末端游离单颗种植体远期骨吸收量回顾性分析

doi:10.19438/j.cjoms.2023.01.009

中国口腔颌面外科杂志 ›› 2023, Vol. 21 ›› Issue (1): 55-58.doi: 10.19438/j.cjoms.2023.01.009

末端游离单颗种植体远期骨吸收量回顾性分析

宋昊天, 洪多, 瞿晓辉

上海交通大学医学院附属第六人民医院口腔科,上海 200030

收稿日期:2022-07-30 修回日期:2022-11-01 出版日期:2023-01-20 发布日期:2023-06-12
通讯作者: 瞿晓辉,E-mail:xiaohqu@msn.cn
作者简介:宋昊天（1992-）,男,硕士,E-mail: 2459776048@qq.com
基金资助:
上海市第六人民医院院级课题（LY33.X-2312）

A retrospective study on the long-term bone resorption of a single free-end dental implant

SONG Hao-tian, HONG Duo, QU Xiao-hui

Department of Stomatology, Sixth People's Hospital, Shanghai Jiao Tong University School of Medicine. Shanghai 200030, China

Received:2022-07-30 Revised:2022-11-01 Online:2023-01-20 Published:2023-06-12

摘要/Abstract

摘要： 目的： 探讨游离端与非游离端单颗种植体的垂直骨吸收量是否有差异。方法： 选择进行种植修复的牙缺失患者50例（50颗种植体）,根据牙位分为非游离端缺失组（A组）和游离端缺失组（B组）。一期植入直径4.1 mm、长度不等的种植体,术后3个月进行全瓷冠修复。应用CBCT测量修复后36个月的骨吸收量。采用SPSS 22.0软件包对数据进行统计学分析。结果： 随访期间,所有种植体无松动、脱落。A组远中骨吸收量为（0.288±0.183）mm,近中骨吸收量为（0.291±0.136）mm;B组远中骨吸收量为（0.562±0.201）mm,近中骨吸收量为（0.425±0.221）mm。A组平均骨吸收量为（0.289±0.144）mm,B组平均骨吸收量为（0.494±0.182）mm;B组远中骨吸收量显著多于近中骨吸收量（P<0.05）,B组平均骨吸收量显著多于A组（P<0.05）。结论： 游离端单颗种植体远中骨吸收量显著高于非游离端,提示游离端单颗种植体存在更高的骨吸收风险。

关键词: 种植体, 骨吸收, 游离端缺失

Abstract: PURPOSE: To investigate whether there is a difference in bone resorption between free-end and non-free-end single implant. METHODS: A total of 50 patients with tooth loss (50 implants) for implant restoration were selected. According to the tooth position, they were divided into non-free-end missing group (group A) and free-end missing group (group B). One-stage surgery was performed with eligible implants which were of different lengths and 4.1 mm in diameter. Single crown was placed after 3 months, Bone resorption was measured on CBCT after 36 months of follow-up. SPSS 22.0 software package was used for data analysis. RESULTS: There was no loosing or falling off of implants during the follow-up period. The distal bone resorption of group A was (0.288±0.183)mm, and the mesial bone resorption of group A was (0.291±0.136)mm, the distal bone resorption of group B was (0.562±0.201)mm, the mesial bone resorption of group B was (0.425±0.221)mm, the average bone resorption of group A was (0.289±0.144)mm, the average bone resorption of group B was (0.494±0.182)mm. Among them, the distal bone resorption of group B was significantly more than that of group A (P<0.05), and the average bone resorption of group B was significantly more than that of group A(P<0.05). CONCLUSIONS: The amount of bone resorption in the free end of a single implant is significantly higher than that of the non-free-end single implant, suggesting that the free-end single implant restoration has a higher risk of bone resorption.

Key words: Implant, Bone resorption, Free-end

中图分类号:

R782.1

宋昊天, 洪多, 瞿晓辉. 末端游离单颗种植体远期骨吸收量回顾性分析[J]. 中国口腔颌面外科杂志, 2023, 21(1): 55-58.

SONG Hao-tian, HONG Duo, QU Xiao-hui. A retrospective study on the long-term bone resorption of a single free-end dental implant[J]. China J Oral Maxillofac Surg, 2023, 21(1): 55-58.

参考文献

[1] Peng K, Zhou Y, Dai Y, et al.The effect of denture restoration and dental implant restoration in the treatment of dentition defect: a systematic review and meta-analysis[J]. Ann Palliat Med, 2021, 10(3): 3267-3276.
[2] 杜莉,胡宇辉,文志红.单侧游离端义齿咀嚼效能的测定和分析[J].华西口腔医学杂志, 1997, 15(4): 312-314.
Du L, Hu YH, Wen ZH.Determination and analysis of masticatory performance of unilateral free-end removable partial denture[J].West China Journal of Stomatology, 1997, 15(4): 312-314.
[3] Berglundh T, Persson L, Klinge B. A systematic review of the incidence of biological and technical complications in implant dentistry reported in prospective longitudinal studies of at least 5 years[J]. J Clin Periodont, 2002, 29(Suppl 3): 197-212, 232-233.
[4] Esposito M, Grusovin MG, Coulthard P, et al.A 5-year follow-up comparative analysis of the efficacy of various osseointegrated dental implant systems: a systematic review of randomized controlled clinical trials[J]. Int J Oral Maxillofac Implants, 2005, 20(4): 557-568.
[5] Belser UC, Grütter L, Vailati F, et al.Outcome evaluation of early placed maxillary anterior single-tooth implants using objective esthetic criteria: a cross-sectional, retrospective study in 45 patients with a 2- to 4-year follow-up using pink and white esthetic scores[J]. J Periodont, 2009, 80(1): 140-151.
[6] Jung RE, Benic GI, Scherrer D, et al.Cone beam computed tomography evaluation of regenerated buccal bone 5 years after simultaneous implant placement and guided bone regeneration procedures-a randomized, controlled clinical trial[J]. Clin Oral Implants Res, 2015, 26(1): 28-34.
[7] Simons WF, De Smit M, Duyck J, et al.The proportion of cancellous bone as predictive factor for early marginal bone loss around implants in the posterior part of the mandible[J]. Clin Oral Implants Res, 2015, 26(9): 1051-1059.
[8] Albrektsson T, Zarb G, Worthington P, et al.The long-term efficacy of currently used dental implants: a review and proposed criteria of success[J]. Int J Oral Maxillofac Implants, 1986, 1(1): 11-25.
[9] Baggi L, Cappelloni I, Di Girolamo M, et al.The influence of implant diameter and length on stress distribution of osseointegrated implants related to crestal bone geometry: a three-dimensional finite element analysis[J]. J Prosthet Dent, 2008, 100(6): 422-431.
[10] Misch CE, Suzuki JB, Misch-Dietsh FM, et al.A positive correlation between occlusal trauma and peri-implant bone loss: literature support[J]. Implant Dent, 2005, 14(2): 108-116.
[11] Omi M, Mishina Y.Roles of osteoclasts in alveolar bone remodeling[J]. Genesis, 2022, 60(8-9): e23490.
[12] 宿玉成, 耿威, 徐刚, 等. 可吸收性胶原膜结合无机牛骨修复种植牙骨缺损的临床研究[J]. 口腔医学研究, 2003, 19(3): 209-211.
Su YC, Geng W, Xu G, et al.Clinical research about regeneration of bone defect in ental implant with bioresorbable collagen membrane combining deproteinized bovine bone mineral[J].Journal of Comprehensive Stomatology, 2003, 19(3): 209-211.
[13] 张翀, 刘明, 赵宝红, 等. CBCT和曲面断层在下颌后牙区种植中的应用价值分析[J]. 口腔颌面修复学杂志, 2012, 13(4): 228-231.
Zhang Z, Liu M, Zhao BH, et al.Analysis of the value of CBCT for dental implants in mandibular posterior area[J]. Chinese Journal of Prosthodontics, 2012, 13(4): 228-231.
[14] Suárez-López Del Amo F, Monje A. Efficacy of biologics for alveolar ridge preservation/reconstruction and implant site development: an American Academy of Periodontology best evidence systematic review[J]. J Periodontol, 2022, 93(12):1827-1847.
[15] 黄国伟, 庄浩, 沈海平. 拔牙位点保存技术在口腔种植临床的应用[J]. 上海口腔医学, 2014, 23(3): 354-355.
Huang GW, Zhuang H, Shen HP.Clinical application of extracted site preservation in dental implantation[J]. Shanghai Journal of Stomatology, 2014, 23(3): 354-355.
[16] Low SH, Lu SL, Lu HK.Evidence-based clinical decision making for the management of patients with periodontal osseous defect after impacted third molar extraction: a systematic review and meta-analysis[J]. J Dent Sci, 2021, 16(1): 71-84.
[17] Shi P, Zhou W, Dong J, et al.Scaffolds of bioactive glass (Bioglass^®) combined with recombinant human bone morphogenetic protein-9 (rhBMP-9) for tooth extraction site preservation[J]. Heliyon, 2022, 8(1): e08796.

末端游离单颗种植体远期骨吸收量回顾性分析

A retrospective study on the long-term bone resorption of a single free-end dental implant

PDF (PC)

可视化

摘要/Abstract

引用本文

使用本文

参考文献

相关文章 15

编辑推荐

Metrics

本文评价

[1]	祁庆龙, 余红梅, 潘洋. 2种方法治疗下颌第二磨牙远中牙槽骨吸收的效果比较[J]. 中国口腔颌面外科杂志, 2024, 22(5): 463-467.
[2]	古丽斯旦·麦吾拉江, 李晨曦, 龚忠诚, 热依拉·居热提, 姬晓炜. 口腔种植体周围菌群对种植体周围炎影响的meta分析[J]. 中国口腔颌面外科杂志, 2024, 22(5): 478-486.
[3]	裘实, 罗畅, 蔡安庆, 王小菲, 朱挺. 个性化牙龈成型器在不同牙龈生物型及角化龈宽度患者上颌单颗前牙种植中的应用效果[J]. 中国口腔颌面外科杂志, 2024, 22(4): 378-384.
[4]	杨伟华, 姜晟波, 周莺莺. 微创种植牙在牙列游离端缺失患者中的应用效果评价[J]. 中国口腔颌面外科杂志, 2024, 22(4): 390-393.
[5]	潘旭祯, 王煜君. 3种咬合纸在人工种植牙修复中的应用效果比较[J]. 中国口腔颌面外科杂志, 2024, 22(1): 63-67.
[6]	曹旻, 徐旭. 体外冲击波治疗种植体周围炎的研究进展[J]. 中国口腔颌面外科杂志, 2023, 21(6): 610-614.
[7]	兰嵘, 阮敏, 韩楠男, 王凤. 左下种植修复后发生植体周围鳞状细胞癌1例报告[J]. 中国口腔颌面外科杂志, 2023, 21(2): 203-205.
[8]	胡颖恺, 邹多宏, 杨驰. 超声骨刀分段截骨结合软组织增量治疗下前牙错位种植体1例报告[J]. 中国口腔颌面外科杂志, 2022, 20(6): 612-617.
[9]	顾雨薇, 王凤, 黄伟, 张志勇, 张陈平, 孙坚, 吴轶群. 种植联合血管化髂骨移植重建14例下颌骨缺损的长期疗效观察[J]. 中国口腔颌面外科杂志, 2022, 20(5): 422-428.
[10]	顾雨薇, 王凤, 黄伟, 张志勇, 张陈平, 孙坚, 吴轶群. 种植联合血管化髂骨移植重建14例下颌骨缺损的长期疗效观察[J]. 中国口腔颌面外科杂志, 2022, 20(5): 488-493.
[11]	薛秋波, 薛陆峰, 马成, 丁皓月. 口腔种植体周围炎患者牙龈中组织蛋白酶B及Beclin-1的表达及临床意义[J]. 中国口腔颌面外科杂志, 2022, 20(3): 251-256.
[12]	马捷, 王齐帅, 张兵华, 陈天天, 蔡国平, 宋涛. 口腔种植体-基台微间隙充填对种植修复系统及周围骨力学的影响[J]. 中国口腔颌面外科杂志, 2022, 20(2): 117-122.
[13]	孙丹丹, 石飒飒, 尹伟娇. 78例氧化锆种植体边缘骨吸收5年随访观察[J]. 中国口腔颌面外科杂志, 2022, 20(2): 168-172.
[14]	王慧丽, 谢冰, 魏育红. 外源性bFGF对2型糖尿病大鼠钛种植体骨结合的影响及机制探讨[J]. 中国口腔颌面外科杂志, 2022, 20(1): 22-27.
[15]	张楚南, 赵旭, 乔士冲, 张晓梦, 顾迎新. 拔牙窝内植入不同深度骨水平种植体周围软硬组织改建的组织形态变化[J]. 中国口腔颌面外科杂志, 2021, 19(3): 193-196.