(SCP)与单纯粘接及螺丝固位方式在修复体固位并发症方面的差异。方法: 收集后牙区多单位种植修复体戴牙后2年的患者152例,共331颗种植体。其中使用螺丝固位的44例(S组,94颗植体);口内粘结固位56例(C组,121颗植体);螺丝固位与粘接固位联合运用52例(SCP组,116 颗种植体,其中螺丝固位52颗,粘接固位64颗)。比较3组病例负重2年后粘接及其螺丝机械并发症的发生情况。 结果: (1)固位螺丝松动的发生率,SCP组和C组无差异(P>0.05),两组均低于S组(P<0.05);(2)SCP修复方式的口内粘接单元粘接失败发生率与口外粘接的螺丝固位组无差异(P>0.05)。结论: 在多单位后牙修复中 SCP固位方式可以在实现被动就位的前提下降低螺丝松动和粘接失败的风险,适用于后牙修复空间不足或是穿龈袖口较深的病例。

关键词: 种植修复, 螺丝固位, 粘接固位, 被动就位

Abstract: Objective: To compare the differences among SCP (screw and cement-retained implant-supported dental prosthesis) group, adhesion retention group, and screw retention group for multi-unit implant crown restoration. Methods: A total of 152 patients (331 implants) were collected, in which 44 cases (94 implants) were fixed with screws, 56 cases (121 implants) were treated with intraoral adhesion, and 52 cases (116 implants, 52 implants were retained with screws and 64 implants with adhesive retentions) were treated with SCP. The incidences of adhesion and screw mechanical complications in 3 groups were compared after 2-year use. Results: There was no significant difference in the incidence of screw loosening between the SCP group and the cement-retained group, but these incidences of both groups were lower than that in the screw-retented group. There was no significant difference in the failure rate between the intraoral bonding units of SCP group and the extraoral bonding units of screw-retented group (P>0.05). Conclusion: The multi-unit SCP retention method can reduce the risk of screw loosening and bonding failure while having passive fit, and is suitable for the cases with insufficient occlusal space for crown restoration and/or with deep soft tissue cuff.

Key words: dental implants prosthesis, screw-retained implant, cement-retained implant, passive fit

周立伟, 李孟铨. 多单位种植修复中组合运用螺丝固位与粘接固位的临床回顾性研究[J]. 口腔医学研究, 2022, 38(2): 125-128.

ZHOU Liwei, LI Mengquan. Clinical Retrospective Study on Combination of Screw and Adhesive Retention in Multi-unit Implant Restoration[J]. Journal of Oral Science Research, 2022, 38(2): 125-128.

参考文献

[1] Vygandas R, Christel L, Per VS, et al. Clinical and laboratory passive fit assessment of implant-supported zirconia restorations fabricated using conventional and digital workflow [J]. Clin Implant Dent Relat Res, 2020, 22(2):237-245.
[2] Anastasia K, Dimitrios K. Incidence of abutment screw failure of single or splinted implant prostheses: A review and update on current clinical status [J]. J Oral Rehabil, 2019, 46(8):776-786.
[3] Kourtis S, Damanaki M, Kaitatzidou S, et al. Loosening of the fixing screw in single implant crowns: predisposing factors, prevention and treatment options [J]. J Esthet Restor Dent, 2017, 29(4):233-246.
[4] Kim SG, Chung CH, Son MK. Effect of cement washout on loosening of abutment screws and vice versa in screw-and cement-retained implant-supported dental prosthesis [J]. J Adv Prosthodont, 2015, 7(3):207-213.
[5] Proussaefs P, AlHelal A, Taleb A, et al. Adjacent dental implants classification based on restorative design [J]. J Oral Implantol, 2017, 43(5):405-409.
[6] Hamed MT, Abdullah Mously H, Khalid Alamoudi S, et al. A systematic review of screw versus cement-retained fixed implant supported reconstructions [J]. Clin Cosmet Investig Dent, 2020, 12:9-16.
[7] Lemos CA, de Souza Batista VE, Almeida DA, et al. Evaluation of cement-retained versus screw-retained implant-supported restorations for marginal bone loss: A systematic review and meta-analysis [J]. J Prosthet Dent, 2016, 115(4):419-427.
[8] Reetika G, Sunil K M, Ramesh C. Complications of screw-and cement-retained implant-supported full-arch restorations: a systematic review and meta-analysis [J]. Int J Oral Implantol (Berl), 2020, 13(1):11-40.
[9] Joseph C, Gary G, John C. Hierarchy of restorative space required for different types of dental implant prostheses [J]. J Am Dent Assoc, 2019, 150(8):695-706.
[10] 周立伟.种植多单位修复中螺丝固位与粘接固位联合运用中机械并发症发生情况的回顾性研究[J].口腔医学研究,2021,37(1): 63-66.
[11] Antonio S, Marco S, Tommaso C. Zirconia crowns cemented on titanium bars using CAD/CAM: a five-year follow-up prospective clinical study of 9 patients [J]. BMC Oral Health, 2019, 19(1):286.
[12] Aira R, Gediminas Ž, Juozas Ž,et al. The comparison of cement-and screw-retained crowns from technical and biological points of view [J]. Stomatologija, 2017, 19(2):44-50.
[13] Xu Y, Li W, Su M. Clinical assessment of preload maintenance in the abutment screws of single posterior implants after 1 month of use [J]. Int J Oral Maxillofac Implants, 2021, 36(1):177-181.
[14] Kim SG, Park JU, Jeong JH, et al. In vitro evaluation of reverse torque value of abutment screw and marginal opening in a screw-and cement-retained implant fixed partial denture design [J]. Int J Oral Maxillofac Implants, 2009, 24(6):1061-1067.
[15] Karl M, Winter W, Taylor TD, et al. In vitro study on passive fit in implant-supported 5-unit fixed partial dentures [J]. Int J Oral Maxillofac Implants, 2004, 19(1):30-37.
[16] Guichet DL, Caputo AA, Choi H. Passivity of fit and marginal opening in screw-or cement-retained implant fixed partial denture designs [J]. Int J Oral Maxillofac Implants, 2000, 15(2):239-246.
[17] Huang Y, Wang J. Mechanism of and factors associated with the loosening of the implant abutment screw: A review [J]. J Esthet Restor Dent, 2019, 31(4):338-345.

多单位种植修复中组合运用螺丝固位与粘接固位的临床回顾性研究

Clinical Retrospective Study on Combination of Screw and Adhesive Retention in Multi-unit Implant Restoration

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