切换至 "中华医学电子期刊资源库"

中华口腔医学研究杂志(电子版) ›› 2017, Vol. 11 ›› Issue (05) : 290 -297. doi: 10.3877/cma.j.issn.1674-1366.2017.05.006

所属专题: 文献

临床研究

多功能转移杆即刻修复引导软组织成形
钱嫕1, 胡晓文1,()   
  1. 1. 510055 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:2017-05-05 出版日期:2017-10-01
  • 通信作者: 胡晓文

Clinical observation on soft tissue forming of the immediate provisionalization in the anterior maxilla single-tooth implants with multi-functional Fixture Mount/Transfer

Yi Qian1, Xiaowen Hu1,()   

  1. 1. Guanghua School of Stomatology, Hospital of Stomatology, Sun Yat-sen University, Guangdong Provincial Key Laboratory of Stomatology, Guangzhou 510055, China
  • Received:2017-05-05 Published:2017-10-01
  • Corresponding author: Xiaowen Hu
  • About author:
    Corresponding author: Hu Xiaowen, Email:
引用本文:

钱嫕, 胡晓文. 多功能转移杆即刻修复引导软组织成形[J]. 中华口腔医学研究杂志(电子版), 2017, 11(05): 290-297.

Yi Qian, Xiaowen Hu. Clinical observation on soft tissue forming of the immediate provisionalization in the anterior maxilla single-tooth implants with multi-functional Fixture Mount/Transfer[J]. Chinese Journal of Stomatological Research(Electronic Edition), 2017, 11(05): 290-297.

目的

评价多功能转移杆(FMT)作为临时基台在上前牙区单牙常规种植即刻修复病例中对种植体周围软组织形态和外形轮廓维持的临床效果。

方法

收集2015年1月至2016年6月在中山大学附属口腔医院种植科采用Zimmer种植系统行上颌单颗前牙常规种植联合即刻修复和延期修复的患者共43例,其中实验组(即刻修复)23例、对照组(延期修复)20例,共植入Zimmer TSV种植体43枚。观察期为种植术后至永久冠修复共6个月。实验组分别在术后2周、3个月、6个月及戴牙当天,对照组在戴牙当天拍摄口内数码照片,记录龈乳头指数(PFI)、红色美学指数(PES)和唇侧丰满度(LCS),并对实验组和对照组永久冠戴入时的PFI、PES、LCS记录结果进行比较和评估。评估结果采用SPSS 21.0统计软件进行统计分析。

结果

实验组与对照组戴牙当天的PFI、PES和LCS之间差异均存在统计学意义(tPFI=-4.242,PPFI<0.001;tPES=-8.508,PPES<0.001;ZLCS=-3.307,PLCS= 0.001),在观察期各个时间点,实验组的PFI、PES、LCS评分结果均优于对照组。

结论

Zimmer多功能FMT在上颌单颗前牙常规种植即刻修复术后6个月的观察期内对种植体周围软组织的外形轮廓起到了一定的维持和引导软组织生长的作用。

Objective

To evaluate the clinical effect of the multi-functional Fixture Mount/Transfer (FMT) as a temporary abutment in the immediate provisionalization of the peri-implant soft tissue morphology and contour profile.

Methods

From January 2015 to June 2016, 43 patients who were treated with Zimmer implantation system were enrolled in this study consecutively in the Department of Oral Implantology, Affiliated Stomatological Hospital of Sun Yat-sen University. The experimental (immediate restoration, 23 Cases) and the control groups (delayed restoration, 20 cases) were treated with 43 Zimmer TSV implants in total. An observation period of six months was taken from the surgery to the restoration of permanent crowns. Digital oral photographs were taken so as to evaluate the effect of FMT in terms of the papilla filling index (PFI) , the pink esthetic score (PES) , and the labial convexity score (LCS) . Specifically, for the experimental group, photographs were taken in two weeks, three and six months after surgery, as well as on the day when the permanent crown was fixed, which was done for the control group. The data were analyzed in statistical software (SPSS 21.0) .

Results

There were significant differences in PFI, PES and LCS between the experimental and control groups (tPFI=-4.242, PPFI<0.001; tPES=-8.508, PPES<0.001; ZLCS=-3.307, PLCS=0.001) . The scores of PFI, PES and LCS in the experimental group were higher than those in the control group.

Conclusions

During the observation period of the six months after the immediate provisionalization of sigle-tooth implants in the anterior maxilla, Zimmer multi-functional Fixture Mount/Transfer played an evidential role in maintaining contour profile and guiding the growth of soft tissue.

表1 入选上颌单颗前牙常规种植病例的基本情况
表2 纳入病例植入种植体的尺寸和位置分布
图1 即刻修复病例展示
表3 戴牙当天对照组和实验组的龈乳头指数和红色美学评分比较(±s
表4 戴牙当天对照组和实验组的唇侧丰满度比较[人数(%)]
图2 实验组龈乳头指数随时间的变化线图
表5 实验组龈乳头指数的统计描述
表6 实验组龈乳头指数的多重比较结果(LSD)
图3 实验组红色美学评分的均值随时间的变化线图
表7 实验组红色美学评分的统计描述
表8 实验组红色美学评分的多重比较结果
表9 实验组唇侧丰满度的各级样本例数和所占百分比[例(%)]
表10 实验组龈乳头指数、红色美学评分和唇侧丰满度相关性分析结果
图4 Zimmer多功能转移杆示意图
[1]
Jemt T, Ahlberg G, Henrikson K,et al. Changes of anterior clinical crown height in patients provided with single-implant restorations after more than 15 years of follow-up[J]. Int J Prosthodont,2006,19(5):455-461.
[2]
Tarnow DP, Eskow RN. Preservation of implant esthetics:soft tissue and restorative considerations[J]. J Esthet Dent,1996,8(1):12-19.
[3]
Pradeep AR, Karthikeyan BV. Peri-implant papilla reconstruction:realities and limitations[J]. J Periodontol,2006,77(3):534-544.
[4]
Rompen E, Raepsaet N, Domken O,et al. Soft tissue stability at the facial aspect of gingivally converging abutments in the esthetic zone:a pilot clinical study[J]. J Prosthet Dent,2007,97(6 Suppl):S119-S125.
[5]
Jemt T. Regeneration of gingival papillae after single-implant treatment[J]. Int J Periodontics Restorative Dent,1997,17(4):326-333.
[6]
Fürharser R, Florescu D, Benesch T,et al. Evaluation of soft tissue around single-tooth implant crowns:the pink esthetic score[J]. Clin Oral Implants Res,2005,16(6):639-644.
[7]
林野,邱立新,胡秀莲,等.硬腭结缔组织游离移植在上颌前牙区种植中的应用[J].北京大学学报(医学版),2008,40(1):52-56.
[8]
Cho HL, Lee JK, Um HS,et al. Esthetic evaluation of maxillary single-tooth implants in the esthetic zone[J]. J Periodontal Implant Sci,2010,40(4):188-193.
[9]
Gehrke P, Lobert M, Dhom G. Reproducibility of the pink esthetic score--rating soft tissue esthetics around single-implant restorations with regard to dental observer specialization[J]. J Esthet Restor Dent,2008,20(6):375-384.
[10]
Holst S, Blatz MB, Wichmann M,et al. Clinical application of surgical fixation screws in implant prosthodontics--PartⅡ:indexing implant position[J]. J Prosthet Dent,2004,92(4):496-499.
[11]
Cornelini R, Cangini F, Covani U,et al. Immediate restoration of single-tooth implants in mandibular molar sites:a 12-month preliminary report[J]. Int J Oral Maxillofac Implants,2004,19(6):855-860.
[12]
Sawase T, Wennerberg A, Hallgren C,et al. Chemical and topographical surface analysis of five different implant abutments[J]. Clin Oral Implants Res,2000,11(1):44-50.
[13]
del Castillo RA. Immediate provisionalization of a single-tooth implant with a temporary cylinder in one surgical appointment[J]. Pract Proced Aesthet Dent,2006,18(5):suppl 3-5.
[14]
Schoenbaum TR, Chang YY, Klokkevold PR,et al. Abutment emergence modification for immediate implant provisional restorations[J]. J Esthet Restor Dent,2013,25(2):103-107.
[15]
Prosper L, Redaelli S, Pasi M,et al. A randomized prospective multicenter trial evaluating the platform-switching technique for the prevention of postrestorative crestal bone loss[J]. Int J Oral Maxillofac Implants,2009,24(2):299-308.
[16]
Wöhrle PS. Nobel Perfect esthetic scalloped implant:rationale for a new design[J]. Clin Implant Dent Relat Res,2003,5(1):64-73.
[17]
Delgado-Ruiz RA, Calvo-Guirado JL, Abboud M,et al. Connective Tissue Characteristics around Healing Abutments of Different Geometries:New Methodological Technique under Circularly Polarized Light[J]. Clin Implant Dent Relat Res,2015,17(4):667-680.
[18]
Goktas S, Dmytryk JJ, McFetridge S. Biomechanical behavior of oral soft tissues[J]. J Periodontol,2011,82(8):1178-1186.
[19]
Abrahamsson I, Berglundh T, Sekino S,et al. Tissue reactions to abutment shift:an experimental study in dogs[J]. Clin Implant Dent Relat Res,2003,5(2):82-88.
[20]
Rodriguez X, Vela X, Méndez V,et al. The effect of abutment dis/reconnections on peri-implant bone resorption:a radiologic study of platform-switched and non-platform-switched implants placed in animals[J]. Clin Oral Implants Res,2013,24(3):305-311.
[1] 王泽勇, 覃健. 白细胞含量对富血小板血浆治疗运动系统损伤的影响[J]. 中华关节外科杂志(电子版), 2023, 17(05): 684-688.
[2] 陈泽群, 褚万立, 申传安, 祝红娟, 叶祥柏, 王星童, 赵帆, 张路, 宋垚垚. 坏死性软组织感染的临床特征及应用综合序贯诊疗策略的临床效果[J]. 中华损伤与修复杂志(电子版), 2022, 17(04): 300-307.
[3] 丁尧坤, 宗群川, 李长帅, 王涛. 胫骨平台后外侧骨折块的固定与治疗近状[J]. 中华损伤与修复杂志(电子版), 2022, 17(02): 176-181.
[4] 李芸, 乔栒柏, 邓华颉, 游云华. 增材制造Ti-6Al-4V钛合金种植体在牙缺失种植修复中的临床应用[J]. 中华口腔医学研究杂志(电子版), 2023, 17(05): 359-364.
[5] 郭冬会, 马艳宁, 秦文, 王宪, 金作林, 高洁. 未正畸人群面部软组织随时间变化的三维初步研究[J]. 中华口腔医学研究杂志(电子版), 2023, 17(04): 279-284.
[6] 黄晓琼, 邓飞龙. 种植体颊侧软组织开裂的研究进展及分类诊疗建议[J]. 中华口腔医学研究杂志(电子版), 2023, 17(01): 10-14.
[7] 任静, 耿宁波, 周天任, 陈松龄. 动态实时导航辅助下颌后牙区牙槽骨骨量不足种植[J]. 中华口腔医学研究杂志(电子版), 2022, 16(01): 27-33.
[8] 朱珠, 顾烨辰, 朱庆萍, 何峰, 张玮. 老年患者种植修复成功率与满意度的随访研究[J]. 中华口腔医学研究杂志(电子版), 2022, 16(01): 21-26.
[9] 呙誉东, 鄢雷, 张树新, 闫明. 改良上颌窦底提升术同期种植在上颌后牙区严重萎缩牙槽嵴病例应用的效果评价[J]. 中华口腔医学研究杂志(电子版), 2021, 15(06): 348-354.
[10] 杨雨虹, 李歆, 邓永强. 种植体周围软组织临床意义及软组织不足的防治[J]. 中华口腔医学研究杂志(电子版), 2021, 15(05): 272-277.
[11] 许月芳, 张辉, 曾妙甜, 朱自满. 坏死性筋膜炎病例特征及感染病原菌分析[J]. 中华普外科手术学杂志(电子版), 2022, 16(05): 564-567.
[12] 刘丽清, 杨菲, 路鑫铭, 赵紫钰. 肌骨高频超声在肘关节软组织损伤诊断中的应用价值[J]. 中华肩肘外科电子杂志, 2023, 11(01): 24-29.
[13] 郑凯, 于秀淳, 徐明, 王景明, 陈倩. 脂质体多柔比星单药治疗老年软组织肉瘤的安全性和有效性研究[J]. 中华老年骨科与康复电子杂志, 2023, 09(01): 11-17.
[14] 郑凯, 于秀淳, 徐明, 崔浩诚, 陈倩. 老年软组织肉瘤临床特征及治疗方案的研究[J]. 中华老年骨科与康复电子杂志, 2021, 07(06): 352-358.
[15] 孙萍, 张功林, 师富贵, 张俊峰, 胡军, 周建华, 任晓强. 交腿桥式游离背阔肌肌皮瓣改进与临床应用[J]. 中华临床医师杂志(电子版), 2021, 15(05): 360-364.
阅读次数
全文


摘要