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中华口腔医学研究杂志(电子版) ›› 2018, Vol. 12 ›› Issue (05) : 299 -304. doi: 10.3877/cma.j.issn.1674-1366.2018.05.006

所属专题: 文献

临床研究

慢性牙周炎患者与牙周健康患者种植修复疗效的对比与分析
马婧1, 曾融生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:2018-03-29 出版日期:2018-10-01
  • 通信作者: 曾融生

Comparison and analysis of the effect of dental implantation between periodontitis and periodontal healthy people

Jing Ma1, Rongsheng Zeng1,()   

  1. 1. Guanghua School of Stomatology, Hospital of Stomatology, Sun Yat-sen University, Guangdong Provincial Key Laboratory of Stomatology, Guangzhou 510055, China
  • Received:2018-03-29 Published:2018-10-01
  • Corresponding author: Rongsheng Zeng
  • About author:
    Corresponding author: Zeng Rongsheng, Email:
引用本文:

马婧, 曾融生. 慢性牙周炎患者与牙周健康患者种植修复疗效的对比与分析[J]. 中华口腔医学研究杂志(电子版), 2018, 12(05): 299-304.

Jing Ma, Rongsheng Zeng. Comparison and analysis of the effect of dental implantation between periodontitis and periodontal healthy people[J]. Chinese Journal of Stomatological Research(Electronic Edition), 2018, 12(05): 299-304.

目的

研究种植术后3 ~ 4年慢性牙周炎患者与牙周健康患者的种植疗效差异。

方法

选择符合纳入标准的慢性牙周炎患者22例,共植入48枚种植体,选择符合纳入标准的牙周健康患者25例,共植入34枚种植体,观察植入后3 ~ 4年种植体周围情况,测量种植体边缘牙槽骨吸收(MBL)情况,记录改良出血指数(mBI)、牙周探诊深度(PD)、种植体存留率,并采用非参数检验Mann-Whitney检验进行统计学分析。

结果

慢性牙周炎组与牙周健康组均获得100%的种植体存留率。慢性牙周炎组的MBL为[(0.25 ± 0.56)mm],与牙周健康组[(0.34 ± 0.49)mm]相比较差异无统计学意义(U = 730,P = 0.416)。慢性牙周炎组与牙周健康组的PD分别为(1.63 ± 0.78)和(1.49 ± 0.62)mm,差异无统计学意义(U = 901,P = 0.415)。

结论

慢性牙周炎患者种植3 ~ 4年时观察种植效果与牙周健康患者无明显差别,慢性牙周炎患者种植修复仍可获得良好的疗效。

Objective

To explore the difference of dental implantation between periodontits and periodontal healthy people after 3-4 years of treatment.

Methods

Two groups, periodontitis (22 patients, 48 implants) and healthy (25 patients, 34 implants) groups were randomly selected. Index including survival rate of implant, implant marginal bone loss (MBL) , probing depth (PD) and modified bleeding index (mBI) of each group were examined, and the observation period was 3 - 4 years.

Results

During the follow-up time, the survival rate of implant of both groups were 100%. The mean MBL value in periodontitis group was (0.25 ± 0.56) mm, while MBL in periodontally healthy group was (0.34 ± 0.49) mm, which was not statistically different (U = 730, P = 0.416) . PD in periodontitis group was (1.63 ± 0.78) mm, while that in periodontally healthy group was (1.49 ± 0.62) mm. There was no statistically significant difference in PD (U = 901, P = 0.415) .

Conclusions

There was no significant difference between periodontally healthy and chronic periodontitis patients in 3-4 years clinical outcomes. Good clinical outcome can be achieved in patients with chronic periodontitis.

图1 种植体边缘牙槽骨吸收量测量示意图
图2 典型病例1种植体植入术后全颌曲面断层片
图3 典型病例1种植体植入3年后全颌曲面断层片
图5 典型病例1种植体植入3年后口内面照
图6 典型病例2种植体植入术后全颌曲面断层片
图7 典型病例2种植体植入3年后全颌曲面断层片
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