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《中国美容医学》[ISSN:1008-6445/CN:61-1347/R]

卷:

期数:

2024年3期

页码:

147-150

栏目:

出版日期:

2024-03-10

文章信息/Info

Title:

Application of Three-dimensional Printing Digital Guide Plate Combined with Intraoral Scanning in Denture Restoration

文章编号:

1008-6455（2024）03-0147-04

作者:

肖 霞¹ ; 滕 艳¹ ; 潘 越¹ ; 王 婷²

(青海省西宁市口腔医院 1. 修复科;2.口腔内科 青海 西宁 810000 )

Author(s):

XIAO Xia¹ ; TENG Yan¹ ; PAN Yue¹ ; WANG Ting²

(1.Department of Prosthodontics, 2.Department of Stomatology,Xining Stomatological Hospital,Xining 810000,Qinghai,China)

关键词:

牙列缺失; 义齿修复; 三维打印数字化导板; 口腔内扫描仪; 种植体; 牙槽骨; 满意度?/html>

Keywords:

edentulous;  denture repair;  3D printing digital guide;  intraoral scanner;  an implant;  alveolar bone;  degree of satisfaction

分类号:

R783.6

文献标志码:

A

摘要:

目的：探讨三维打印数字化导板引导联合口腔内扫描在义齿修复中的应用效果。方法：选取2018年1月-2020年1月 于笔者医院口腔修复科进行牙齿修复且符合纳入标准的84例牙列缺失患者，按照随机数字表法分为两组，各42例。对照组 采用传统全口义齿修复法，观察组采用三维打印数字化导板引导联合口腔内扫描技术。于义齿修复术后比较两组种植体肩 部、根部、角度、深度偏移情况以及种植体周围边缘骨吸收情况，于义齿修复术后12个月评价两组患者种植体成功率，同 时采用口腔健康影响程度量表（OHIP-4）比较两组义齿修复满意度。结果：观察组种植成功率为95.93%，高于对照组的 89.22% （P＜0.05）；观察组种植体肩部偏移、根部偏移、角度偏移以及深度偏移均小于对照组（P＜0.05）；观察组种植体 周围边缘骨吸收量为（0.24±0.09）mm，低于对照组的（0.37±0.12）mm（P＜0.05）；义齿修复后观察组咀嚼功能、固定功能以及 舒适程度评分均高于对照组（P＜0.05）。结论：三维打印数字化导板引导联合口腔内扫描应用于牙列缺失行义齿修复患者，可提 高种植成功率，降低种植体周围边缘骨吸收程度以及种植体位置偏移程度，提高患者义齿修复满意度，应用效果较为理想。?/html>

Abstract:

Objective To investigate the eff ect of three-dimensional printing digital guide plate combined with oral scanning in the application of denture. Methods Eighty-four patients with edentulous were selected from the Department of Prosthodontics of the author’s hospital from January 2018 to January 2020, and were divided into two groups by random number table, 42 cases in each group. The control group was treated with traditional complete denture restoration method, and the observation group was treated with three-dimensional printing digital guide plate combined with oral scanning technology. The implant shoulder, root, angle, depth deviation and peri-implant marginal bone resorption of the two groups were compared after denture restoration. The implant success rate of the two groups was evaluated at 12 months after denture restoration, and the satisfaction of denture restoration was compared by Oral Health Impact Scale (OHIP-4). Results The success rate of the observation group was 95.93%, which was higher than that of the control group (89.22%) (P＜0.05). Shoulder deviation, root deviation, angle deviation and depth deviation of the observation group were less than those of the control group (P＜0.05). The periimplant marginal bone resorption of the observation group was (0.24±0.09) mm, which was lower than that of the control group (0.37±0.12) mm (P＜0.05). The scores of masticatory function, fi xation function and comfort degree in the observation group were higher than those in the control group (P ＜0.05). Conclusion The application of three-dimensional printing digital guide plate combined with intraoral scanning in patients with edentulous denture restoration can improve the success rate of implant, reduce the degree of bone resorption around the implant and the degree of implant position deviation, and improve the satisfaction of patients with denture restoration. The application eff ect is ideal.

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更新日期/Last Update: 2024-03-22