两种不同结缔组织移植技术在上前牙区即刻种植修复中的应用

doi:10.13701/j.cnki.kqyxyj.2016.05.019

口腔医学研究 ›› 2016, Vol. 32 ›› Issue (5): 502-505.DOI: 10.13701/j.cnki.kqyxyj.2016.05.019

两种不同结缔组织移植技术在上前牙区即刻种植修复中的应用

王群¹ ,陆钰² ,胡芳芳² ,甘朝兵² ,宁晔¹ ,康林² ,吴海珍^1*

1. 安徽医科大学解放军临床学院安徽合肥 230032;
2. 解放军第105医院口腔中心安徽合肥 230031

收稿日期:2015-10-14 出版日期:2016-05-26 发布日期:2016-05-26
通讯作者: 吴海珍,电话:0551-65966576
作者简介:王群(1989~ ),女,安徽人,硕士在读,主要从事口腔种植的临床治疗工作。

Soft Tissue Augmentation for Immediate Implant Placement and Provisionalization in the Maxillary Anterior Area Using Two Different Methods: a Randomized Controlled Clinical Trial.

WANG Qun¹, LU Yu², HU Fang-fang², GAN Chao-bing², NING Ye¹, KANG Lin², WU Hai-zhen^1*.

1. The PLA Clinical Institute of Anhui Medical University, Hefei 230032, China;
2. Dental Center of the PLA 105 Hospital, Hefei 230031, China

Received:2015-10-14 Online:2016-05-26 Published:2016-05-26

摘要/Abstract

摘要： 目的:比较带蒂结缔组织瓣移植( pedicle subepithelial connective tissue graft,PSCTG与游离结缔组织瓣移植( free subepithelial connective tissue graft,FSCTG)增厚种植体周围角化龈的量以达到稳定而良好的种植修复增量效果和美学效果。方法:29例满足即刻种植适应症的上前牙,拔出后即刻种植,同期采用PSCTG或FSCTG增加种植体周围软组织量,运用临时冠修复塑形,观察术后临床效果。结果:带蒂结缔组织瓣移植组(下文简称带蒂组)移植瓣成活率100%,游离结缔组织瓣移植(下文简称游离组)为93.33%。带蒂组移植后半年唇侧龈组织厚度(Facial gingival tissue thickness, FGTT)增加(1.572±0.74) mm,游离组增加(1.45±0.61) mm。移植1年时,带蒂组红色美学( the pink esthetic,PES)得分为(8.50±1.34)分,游离组(7.80±1.74)分,两组红色美学各指标评分差异无统计学意义。带蒂组PES达到6分及以上的比率高于游离组。结论:即刻种植(immediate implant placement and provisionalization,IIPP)联合PSCTG与联合FSCTG一样,短期唇侧龈厚度增量和红色美学效果均较好,而PSCTG由于自身血供更易成活固定。

关键词: 即刻种植修复, 结缔组织移植, 美学

Abstract: Objective: The aim is to compare pedicle connective tissue grafts (PSCTG) with free subepithelial connective tissue grafts (FSCTG) in augmenting soft tissue to have good esthetic outcome in the anterior maxilla. Methods: Twenty-nine immediate implantations in the esthetic zone were randomly allocated to the PSCTG group or the FSCTG group. The clinical outcomes were observed. The Mann-Whitney U test was used to compare the PES score between 2 groups. Results: The clinical survival rates were 100% and 93.33% for the group grafted with PSCTG and group grafted with FSCTG, respectively. The change of facial gingival tissue thickness was (1.57±0.74)mm and (1.45±0.61)mm. The PES score was 8.50±1.34 and 7.80±1.74, respectively. There was not significant difference between two groups. The aesthetically acceptable frequency for the PSCTG group was higher than that for the FSCTG group. Conclusion: Soft tissue augmentation for immediately single tooth implantation in the anterior maxilla was successfully performed using both techniques. The PSCTG was more likely to survive because of better blood supply.

中图分类号:

R782.1

王群 ,陆钰 ,胡芳芳 ,甘朝兵 ,宁晔 ,康林 ,吴海珍. 两种不同结缔组织移植技术在上前牙区即刻种植修复中的应用[J]. 口腔医学研究, 2016, 32(5): 502-505.

WANG Qun, LU Yu, HU Fang-fang, GAN Chao-bing, NING Ye, KANG Lin, WU Hai-zhen.. Soft Tissue Augmentation for Immediate Implant Placement and Provisionalization in the Maxillary Anterior Area Using Two Different Methods: a Randomized Controlled Clinical Trial.[J]. Journal of Oral Science Research, 2016, 32(5): 502-505.

参考文献

[1] Cosyn J,De Bruyn H,Cleymaet R. Soft tissue preservation and pink aesthetics around single immediate implant restorations: a 1-year prospective study [J]. Clinical Implant Dentistry and Related Research,2013,15(6)∶847-857
[2] Yoshino S, Kan JY, Rungcharassaeng K. Effects of connective tissue grafting on the facial gingival level following single immediate implant placement and provisionalization in the esthetic zone: a 1-year randomized controlled prospective study [J]. Int J Oral Maxillofac Implants, 2014, 29(2)∶432-440
[3] Lin GH, Chan HL, Wang HL.Effects of currently available surgical and restorative interventions on reducing midfacial mucosal recession of immediately placed single-tooth implants: a systematic review [J]. J Periodontol, 2014, 85(1)∶92-102
[4] Lee A, Fu JH, Wang HL. Soft Tissue Biotype Affects Implant Success, 2011, 20(3)∶e38-47
[5] Levine RA, Huynh-Ba G, Cochran DL. Soft tissue augmentation procedures for mucogingival defects in esthetic sites [J]. Int J Oral Maxillofac Implants, 2014, 29 supp155-185
[6] Zigdon H,Machtei EE.The dimentions of keratinized mucosa around implants affect clinical and immunological parameters [J]. Clin Oral Implants Res,2008,19(4)∶387-392
[7] Yoshino S, Kan JY, Rungcharassaeng K.Effects of connective tissue grafting on the facial gingival level following single immediate implant placement and provisionalization in the esthetic zone: a 1-year randomized controlled prospective study [J]. Int J Oral Maxillofac Implants, 2014, 29(2)∶432-440
[8] Migliorati M, Amorfini L, Signori A. Clinical and Aesthetic Outcome with Post-Extractive Implants with or without Soft Tissue Augmentation: A 2-Year Randomized Clinical Trial [J]. Clin Implant Dent Relat Res, 2013 Dec 27. doi: 10.1111/cid.12194. [Epub ahead of print]
[9] Kim TH, Cascione D, Knezevic A. Simulatedtissue using a unique pontic design: a clinical report [J]. J Prosthet Dent, 2009, 102∶205-210
[10] Mangano FG, Mangano C, Ricci M.Esthetic evaluation of single-tooth Morse taper connection implants placed in fresh extraction sockets or healed sites [J]. J Oral Implantol, 2013, 39(2)∶172-181
[11] Huynh-Ba G, Meister DJ, Hoders AB. Esthetic, clinical and patient-centered outcomes of immediately placed implants (Type 1) and early placed implants (Type 2): preliminary 3-month results of an ongoing randomized controlled clinical trial [J]. Clin Oral Implants Res,2015, 10. doi: 10.1111/clr.12577. [Epub ahead of print]
[12] 邱婕子,张佳,高欢,等.腭侧旋转结缔组织瓣在上前牙种植修复中的临床研究[J].口腔医学研究,2015,31(8)∶817-819

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两种不同结缔组织移植技术在上前牙区即刻种植修复中的应用

Soft Tissue Augmentation for Immediate Implant Placement and Provisionalization in the Maxillary Anterior Area Using Two Different Methods: a Randomized Controlled Clinical Trial.

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