中国口腔颌面外科杂志

中国口腔颌面外科杂志 ›› 2025, Vol. 23 ›› Issue (1): 20-23.doi: 10.19438/j.cjoms.2025.01.004

• 论著 • 上一篇    下一篇

2种不同种植体周维护方法临床效果比较

郭文锦1, 贾斌1, 董颖韬1, 马金玲2, 潘巨利2,3   

  1. 1.北京市东城区崇文口腔医院,北京 100062;
    2.首都医科大学附属北京口腔医院 特诊特需科,北京 100050;
    3.北京瑞尔齿科,北京 100062
  • 收稿日期:2024-06-21 修回日期:2024-08-27 出版日期:2025-01-20 发布日期:2025-01-23
  • 通讯作者: 潘巨利,E-mail: 15874192968@163.com
  • 作者简介:郭文锦（1983-）,女, 硕士,副主任医师,E-mail: guowjkq@163.com
  • 基金资助:
    北京市优秀人才培养资助基金（2014000021469G248）

Comparison of the clinical efficacy of two peri-implant maintenance methods

GUO Wen-jin1, JIA Bin1, DONG Ying-tao1, MA Jin-ling2, PAN Ju-li2,3   

  1. 1. Beijing Dongcheng District Chongwen Stomatological Hospital. Beijing 100062;
    2. Department of Special Clinic Outpatient, Beijing Stomatological Hospital, Capital Medical University. Beijing 100050;
    3. Beijing Arrail Dental Clinic. Beijing 100026, China
  • Received:2024-06-21 Revised:2024-08-27 Online:2025-01-20 Published:2025-01-23

PDF (PC)

15

摘要： 目的：比较赤藓糖醇龈下喷砂与碳纤维超声工作尖用于种植体周维护的临床效果。方法：选择北京市东城区崇文口腔医院单颗种植修复患者70例,随机分为赤藓糖醇龈下喷砂组（A组）和碳纤维超声工作尖组（B组）,每组35例。2组患者在种植修复后3、6、12、18个月进行种植体周维护,分别检测种植修复后即刻（基线）及3、6、12、18个月的改良菌斑指数（mPLI）、改良出血指数（mSBI）及探诊深度（PD）;采用视觉模拟评分（VAS）评价患者治疗舒适度。采用SPSS 17.0软件包对数据进行统计学分析。结果：种植修复后18个月,A组患者种植体周黏膜炎的发生率（5.7%）显著低于B组（11.4%,P<0.05）;2组种植修复后3、6、12、18个月的mPLI和mSBI均较基线显著增加（P<0.05）,但2组间无显著差异（P>0.05）;2组种植修复后不同时段的PD较基线无显著差异,2组间也无显著差异。A组治疗舒适度VAS评分显著低于B组（P<0.05）。结论：赤藓糖醇龈下喷砂可用于种植体周维护,且患者舒适感更高。

关键词: 种植体周维护, 赤藓糖醇喷砂, 碳纤维超声工作尖, 种植体周黏膜炎, 种植体周围炎

Abstract: PURPOSE: To compare the clinical effect of erythritol air-polishing and carbon fiber ultrasound working tip for peri-implant maintenance. METHODS: Seventy patients with single implant repair in Beijing Dongcheng District Chongwen Stomatological Hospital were randomly divided into erythritol air-polishing group(group A) and carbon fiber ultrasound working tip group(group B), with 35 cases in each group. Peri-implant maintenance was performed at 3, 6, 12 and 18 months after restoration, and the modified plaque index(mPLI), modified bleeding index(mSBI) and depth of investigation (PD) were measured immediately (baseline) and 3, 6, 12 and 18 months after restoration, respectively. Visual analogue scale(VAS) was used to evaluate the treatment comfort of patients. SPSS 17.0 software package was used for statistical analysis of the data. RESULTS: At 18 months after implant restoration, the incidence of peri-implant mucositis in group A was significantly lower than that in group B(P<0.05). The mPLI and mSBI at 3, 6, 12 and 18 months after implant restoration were increased compared with baseline(P<0.05), but there was no significant difference between the two groups(P>0.05). In both groups, there was no significant difference in PD at different periods after implant restoration compare with baseline. VAS score of treatment comfort in group A was significantly lower than that in group B(P<0.05). CONCLUSIONS: Erythritol air-polishing can be used during peri-implant maintenance phase with higher patient comfort.

Key words: Peri-implant maintenance, Erythritol air-polishing, Carbon fiber ultrasound working tip, Peri-implant mucositis, Peri-implantitis

中图分类号: