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中华口腔医学研究杂志(电子版) ›› 2015, Vol. 09 ›› Issue (03) : 237 -242. doi: 10.3877/cma.j.issn.1674-1366.2015.03.012

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前牙区引导骨再生同期植入两种种植体的美学效果比较
范静1,(), 李雪铃2   
  1. 1. 529000 江门市口腔医院修复种植科
    2. 510080 广州,中山大学光华口腔医学院·附属口腔医院,广东省口腔医学重点实验室
  • 收稿日期:2014-11-06 出版日期:2015-06-01
  • 通信作者: 范静

Comparison of the aesthetic effect between Xive and Ankylos implant placed with guided bone regeneration technique in anterior region

Jing Fan1,(), Xueling Li2   

  1. 1. Department of Oral Prosthodontic and Implantation, Jiangmen Municipal Stomatological Hospital, Jiangmen 529000, China
    2. Guanghua School of Stomatology, Hospital of Stomatology, Sun Yat-sen University, Guangdong Provincial Key Laboratory of Stomatology, Guangzhou 510055, China
  • Received:2014-11-06 Published:2015-06-01
  • Corresponding author: Jing Fan
  • About author:
    Corresponding author: Fan Jing, Email:
引用本文:

范静, 李雪铃. 前牙区引导骨再生同期植入两种种植体的美学效果比较[J]. 中华口腔医学研究杂志(电子版), 2015, 09(03): 237-242.

Jing Fan, Xueling Li. Comparison of the aesthetic effect between Xive and Ankylos implant placed with guided bone regeneration technique in anterior region[J]. Chinese Journal of Stomatological Research(Electronic Edition), 2015, 09(03): 237-242.

目的

探讨Ankylos与Xive种植体在引导骨再生(GBR)技术修复前牙美学区中美学效果的差异。

方法

采用GBR技术,随机选取应用Ankylos或Xive种植体行前牙美学区单牙修复的患者各30例,相应为Ankylos组与Xive组,均于二期术后6、12、24个月复查,以红色白色美学标准(PES/WES)评分对二期术后6、12、24个月进行美学效果评价,并记录两组二期术后24个月的种植成功率。

结果

(1)种植成功率:Xive组和Ankylos组为100%,差异无统计学意义(χ2=0,P > 0.05)。(2)美学效果:PES评分在二期术后6个月在Xive组显著高于Ankylos组,差异有统计学意义(t= 4.86,P < 0.05),二期术后12个月PES评分差异无统计学意义(t= 0.21,P > 0.05),二期术后24个月Ankylos组PES评分显著高于Xive组,差异有统计学意义(t= 3.03,P < 0.05);WES评分在二期术后6个月与12个月在Xive组与Ankylos组差异无统计学意义(t= 0.12/0.15,P均> 0.05),24个月Ankylos组WES评分显著高于Xive组,差异有统计学意义(t= 2.06,P < 0.05)。

结论

前牙区引导骨再生同期植入Ankylos与Xive种植体均可获得高成功率与满意的美学修复效果。鉴于本研究未对骨量不足及GBR难度进行分类,难以均衡这一因素影响,GBR同期行Ankylos与Xive种植体植入的美学效果差异评估有待后续研究的进一步深入。

Objective

To explore the differences of the aesthetic effect between Xive and Ankylos implants.

Methods

Patients received treatment for single tooth restoration in aesthetic region were selected and divided into two groups by Xive and Ankylos implant: Xive group (n= 30) and Ankylos group (n= 30) . All patients were observed at 6, 12, 24 months after secondary surgery, aesthetic effect (the pink esthetic score and white esthetic score, PES/WES) were assessed. The success rate of implants at 24 months after secondary surgery were recorded.

Results

(1) The success rate of implants: Xive group and Ankylos group were all 100%, there was no statistical difference (χ2= 0, P > 0.05) . (2) Aesthetic effects: the score of PES in Xive group is higher than that in Ankylos group 6 months after secondary surgery, the difference shows statistical significance (t= 4.86, t= 0.21, P < 0.05) . There was no statistically significant difference between the two groups for the score of PES at 12 months after secondary surgery (t= 0.21, P > 0.05) . The score of PES in Ankylos group is apparently higher than that in Xive group 24 months after secondary surgery, the difference shows statistical significance (t= 3.03, P < 0.05) . There was no statistically significant difference between the two groups for the score of WES at 6 and 12 months after secondary surgery (t= 0.12/0.15, all P > 0.05) . The score of WES in Ankylos group is apparently higher than that in Xive group24 months after secondary surgery, the difference shows statistical significance (t= 2.06, P < 0.05) .

Conclusions

High success rate and satisfactory esthetic results could be achieved by GBR with simultaneous placement of Xive or Ankylos implants. However, the classification of bone defects and complexity of GBR were not taken into account in the present study, further researches should be conducted to compare the esthetic results of these two implants with GBR technique in anterior region.

图1 Ankylos种植体应用GBR技术植入
图2 红色美学指数的7个评价指标示意图
图3 Xive种植体应用GBR技术植入33牙位
图4 Ankylos种植体应用GBR技术植入21牙位
表1 60例种植患者二期术后红色美学指数评分的比较(分, ± s
表2 60例种植患者二期术后白色美学指数评分的比较(分, ± s
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