中国实用口腔科杂志

中国实用口腔科杂志

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粘接固位与改良粘接固位修复后牙种植义齿单冠临床效果比较

周程远a，刘    杰b，夏俊男a，秦红伟a，孙明旭a，杨建军a   

  1. 青岛大学医学院附属医院a 口腔颌面外科，b 口腔修复科，青岛  266021
  • 出版日期:2015-05-15 发布日期:2015-07-22
  • 通讯作者: 杨建军

  • Online:2015-05-15 Published:2015-07-22

摘要：

目的    比较粘接固位和改良粘接固位在后牙种植义齿单冠修复中的临床效果，为临床选择牙种植修复体固位方法提供参考。方法    选择2012年6月至2013年8月于青岛大学附属医院口腔颌面外科已实施牙种植待单冠修复的后牙缺失患者80例，随机分为改良组40例和对照组40例，改良组行改良粘接固位，对照组行粘接固位。修复1年后，通过检测种植体周围骨吸收量、改良菌斑指数（mPLI）、改良出血指数（mSBI）等临床指标以及患者满意度进行效果评价。结果    2种固位方式在种植体周围骨吸收量、患者满意度方面差异均无统计学意义（P＞0.05）；mPLI、mSBI差异有统计学意义（P＜0.05）。结论    改良粘接固位的种植义齿短期修复效果优于传统粘接固位。

关键词: 改良粘接固位, 粘接固位, 种植义齿

Abstract:

Objective    To compare cement-retained with cement and screw retained to see the clinical effect of implant restorations，and to provides reference information for clinical medicine. Methods    Select 80 patients who received operation of implant restorations in Oral and Maxillofacial Surgery of the Affiliated Hospital of Qingdao University in 2012. According to the random grouping principle，divide the patients into two groups，define one as experiment group，the other as control group. Choose experiment group to receive treatment of cement and screw retained，control group cement retained. After 12 months of restoration，record periimplant marginal bone resorption，modifled plaque index（mPLI），modified sulcus bleeding index（mSBI）and satisfaction in the 75 patients. Results    The differences of marginal bone resorption and satisfaction between two groups were not significant（P＞0.05） while those of mPLI and mSBI were significant（P＜0.05）. Conclusion    The short-term clinical effect of cement and screw retained are better than that of cement retained.

Key words: cement and screw retained, cement-retained, implant denture