[1]申 丁,李 婧,张爱凤.牙周炎患者种植牙同期行引导骨组织再生术的美学修复效果及对牙槽骨吸收的影响研究[J].中国美容医学,2024,(4):136-139.
　SHEN Ding,LI Jing,ZHANG Aifeng.Study on the Aesthetic Restoration Effect and Alveolar Bone Resorption of GBR in Patients with Periodontitis[J].Medical Aesthetics and Beauty,2024,(4):136-139.
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牙周炎患者种植牙同期行引导骨组织再生术的美学修复效果及对牙槽骨吸收的影响研究()
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《中国美容医学》[ISSN:1008-6445/CN:61-1347/R]

卷:
期数:
2024年4期
页码:
136-139
栏目:
出版日期:
2024-04-10

文章信息/Info

Title:
Study on the Aesthetic Restoration Effect and Alveolar Bone Resorption of GBR in Patients with Periodontitis
文章编号:
1008-6455（2024）04-0136-03
作者:
申 丁1 ; 李 婧1 ; 张爱凤2
(1.西安交通大学口腔医院牙周病科 陕西 西安 710000 ;2.西北工业大学医院医务部 陕西 西安 710072 )
Author(s):
SHEN Ding1 ;  LI Jing1 ;  ZHANG Aifeng2
(1.Department of Periodontology, College of Stomatology, Xi’an Jiaotong University, Xi’an 710000, Shaanxi, China; 2.Department of Medical, Northwest Polytechnic University Hospital, Xi’an 710072, Shaanxi, China)
关键词:
牙周炎; 种植牙; 引导骨组织再生术; 种植美学; 牙槽骨吸收 [
Keywords:
periodontitis;  dental implants;  guided bone regeneration;  implant aesthetics;  alveolar bone resorption
分类号:
R781.4+ 2
文献标志码:
A
摘要:
目的：探究伴牙周炎患者种植牙同期行引导骨组织再生术（Guided bone regeneration, GBR）治疗的美学修复效果 及对牙槽骨吸收的影响。方法：病例选取笔者医院2019年6月-2021年6月收治的牙周炎牙种植患者78例作为研究对象，按照 随机数字表法分为对照组和观察组，对照组给予患者常规种植修复，观察组在对照组基础上采用GBR治疗，比较两组患者 术后6个月、12个月的牙周探查深度（Periodontal exploration depth, PD）、改良龈沟出血指数（Sulcular bleeding index, mSBI）、改良菌斑指数（Plaque index, mPLI）、骨吸收量以及美学修复效果。结果：术后6个月、12个月，观察组 患者的mSBI均低于对照组患者（P＜0.05）。种植体周围骨吸收量比较，术后12个月两组患者的近中骨吸收量和远中骨吸收 量均较术后6个月显著降低（P＜0.05），且术后12个月观察组患者的近中骨吸收量和远中骨吸收量均显著低于对照组。美学 效果比较，观察组患者术后6个月、12个月红色美学指数评分均显著高于对照组（P＜0.05），且术后12个月两组红色美学指 数评分均显著高于术后6个月（P＜0.05），术后6个月、12个月，两组白色美学指数评分差异无统计学意义（P＞0.05），且 两组术后12个月与术后6个月白色美学指数评分比较，差异无统计学意义（P＞0.05）。结论：牙周炎患者牙种植同期应用 GBR 能有效改善患者牙周健康指标，防止种植体周围骨吸收，进而提高种植体留存率，满足患者治疗中种植美学的要求。
Abstract:
Objective To explore the aesthetic restoration eff ect of guided bone regeneration (GBR) in patients with periodontitis and its eff ect on alveolar bone resorption. Methods The cases selected 78 patients with periodontitis and dental implants treated in the author’s hospital from June 2019 to June 2021 as the research objects, and were divided into the control group and the observation group according to the random number table method. The patients in the control group did not receive GBR treatment, and the patients in the observation group received After GBR treatment, the periodontal exploration depth (PD), modified sulcular bleeding index ( mSBI), and modifi ed plaque index were compared between the two groups at 6 months and 12 months after surgery(mPLI), bone resorption, and aesthetics. Results The mSBI of the observation group was lower than that of the control group at 6 months and 12 months after operation (P ＜0.05). Comparing the amount of peri-implant bone resorption, the mesial bone resorption and distal bone resorption of the two groups at 12 months after operation were signifi cantly lower than those at 6 months after operation (P ＜0.05), and the observation at 12 months after operation Mesial bone resorption and distal bone resorption in the group were signifi cantly lower than those in the control group. Compared with the aesthetic eff ect, the red aesthetic scores of the observation group at 6 months and 12 months after the operation were signifi cantly higher than those of the control group (P ＜0.05), and the red aesthetic scores of the two groups of patients were signifi cantly higher at 12 months after the operation. There was no signifi cant diff erence in the white aesthetic scores between the two groups at 6 months after operation (P ＜0.05), 6 months after operation and 12 months after operation (P＞0.05). There was no signifi cant diff erence in the white aesthetic scores between the two groups in months (P ＞0.05). Conclusion Simultaneous application of GBR to dental implants in patients with periodontitis can eff ectively improve the patients’ periodontal health indicators, prevent bone resorption around the implants, thereby improving the implant retention rate and meeting the requirements of implant aesthetics in patients’ treatment.

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更新日期/Last Update: 2024-04-19