不同连接方式在前牙基台美学修复中的效果及预后分析(1)
[摘要]目的：比较不同连接方式在前牙基台美学修复治疗中的效果及预后。方法：选择2014年9月-2015年12月笔者医院口腔科进行上颌美学区单牙种植的患者84例，以随机数表法分为对照组和观察组。对照组采用传统平台对接方式植入种植体，观察组采用平台转换方式植入种植体。对两组患者单颗牙种植修复红色美学评分(PES)、骨吸收水平、探诊深度(PD)及治疗满意度进行对比分析。结果：观察组的骨吸收量显著低于对照组(P<0.05)，且X线显示，观察组2年后复诊时骨水平显著优于对照组，差异有统计学意义(P<0.05)。观察组种植体软组织PES显著高于对照组(P<0.05)，且在2年后复诊时软组织美学评分显著高于对照组，差异有统计学意义(P<0.05)。观察组的治疗满意度显著高于对照组，差异有统计学意义(P<0.05)。结论：平台转换连接方式相较于传统基台连接方式能更有效地保留牙基台周围骨组织且美学效果较佳，具有较好的预后和治疗满意度，值得临床推广。
[关键词]美学修复；牙基台；平台对接；效果；预后
, http://www.100md.com
[中图分类号]R782.12 [文献标志码]A [文章编号]1008-6455(2018)10-0117-03
Abstract： Objective To compare the effect and prognosis of different connection methods in the treatment of aesthetic restoration of anterior abutment. Methods 84 patients with single-tooth implants in the department of maxillofacial aesthetic in our department from September 2014 to 2015 were randomly divided into control group and observation group by random number table.The control group was implanted with the traditional platform docking method， and the observation group was implanted with the platform conversion method.The red aesthetic score (PES)，bone resorption level，probing depth (PD) and treatment satisfaction were compared in two groups. Results The bone resorption in the observation group was significantly lower than that in the control group (P<0.05).The X-ray showed that the bone level of the observation group was significantly better than that of the control group at the second visit (P<0.05).The PES of the soft tissues of the observation group was significantly higher than that of the control group (P<0.05)，and the soft tissue aesthetic score of the observation group was significantly higher than that of the control group (P<0.05).The treatment satisfaction of the observation group was significantly higher than that of the control group (P<0.05). Conclusion Compared with the traditional abutment connection， the platform transformation connection method can effectively preserve the bone tissue around the abutment and has better esthetic effect，and has better prognosis and treatment satisfaction，which is worth widely popularizing in clinic.
, http://www.100md.com
Key words： aesthetic restoration；denture base；platform docking；effect；prognosis
自口腔種植技术应用以来，大量实验研究及长期临床观察显示，种植体功能负荷后其颈部周围边缘骨逐年发生吸收[1]。种植体外周的骨水平及软组织外形维持，即种植体与基台连接面，是种植体长期稳定并行使功能和维持美学形态的最为重要的保证，已逐渐成为种植修复是否成功的关键因素之一，但不同连接方式对患者种植体周围的组织影响尚不清楚[2-3]。因此，本文以分析应用两种不同基台连接方式在前牙基台美学修复治疗中的效果及预后，现报道如下。
1 资料和方法
1.1 一般资料：选择2014年9月-2015年12月笔者医院口腔科行上颌美学区单牙种植的84例患者为研究对象。通过随机数表法分为对照组和观察组，平均每组42例。本次研究方案通过院方伦理委员会批准。纳入标准[4]：①取得家属及患者本人同意；②良好的口腔卫生；③无严重心、肾、肺部疾病者；④无精神疾病或者认知障碍者；⑤无全身感染性疾病者；⑥未接受过放射治疗。排除标准：①长期吸烟者；②患有精神疾病或认知障碍者。两组患者性别、年龄等一般资料比较，差异无统计学意义(P>0.05)，具有可比性。见表1。, http://www.100md.com(王峻)
[关键词]美学修复；牙基台；平台对接；效果；预后
, http://www.100md.com
[中图分类号]R782.12 [文献标志码]A [文章编号]1008-6455(2018)10-0117-03
Abstract： Objective To compare the effect and prognosis of different connection methods in the treatment of aesthetic restoration of anterior abutment. Methods 84 patients with single-tooth implants in the department of maxillofacial aesthetic in our department from September 2014 to 2015 were randomly divided into control group and observation group by random number table.The control group was implanted with the traditional platform docking method， and the observation group was implanted with the platform conversion method.The red aesthetic score (PES)，bone resorption level，probing depth (PD) and treatment satisfaction were compared in two groups. Results The bone resorption in the observation group was significantly lower than that in the control group (P<0.05).The X-ray showed that the bone level of the observation group was significantly better than that of the control group at the second visit (P<0.05).The PES of the soft tissues of the observation group was significantly higher than that of the control group (P<0.05)，and the soft tissue aesthetic score of the observation group was significantly higher than that of the control group (P<0.05).The treatment satisfaction of the observation group was significantly higher than that of the control group (P<0.05). Conclusion Compared with the traditional abutment connection， the platform transformation connection method can effectively preserve the bone tissue around the abutment and has better esthetic effect，and has better prognosis and treatment satisfaction，which is worth widely popularizing in clinic.
, http://www.100md.com
Key words： aesthetic restoration；denture base；platform docking；effect；prognosis
自口腔種植技术应用以来，大量实验研究及长期临床观察显示，种植体功能负荷后其颈部周围边缘骨逐年发生吸收[1]。种植体外周的骨水平及软组织外形维持，即种植体与基台连接面，是种植体长期稳定并行使功能和维持美学形态的最为重要的保证，已逐渐成为种植修复是否成功的关键因素之一，但不同连接方式对患者种植体周围的组织影响尚不清楚[2-3]。因此，本文以分析应用两种不同基台连接方式在前牙基台美学修复治疗中的效果及预后，现报道如下。
1 资料和方法
1.1 一般资料：选择2014年9月-2015年12月笔者医院口腔科行上颌美学区单牙种植的84例患者为研究对象。通过随机数表法分为对照组和观察组，平均每组42例。本次研究方案通过院方伦理委员会批准。纳入标准[4]：①取得家属及患者本人同意；②良好的口腔卫生；③无严重心、肾、肺部疾病者；④无精神疾病或者认知障碍者；⑤无全身感染性疾病者；⑥未接受过放射治疗。排除标准：①长期吸烟者；②患有精神疾病或认知障碍者。两组患者性别、年龄等一般资料比较，差异无统计学意义(P>0.05)，具有可比性。见表1。, http://www.100md.com(王峻)