帶骨膜游離結締組織移植在美學區(qū)即刻種植即刻負重中的應用研究
發(fā)布時間:2018-06-13 01:19
本文選題:牙種植 + 美學牙科; 參考:《重慶醫(yī)學》2014年18期
【摘要】:目的評估上頜前牙區(qū)即刻種植即刻負重中采取帶骨膜游離結締組織移植的臨床美學效果。方法選擇合適的65例患者微創(chuàng)拔牙后即刻植入種植體共65枚,均在種植區(qū)采取帶骨膜游離結締組織移植,其中10例患者植入Bio-oss骨粉,術后即刻臨時義齒修復,待植體骨結合后行永久修復。從術前到永久修復后18個月,分期進行美學評價,包括唇側豐滿度和種植體紅色美學分值(PES)。結果在追蹤評估期間內,術前唇側豐滿度為0度5個牙位,Ⅰ度60個牙位,Ⅱ度0個牙位。即刻修復后,0個度0牙位,Ⅰ度45個牙位,Ⅱ度20個牙位。永久復后3個月PES總分值達到最大。結論在上頜美學區(qū)進行單牙即刻種植即刻負重時,采取帶骨膜游離結締組織移植,可以獲得較好的美學效果。
[Abstract]:Objective to evaluate the clinical aesthetic effect of immediate implants with periosteum free connective tissue transplantation in maxillary anterior teeth. Methods Sixty-five implants were implanted immediately after minimally invasive extraction in 65 patients. All of them were transplanted with free connective tissue with periosteum, 10 of them were implanted with Bio-oss bone powder, and temporary dentures were repaired immediately after operation. A permanent repair is performed after the implants are combined. From preoperative to 18 months after permanent restoration, aesthetic evaluation was carried out by stages, including lip fullness and implant red aesthetic score. Results during the period of follow-up and evaluation, the degree of fullness of lip was 0 degree in 5 teeth, 60 in grade I, and 0 in degree 鈪,
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