中外医疗
中外醫療
중외의료
China Foreign Medical Treatment
2015年
28期
36-37
,共2页
口腔种植术%附着龈重建%牙齿修复%应用分析
口腔種植術%附著齦重建%牙齒脩複%應用分析
구강충식술%부착간중건%아치수복%응용분석
Oral implant surgery%Attached gingival reconstruction%Tooth repair%Analysis of application
目的 探究在口腔种植修复手术中附着龈重建的具体应用. 方法 整群择取2010年4月—2015年4月这2年间前来该院口腔科进行口腔种植修复的48例患者,全部患者均为后牙区缺乏附着龈,且角化黏膜组织(直径超过0.5 mm)均存在于牙槽嵴顶,将其设为实验组.选择基线资料相同的同期48例附着龈缺乏患者,设为对照组.为实验组48例患者行以改良过的根向复位瓣手术来进行附着龈的重建,术后第1个月末修复烤瓷冠. 为对照组48例患者在牙种植区中心取切口,剥离骨膜后在上部基台进行愈合操作. 针对患者的有效角化黏膜宽度,术前术后各项指标进行对比. 结果 就有效角化黏膜宽度而言,实验组患者术后1个月和术后半年宽度与术前相比均有显著变化,差异有统计学意义(P<0.05).对照组患者在术后1个月和术后半年与术前相比也均有显著变化,差异有统计学意义(P<0.05).但实验组恢复效果远远由于对照组,差异有统计学意义(P<0.05). 结论 将改良过的根向复位瓣手术应用于附着龈重建,具有非常显著的效果,临床意义鲜明.
目的 探究在口腔種植脩複手術中附著齦重建的具體應用. 方法 整群擇取2010年4月—2015年4月這2年間前來該院口腔科進行口腔種植脩複的48例患者,全部患者均為後牙區缺乏附著齦,且角化黏膜組織(直徑超過0.5 mm)均存在于牙槽嵴頂,將其設為實驗組.選擇基線資料相同的同期48例附著齦缺乏患者,設為對照組.為實驗組48例患者行以改良過的根嚮複位瓣手術來進行附著齦的重建,術後第1箇月末脩複烤瓷冠. 為對照組48例患者在牙種植區中心取切口,剝離骨膜後在上部基檯進行愈閤操作. 針對患者的有效角化黏膜寬度,術前術後各項指標進行對比. 結果 就有效角化黏膜寬度而言,實驗組患者術後1箇月和術後半年寬度與術前相比均有顯著變化,差異有統計學意義(P<0.05).對照組患者在術後1箇月和術後半年與術前相比也均有顯著變化,差異有統計學意義(P<0.05).但實驗組恢複效果遠遠由于對照組,差異有統計學意義(P<0.05). 結論 將改良過的根嚮複位瓣手術應用于附著齦重建,具有非常顯著的效果,臨床意義鮮明.
목적 탐구재구강충식수복수술중부착간중건적구체응용. 방법 정군택취2010년4월—2015년4월저2년간전래해원구강과진행구강충식수복적48례환자,전부환자균위후아구결핍부착간,차각화점막조직(직경초과0.5 mm)균존재우아조척정,장기설위실험조.선택기선자료상동적동기48례부착간결핍환자,설위대조조.위실험조48례환자행이개량과적근향복위판수술래진행부착간적중건,술후제1개월말수복고자관. 위대조조48례환자재아충식구중심취절구,박리골막후재상부기태진행유합조작. 침대환자적유효각화점막관도,술전술후각항지표진행대비. 결과 취유효각화점막관도이언,실험조환자술후1개월화술후반년관도여술전상비균유현저변화,차이유통계학의의(P<0.05).대조조환자재술후1개월화술후반년여술전상비야균유현저변화,차이유통계학의의(P<0.05).단실험조회복효과원원유우대조조,차이유통계학의의(P<0.05). 결론 장개량과적근향복위판수술응용우부착간중건,구유비상현저적효과,림상의의선명.
Objective To explore the concrete application of attached gingival reconstruction in implant-supported dental prosthe-sis. Methods 48 patients who were lack of attached gingival in the posterior region and with keratinizing mucosal tissue (diameter more than 0.5 mm) located in alveolar ridge crest and underwent implant-supported dental prosthesis in the department of stoma-tology of this hospital from April 2010 to April 2015 were included in this study and assigned to the experimental group. Other 48 patients in the same period who were lack of attached gingival and with the same baseline data were assigned to the control group. The 48 patients in the experimental group underwent modified apically repositioned flap for the attached gingival reconstruction followed by porcelain crown restoration at the end of the first month after surgery. The 48 patients in the control group underwent healing operation on upper base after periosteum was peeled off through the incision in the dental implant center. The usable ker-atinizing mucosal width, preoperative and postoperative parameters were compared between the two groups. Results In terms of us-able keratinizing mucosal width, there were statistically significant differences between that one month and six months after surgery and that before surgery in the experimental group, P<0.05, as well as in the control group, P<0.05. But the recovery effect was sig-nificantly better in the experimental group than in the control group, and the difference was statistically significant, P<0.05. Con-clusion Modified apically repositioned flap for the attached gingival reconstruction can produce remarkable effect and show great clinical significance.
