后牙区即刻种植与延期种植后牙槽骨吸收的影像学比较分析

doi:10.19438/j.cjoms.2019.02.010

中国口腔颌面外科杂志 ›› 2019, Vol. 17 ›› Issue (2): 150-154.doi: 10.19438/j.cjoms.2019.02.010

后牙区即刻种植与延期种植后牙槽骨吸收的影像学比较分析

万绍楠, 浦益萍^*, 杨驰^*

上海交通大学医学院附属第九人民医院·口腔医学院口腔外科,国家口腔疾病临床医学研究中心,上海市口腔医学重点实验室,上海市口腔医学研究所,上海 200011

收稿日期:2018-08-13 修回日期:2018-12-06 出版日期:2019-03-20 发布日期:2019-04-12
通讯作者: 浦益萍,E-mail：yvettepeen@126.com;杨驰,E-mail:yangchi63@hotmail.com。^*共同通信作者
作者简介:万绍楠（1992-）,男,硕士,住院医师,E-mail：wanshaonan1@126.com
基金资助:
国家自然科学基金（81870785）; 上海交通大学医学院附属第九人民医院预研基金（ky2018190174）

Comparison of alveolar bone resorption between immediate implant and delayed implant in the posterior area

WAN Shao-nan, PU Yi-ping, YANG Chi

Department of Oral and Craniomaxillofacial Surgery, Shanghai Ninth People's Hospital, College of Stomatology, Shanghai Jiao Tong University School of Medicine; National Clinical Research Center for Oral Diseases; Shanghai Key Laboratory of Stomatology & Shanghai Research Institute of Stomatology. Shanghai 200011, China

Received:2018-08-13 Revised:2018-12-06 Online:2019-03-20 Published:2019-04-12

摘要/Abstract

摘要： 目的:利用X线片观察并测量后牙区即刻种植术后的牙槽骨改变,比较即刻种植与延期种植术后牙槽骨吸收的程度。方法:对我院2014—2016年间后牙区94例即刻种植义齿和168例延期种植义齿进行术后6个月及1年随访,患者种植术后即刻、术后6个月和术后1年复查时均采用平行投照技术拍摄X线片,利用测量软件测量种植体近中及远中牙槽嵴顶端与种植体颈部之间的垂直距离。采用SPSS 19.0软件包进行配对t检验,分析即刻、术后6个月以及1年时种植体近远中牙槽骨的吸收变化。结果:无论即刻种植还是延期种植组,所有植体都获得了良好的骨结合。在种植体植入后,近远中的牙槽骨均有不同程度吸收。术后6个月复查时,即刻种植组牙槽骨近远中平均吸收0.25 mm,延期种植组牙槽骨近远中平均吸收0.43 mm,差异无统计学意义（P>0.05）。术后1年复查时,即刻种植组牙槽骨近远中平均吸收0.57 mm,延期种植组牙槽骨近远中平均吸收1.10 mm,差异有统计学意义(P<0.05)。结论:后牙区即刻种植和延期种植术后,植体均可获得良好的骨结合;术后近远中方向牙槽骨均发生明显吸收,且术后1年时即刻种植组牙槽骨吸收程度轻于延迟种植组。

关键词: 后牙区即刻种植, 牙槽骨吸收, 骨结合

Abstract: PURPOSE: To evaluate alveolar bone changes after immediate implant in posterior area by using X-rays, and make a comparison between immediate implants and delayed implants. METHODS: In this study, 94 cases of immediate implants and 168 cases of delayed implants were followed up for 6 months to 1 year from 2014 to 2016. X-ray films were taken by parallel projection technique immediately after implantation, 6 months and 1 year after operation. The vertical distance between the tip of the alveolar crest near the implant and the neck of implants was measured. Paired t test was used to analyze the absorption changes of alveolar bone in the mesial-distal direction of the implant 6 months and 1 year after surgery. SPSS 19.0 software package was used to compare the alveolar bone resorption degree between the two different implantation methods. RESULTS: In immediate group and delayed group, all the implants showed great bone osteogenesis, and the alveolar bone of the implants showed different degree of resorption. X-ray films showed the average resorption of the alveolar bone in the immediate implantation group was 0.25 and 0.43 mm in the delayed implantation group 6 months after implantation, and there was no significant difference between the two groups (P>0.05). One year after implantation, the average resorption of the alveolar bone was 0.57 mm in the immediate implantation group and 1.10 mm in the delayed implantation group, the difference was statistically significant (P<0.05). CONCLUSIONS: In the posterior area, both immediate implants and delayed implants showed great osseointegration, the alveolar bone in both mesial and distal area was absorbed obviously, and after 1 year the alveolar bone resorption in immediate implants was less than that in delayed implants.

Key words: Immediate posterior implants, Bone resorption, Osseointegration

中图分类号:

R782.1

万绍楠, 浦益萍, 杨驰. 后牙区即刻种植与延期种植后牙槽骨吸收的影像学比较分析[J]. 中国口腔颌面外科杂志, 2019, 17(2): 150-154.

WAN Shao-nan, PU Yi-ping, YANG Chi. Comparison of alveolar bone resorption between immediate implant and delayed implant in the posterior area[J]. China J Oral Maxillofac Surg, 2019, 17(2): 150-154.

参考文献

[1] Schulte W, Heimke G.The Tübinger immediate implant[J]. Quintessenz, 1976, 27(6) : 17-23.
[2] Lang NP, Pun L, Lau KY, et al.A systematic review on survival and success rates of implants placed immediately into fresh extraction sockets after at least 1 year[J]. Clin Oral Implants Res, 2012, 23(Suppl 5): 39-66.
[3] Jung RE, Pjetursson BE, Glauser R, et al.A systematic review of the 5-year survival and complication rates of implant-supported single crowns[J]. Clin Oral Implants Res, 2008, 19(2): 119-130.
[4] Ormianer Z, Piek D, Livne S, et al.Retrospective clinical evaluation of tapered implants: 10-year follow-up of delayed and immediate placement of maxillary implants[J]. Implant Dent, 2012, 21(4): 350-356.
[5] 黄建生. 口腔种植学临床技术图谱[M]. 广州: 广东科技出版社, 2007: 2.
[6] Araújo MG, Sukekava F, Wennstrom JL, et al.Ridge alterations following implant placement infresh extraction sockets: an experimental study in the dog[J]. J Clin Periodontol, 2005, 32(6): 645-652.
[7] Kan JY, Rungcharassaeng K, Lozada J.Immediate placement and provisionalization of maxiary anterior single implants: 1-year prospective study[J]. Int J Oral Maxillofac Implants, 2003, 18(1): 31-39.
[8] 程超, 金树人, 文民, 等. 即刻种植与延迟种植术后牙槽骨吸收情况的比较分析[J]. 临床口腔医学杂志, 2016, 32(2): 103-104.
[9] Sanz M, Cecchinato D, Ferrus J, et al.A prospective, randomized-controlled clinical trial to evaluate bone preservation using implants with different geometry placed into extraction sockets in the maxilla[J]. Clin Oral Implants Res, 2010, 21(1) : 13-21.
[10] Caneva M, Salata LA, de Souza SS, et al. Influence of implant positioning in extraction sockets on osseointegration: histomorphometric analyses in dogs[J]. Clin Oral Implants Res, 2010, 21(1): 43-49.
[11] 邓悦, 王万春, 赵俊, 等. 即刻修复1年后种植体周围边缘骨吸收的临床评价[J]. 国际口腔医学杂志, 2009, 36(1): 12-15.
[12] Hammerle CH, Chen ST, Wilson TG Jr.Consensus statements and recommended clinical procedures regarding the placement of implants in extraction sockets[J]. Int J Oral Maxillofac Implants, 2004, 19(Suppl): 26-28.
[13] Raes F, Cosyn J, Crommelinck E, et al.Immediate and conventional single implant treatment in the anterior maxilla: 1-year results of a case series on hard and soft tissue response and aesthetics[J]. J Clin Periodontol, 2011, 38(4): 385-394.
[14] Jung RE, Philipp A, Annen BM, et al.Radiographic evaluation of different techniques for ridge preservation after tooth extraction: a randomized controlled clinical trial[J]. J Clin Periodontol, 2013, 40(1): 90-98.
[15] Buser D, Chappuis V, Belser UC, et al.Implant placement post extraction in esthetic single tooth sites: when immediate, when early, when late?[J]. Periodontol 2000, 2017, 73(1): 84-102.
[16] 王健, 胡秀莲, 林野. Bio-oss和Bio-oss骨胶原保持牙槽骨量的临床研究[J]. 现代口腔医学杂志, 2009, 23(1): 4-5.

后牙区即刻种植与延期种植后牙槽骨吸收的影像学比较分析

Comparison of alveolar bone resorption between immediate implant and delayed implant in the posterior area

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