富血小板血浆联合珊瑚骨粉用于前牙美学区骨量不足种植修复的效果观察

doi:10.19438/j.cjoms.2025.01.012

摘要/Abstract

摘要： 目的：探讨富血小板血浆联合珊瑚骨粉用于前牙美学区骨量不足缺牙患者种植修复的效果。方法：选择2018年1月—2023年1月在北京市昌平区中医医院接受前牙美学区种植修复的患者106例,对照组（52例）术中植入珊瑚骨粉+Bio-Gide胶原膜覆盖,试验组（54例）术中植入珊瑚骨粉+富血小板血浆+Bio-Gide胶原膜覆盖。术后随访6个月,比较2组的种植成功率、窦底骨高度、唇侧骨厚度、唇侧骨密度、牙龈出血指数（BI）、探诊深度（PD）、附着丧失（AL）、红色美学评分（PES）、白色美学评分（WES）,并记录术后并发症。采用SPSS 24.0软件包对数据进行统计学分析。结果：术后6个月,试验组种植成功率（100.00%,54/54）与对照组(98.08%,51/52）无显著差异（P>0.05）;试验组和对照组的唇侧骨厚度分别为（1.71±0.39）和（1.34±0.35） mm,唇侧骨密度分别为（1.89±0.36）和（1.65±0.41） g/cm²,试验组均显著高于对照组（P<0.05）;试验组窦底骨高度增加>2 mm的占比显著高于对照组（P<0.05）。冠修复后6个月,试验组BI、PD、CAL均显著小于对照组（P<0.05）,PES、WES评分显著高于对照组（P<0.05）。2组并发症发生率比较无显著差异（P>0.05）。结论：富血小板血浆联合珊瑚骨粉用于前牙美学区骨量不足缺牙患者的种植修复,有助于提高窦底和唇侧骨增量,提高种植美学效果,安全性良好。

关键词: 种植牙, 前牙美学区, 骨量不足, 富血小板血浆, 珊瑚骨粉, 骨增量

Abstract: PURPOSE: To investigate the effect of platelet-rich plasma(PRP) combined with coral bone powder on implant restoration in edentulous patients with insufficient bone mass in the anterior esthetic zone. METHODS: A total of 106 patients who underwent implant restoration in the aesthetic area of anterior teeth in Beijing Changping Hospital of Traditional Chinese Medicine from January 2018 to January 2023 were selected. The control group(n=52 ) received coral bone powder + Bio-Gide collagen membrane coverage during surgery, while the experimental group(n=54) received coral bone powder + PRP + Bio-Gide collagen membrane coverage during surgery. After 6 months of postoperative follow-up, the success rate of implantation, height of the sinus floor, thickness of the labial side bone, density of the labial side bone, bleeding index (BI), probing depth (PD), attachment loss (AL), pink aesthetic score(PES), and white aesthetic score(WES) were compared between the two groups, and postoperative complications were recorded. SPSS 24.0 software package was used for data analysis. RESULTS: At 6 months after operation, there was no significant difference in the success rate of implantation between the experimental group (100.00%, 54/54) and the control group (98.08%,51/52) (P>0.05). The labial bone thickness of the experimental group and control group were (1.71±0.39) and (1.34±0.35) mm, and the labial bone density were (1.89±0.36) and (1.65±0.41) g/cm², respectively, which were significantly higher in the experimental group than in the control group(P<0.05). The proportion of sinus floor bone height increase >2 mm in the experimental group was significantly higher than that in the control group(P<0.05). At 6 months after crown restoration, BI, PD and CAL in the experimental group were significantly lower than those in the control group (P<0.05), PES and WES scores in the experimental group were significantly higher than those in the control group (P<0.05). There was no significant difference in the incidence of complications between the two groups(P>0.05). CONCLUSIONS: The application of PRP combined with coral bone powder in the implant restoration of patients with insufficient bone mass in the anterior esthetic area can help to improve the sinus floor and labial bone increment, and improve the aesthetic effect of dental implantation with good safety.

Key words: Dental implantation, Aesthetic area of anterior teeth, Insufficient bone mass, Platelet rich plasma, Coral bone powder, Bone increment

中图分类号:

R782.12

刘志良, 李国荣, 张悦, 张章, 马铁玉, 饶子兰. 富血小板血浆联合珊瑚骨粉用于前牙美学区骨量不足种植修复的效果观察[J]. 中国口腔颌面外科杂志, 2025, 23(1): 67-71.

LIU Zhi-liang, LI Guo-rong, ZHANG Yue, ZHANG Zhang, MA Tie-yu, RAO Zi-lan. Observation of the effect of platelet-rich plasma combined with coral bone powder on the prosthesis of dental bone deficiency in aesthetic area[J]. China J Oral Maxillofac Surg, 2025, 23(1): 67-71.

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