CAJ | 학술논문

目的：评估上颌前牙区即刻种植即刻负重中采取带骨膜游离结缔组织移植的临床美学效果。方法选择合适的65例患者微创拔牙后即刻植入种植体共65枚，均在种植区采取带骨膜游离结缔组织移植，其中10例患者植入Bio-oss骨粉，术后即刻临时义齿修复，待植体骨结合后行永久修复。从术前到永久修复后18个月，分期进行美学评价，包括唇侧丰满度和种植体红色美学分值（PES）。结果在追踪评估期间内，术前唇侧丰满度为0度5个牙位，Ⅰ度60个牙位，Ⅱ度0个牙位。即刻修复后，0个度0牙位，Ⅰ度45个牙位，Ⅱ度20个牙位。永久复后3个月PES总分值达到最大。结论在上颌美学区进行单牙即刻种植即刻负重时，采取带骨膜游离结缔组织移植，可以获得较好的美学效果。
목적：평고상합전아구즉각충식즉각부중중채취대골막유리결체조직이식적림상미학효과。방법선택합괄적65례환자미창발아후즉각식입충식체공65매，균재충식구채취대골막유리결체조직이식，기중10례환자식입Bio-oss골분，술후즉각림시의치수복，대식체골결합후행영구수복。종술전도영구수복후18개월，분기진행미학평개，포괄진측봉만도화충식체홍색미학분치（PES）。결과재추종평고기간내，술전진측봉만도위0도5개아위，Ⅰ도60개아위，Ⅱ도0개아위。즉각수복후，0개도0아위，Ⅰ도45개아위，Ⅱ도20개아위。영구복후3개월PES총분치체도최대。결론재상합미학구진행단아즉각충식즉각부중시，채취대골막유리결체조직이식，가이획득교호적미학효과。
Objective To evaluate the clinical aesthetic effect of immediate implant and immediate prosthesis by the free connec-tive tissue transplantation with periosteum in the maxillary anterior region.Methods 65 appropriate patients were selected and per-formed the immediate implant after minimally invasive tooth extraction.6 5 pieces of implants were implanted immediately by the free connective tissue transplantation with periosteum in the aesthetic area,among them,10 cases were implanted by Bio-oss bone. All missing teeth were immediately repaired by temporary denture,after the implant osseointegration,the permanent repair was per-formed.From the preoperation to 1 8 months after permanent repair,the aesthetic evaluation was conducted by stages,including the labial peri-implant soft tissue fullness and pink aesthetic scores(PES).Results In the tracing assessment period,the peri-implant fullness evaluation showed that degree 0 was found in 5 tooth positions before the operation,degree Ⅰin 60 tooth positions,degreeⅡ in 0 tooth position,but after immediate restoration,degree 0 in 0 tooth position,degree Ⅰin 45 tooth positions and degree Ⅱ in 20 positions.The PES total value reached the maximum in 3 months after permanent restoration.Conclusion Immediate implant and immediate prosthesis by the free connective tissue transplantation with periosteum in the maxillary aesthetic area can obtain better aesthetic results.