慢性牙周炎患者应用牙种植修复治疗的效果观察
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(长沙市口腔医院,湖南 长沙 410000)

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李韬,男,主治医师,主要研究方向是口腔修复临床方向。

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R 781.4;R 783.6

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Observation of Dental Implant Restoration Treatment in Patients with Chronic Periodontitis
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(Changsha Stomatological Hospital, Hunan Changsha 410000)

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    摘要:

    〔摘 要〕 目的:观察慢性牙周炎患者应用牙种植修复治疗的临床效果。方法:随机选取 2018 年 7 月至 2019 年 7 月于 长沙市口腔医院进行牙种植修复的 82 例患者,按照是否患有慢性牙周炎分为两组,对照组为 41 例无慢性牙周炎患者,观 察组为 41 例患慢性牙周炎患者,比较两组患者治疗后的相关指标、牙槽骨吸收情况和种植成功率。结果:进行牙种植修复 治疗后,对照组患者的龈沟液(PISF)为(0.61 ± 0.19)μL、改良龈沟出血指数(mBI)为(1.14 ± 0.24)、牙种植体周袋 深度(PPD)为(2.45 ± 0.35)mm,均优于观察组,差异具有统计学意义(P < 0.05);对照组患者的牙槽骨吸收情况半 年后为(0.41 ± 0.24)mm、1 年后为(0.66 ± 0.11)mm,均优于观察组,差异具有统计学意义(P < 0.05);对照组患者 半年种植成功率为 92.68 %,1 年种植成功率为 90.24 %,均高于观察组的 75.61 %、70.73 %,差异具有统计学意义(P < 0.05)。 结论:牙种植修复是治疗慢性牙周炎患者的有效方式,能够促进牙槽骨吸收,提升种植成功率,但此类患者的治疗效果比 非慢性牙周炎患者低。

    Abstract:

    〔Abstract〕 Objective To observe the clinical effect of dental implant restoration treatment in patients with chronic periodontitis. Methods 82 patients who underwent dental implant restoration in Changsha Stomatological Hospital from July 2018 to July 2019 were randomly selected and divided into two groups according to whether they had chronic periodontitis. The control group was 41 cases without chronic periodontitis. Patients in the observation group consisted of 41 patients with chronic periodontitis. The related indicators, alveolar bone resorption and implantation success rate after treatment were compared between the two groups. Results After dental implant restoration treatment, the PISF of the observation group was (0.61 ± 0.19) μL, the mBI was (1.14 ± 0.24), and the PPD was (2.45 ± 0.35) mm, which were better than those of the control group, and the difference was statistically significant (P < 0.05) ; The alveolar bone resorption of the observation group was (0.41 ± 0.24) mm after half a year and (0.66 ± 0.11) mm after one year, which were better than those of the control group, and the difference was statistically significant (P < 0.05); the half-year implantation success rate of the observation group was 92.68%, and the 1-year implantation success rate was 90.24%, both higher than 75.61% and 70.73% of the control group. The difference was statistically significant (P < 0.05). Conclusion For patients with chronic periodontitis, dental implant restoration treatment has better alveolar bone resorption and a higher implant success rate.

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  • 收稿日期:2021-06-22
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  • 在线发布日期: 2021-11-10
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