目的 探讨不翻瓣技术在上颌前牙区种植中的应用效果。方法 选取2018年4-10月在武警北京总队医院进行上颌前牙区种植的32例患者,随机分为不翻瓣组(采用不翻瓣技术种植)和翻瓣组(采用翻瓣技术),每组16例。比较两组手术情况和种植手术后的效果;种植后3和6个月进行随访,比较种植体周围牙槽骨骨吸收程度。结果 不翻瓣组的手术时间(18.87±4.34)min,翻瓣组的手术时间为(37.27±5.35)min,两组差异有统计学意义(P<0.05);不翻瓣组的术后肿痛时间和抗生素应用时间分别为(0.85±0.33)d和(1.84±0.75)d,翻瓣组的术后肿痛时间和抗生素应用时间分别为(2.61±0.74)d和(4.22±1.36)d,两组对比差异均有统计学意义(P<0.05)。不翻瓣组种植后3个月和6个月时的种植体周围牙槽骨吸收分别为(0.29±0.05)mm和(0.36±0.07)mm,翻瓣组种植后3个月和6个月分别为(0.55±0.06)mm和(0.65±0.05)mm,两组差异有统计学意义(P<0.05)。结论 口腔种植采用不翻瓣技术,能缩短手术时间和手术后肿痛时间,减少抗生素使用,降低牙槽骨吸收。
Abstract
Objective To evaluate the clinical effects of implantation performed with the flapless technique in anterior maxilla. Methods Thirty-two patients scheduled for implants in anterior maxilla in Beijing Municipal Corps Hospital between April 2018 and October 2018 were divided into two groups: the flapless technique group (n=16) and the flap technique group (n=16). The duration of surgery in the two groups was calculated and clinical effects were observed. Follow-up started 3 months and 6 months after implantation. Alveolar bone resorption around the implants was recorded and compared via X-ray. Results The duration of surgery in the flapless technique group was (18.87±4.34) minutes, compared with (37.27±5.35) minutes in the flap technique group, with statistically significant difference (P<0.05). The postoperative duration of oral swelling and pain and that of antibiotic use in the flapless technique group were (0.85±0.33) days and (1.84±0.75) days respectively, compared with(2.61±0.74) days and (4.22±1.36) days respectively in the flap technique group,so the difference was of statistical significance(P<0.05). The time taken by alveolar bone resorptions 3 months and 6 months after implantation was (0.29±0.05) mm and (0.36±0.07) mm respectively in the flapless technique group and (0.55±0.06) mm and (0.65±0.05) mm respectively in the flap technique, so the difference was also of statistical significance (P<0.05). Conclusions The flapless technique used in implantation can shorten the duration of surgery and oral swelling and pain, reduce the use of antibiotics and decrease bone resorption around implants.
关键词
种植 /
不翻瓣技术 /
骨吸收
Key words
implant /
flapless technique /
bone resorption
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参考文献
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