CAJ | 학술논문

目的：研究分析上颌前牙区不翻瓣即刻牙种植术对患者口腔内软硬组织的影响。方法：选择2010年3月至2013年3月在我院接受手术治疗的前牙或者前磨牙修复患者100例作为研究对象。以数字法随机分成观察组50例以及对照组50例。对照组实施翻瓣的即刻牙种植手术，观察组则实施不翻瓣的即刻牙种植手术，统计并对比两组术后整体情况，术后软硬组织情况，以及治疗前后的PES评分与VAS评分。结果：观察组在术后1d的肿胀和疼痛比例均显著低于对照组，而术后12个月的牙龈乳头指数比例显著高于对照组，差异均有统计学意义（均P＜0．05）。两组在术后12个月的骨愈合及牙龈沟出血方面对比，差异均无统计学意义（均P＞0．05）。观察组手术12个月后的嵴顶吸收值显著少于对照组，差异有统计学意义（P＜0．05）。两组在术后7d的牙槽嵴顶和植体距离及手术12个月后的牙龈沟深度等方面对比，差异均无统计学意义（均P＞0．05）。两组治疗后的PES评分及VAS评分较治疗前均有上升，但观察组的上升程度显著高于对照组，差异有统计学意义（ P＜0．05）。结论：在上颌前牙区实施不翻瓣的即刻牙种植手术，疗效更佳，更具美感，值得推广。
목적：연구분석상합전아구불번판즉각아충식술대환자구강내연경조직적영향。방법：선택2010년3월지2013년3월재아원접수수술치료적전아혹자전마아수복환자100례작위연구대상。이수자법수궤분성관찰조50례이급대조조50례。대조조실시번판적즉각아충식수술，관찰조칙실시불번판적즉각아충식수술，통계병대비량조술후정체정황，술후연경조직정황，이급치료전후적PES평분여VAS평분。결과：관찰조재술후1d적종창화동통비례균현저저우대조조，이술후12개월적아간유두지수비례현저고우대조조，차이균유통계학의의（균P＜0．05）。량조재술후12개월적골유합급아간구출혈방면대비，차이균무통계학의의（균P＞0．05）。관찰조수술12개월후적척정흡수치현저소우대조조，차이유통계학의의（P＜0．05）。량조재술후7d적아조척정화식체거리급수술12개월후적아간구심도등방면대비，차이균무통계학의의（균P＞0．05）。량조치료후적PES평분급VAS평분교치료전균유상승，단관찰조적상승정도현저고우대조조，차이유통계학의의（ P＜0．05）。결론：재상합전아구실시불번판적즉각아충식수술，료효경가，경구미감，치득추엄。
Objective:To study maxillary anterior teeth area flapless dental implants immediately to soft and sclerous tissue in the mouth .Method:From Mar.2010 to Mar.2013 in our hospital with surgery treat-ment of front teeth or premoLar repair patients 100 cases as the research object .In digital method of 50 cases was randomly divided into observation group and control group of 50 cases.The control group was treated with flap of immediate implant surgery , while the observation group was treated with flapless dental implants im-mediately surgery , statistics and compared two groups of postoperative overall situation , sclerous and soft tis-sue following surgery , and PES grading and VAS score before and after the treatment .Result:The postoper-ative pain and swelling of 1 day ratio in observation group were significantly lower than the control group , and 12 months after gingival papilla index proportion was significantly higher than the control group , differences were statistically significant (all P <0.05).Two groups of 12 months of bone healing after surgery and gingi-val sulcus bleeding was in contrast , there was no statistically significant difference ( P >0.05) .Observation group of 12 months after the operation of the crest of absorption value was significantly less than the control group;the difference was statistically significant ( P <0.05) .Two groups in postoperative 7 d alveolar ridge top and implant distance and 12 months after surgery , the gingival groove depth of comparison , there were no statistically significant difference ( P >0.05) .PES rating of the two groups after treatment , and VAS scores were raising before the treatment , but the rising degree of observation group was significantly higher than the control group, the difference was statistically significant (P <0.05).Conclusion: Maxillary anterior teeth area flapless dental implants immediately , curative effect is better , which has more aesthetic feeling , is worth promoting .