[1]李 瑾,高冬玲,李 扬△.CAD/CAM牙种植导板在上前牙列缺失即刻种植修复中的应用*[J].陕西医学杂志,2020,49(11):1457-1460.[doi:DOI:10.3969/j.issn.1000-7377.2020.11.022]
　LI Jin,GAO Dongling,LI Yang..Application of CAD/CAM dental implant guide template in immediate implant restoration of anterior dentition missing[J].,2020,49(11):1457-1460.[doi:DOI:10.3969/j.issn.1000-7377.2020.11.022]
点击复制

CAD/CAM牙种植导板在上前牙列缺失即刻种植修复中的应用*
分享到：

《陕西医学杂志》[ISSN:1000-7377/CN:61-1281/TN]

卷:
49
期数:
2020年11期
页码:
1457-1460
栏目:
临床研究
出版日期:
2020-11-05

文章信息/Info

Title:
Application of CAD/CAM dental implant guide template in immediate implant restoration of anterior dentition missing
作者:
李 瑾; 高冬玲; 李 扬△
陕西省延安市人民医院口腔科(延安716000)
Author(s):
LI Jin; GAO Dongling; LI Yang.
Department of Stomatology,Yan'an People's Hospital,Shaanxi Province(Yan'an 716000)
关键词:
计算机辅助设计与制造;  牙种植导板;  上前牙列缺失;  即刻种植修复;  咀嚼功能;  言语功能
Keywords:
Computer aided design and manufacturing;  Dental implant guide template;  Anterior dentition missing;  Immediate implant restoration;  Chewing function;  Speech function
分类号:
R783.4
DOI:
DOI:10.3969/j.issn.1000-7377.2020.11.022
文献标志码:
A
摘要:
目的:探讨计算机辅助设计与制造(CAD/CAM)牙种植导板在上前牙列缺失即刻种植修复中的应用价值。方法:将需即刻种植修复的上前牙列缺失患者96例随机分为研究组与对照组,各48例,对照组给予常规牙种植修复术治疗,研究组在对照组的基础上联合应用CAD/CAM牙种植导板辅助治疗。比较两组术后植入体的空间位置偏离值,两组术前术后的咀嚼效率、言语功能评分、龈沟出血评分、菌斑指数与软垢指数,观察两组术后种植牙体的美学效果(外形、色泽)、骨吸收值。结果:研究组的各空间位置偏离值(头部、根部、深度、角度)均明显小于对照组(P<0.05); 两组术后咀嚼效率、言语功能评分均明显高于术前(P<0.05),龈沟出血评分、菌斑指数与软垢指数、骨吸收值均明显低于术前(P<0.05),术后研究组咀嚼效率、言语功能评分均明显高于对照组(P<0.05),龈沟出血评分、菌斑指数与软垢指数均明显低于对照组(P<0.05); 两组术后种植牙体的外形与色泽比较均无统计学差异(P>0.05)。结论:CAD/CAM牙种植导板能提高上前牙列缺失患者即刻种植修复术的种植精准度,提高咀嚼功能、言语功能,减轻骨吸收,改善牙周环境。
Abstract:
Objective:To explore the application value of computer-aided design and manufacturing(CAD/CAM)dental implant guide template in immediate implant restoration of anterior dentition missing.Methods:96 patients with anterior dentition missing who needed immediate implant restoration were randomly divided into study group and control group,48 cases in each group.The control group was treated with routine dental implant restoration,while study group was additionally treated with CAD/CAM dental implant guide template.The spatial position deviation values of implants after surgery,chewing efficiency,scores of speech function and sulcus bleeding,plaque index and debris index before and after surgery were recorded and compared between the two groups.The aesthetic effects of implants(appearance,color)and bone resorption value after surgery were observed and compared between the two groups.Results:The spatial position deviation values(head,root,depth,angle)in study group were significantly lower than those in control group(P<0.05).After surgery,chewing efficiency and scores of speech function in both groups were significantly increased(P<0.05),while sulcus bleeding score,plaque index,debris index and bone resorption value were significantly decreased(P<0.05).After surgery,chewing efficiency and scores of speech function in study group were significantly higher than those in control group(P<0.05),while sulcus bleeding score,plaque index and debris index were significantly lower than those in control group(P<0.05).After surgery,there were no significant differences in the appearance and color of the dental implants between the two groups(P>0.05).Conclusion:CAD/CAM dental implant guide template can improve the implant accuracy of immediate implant restoration in patients with anterior dentition missing,improve chewing function and speech function,reduce bone resorption,and improve periodontal environment.

参考文献/References:

[1] Zhi QG,Hong MW,Yu WW,et al.Effect of magfitex-600 magnetic attachment on dentition defect and its effect on magnet retention[J].Chinese Journal of Aesthetic Medicine,2019,27(4):500-508.
[2] Jing Z,Prosthodontics DO.Application effect of fixed combined with removable partial denture on dentition defect[J].Chinese Journal of Urban and Rural Enterprise Hygiene,2019,128(2):553-559.
[3] Ming HZ,Na G,Li NW,et al.Clinical application research of orthodontic combined implant restoration for dentition defect[J].Qingdao Medical Journal,2019,128(2):553-559.
[4] Sina S,Fereshteh HG,Parviz A,et al.Effects of abutment diameter,luting agent type,and re-cementation on the retention of implant-supported CAD/CAM metal copings over short abutments[J].Journal of Advanced Prosthodontics,2018,10(1):84-89.
[5] 吴德宏,王 娟,刘 晶,等.口腔种植修复牙列缺损或缺失40例临床分析[J].中华实用诊断与治疗杂志,2013,27(12):1240-1241.
[6] 欧国敏,宫 苹,陈文川,等.即刻种植与即刻修复的临床应用[J].中华口腔医学杂志,2006,41(3):144-147.
[7] Kapos T,Ashy LM,Gallucci GO,et al.Computer-aided design and computer-assisted manufacturing in prosthetic implant dentistry[J].Int J Oral Maxillofac Implants,2009,24(l):110 -117.
[8] 林俏霞.CAD/CAM牙种植导板应用于上前牙列缺失种植修复的临床价值[J].广西医学,2019,41(17):2177-2180.
[9] 彭政宇,卢文辉,姜 瑞,等.前牙区即刻种植及早期种植的临床疗效探讨[J].现代医院,2015,23(7):15-17.
[10] 陆维胜.微创拔牙后即刻种植与延期种植对牙槽骨吸收值的影响分析[J].全科口腔医学电子杂志,2019,6(16):59-60.
[11] 王忠华,盛美春,郑重阳.老年人群口腔缺牙现状及修复现状调查[J].中国现代医生,2020,58(13):147-150.
[12] 夏 炜,彭国光,沈 琳,等.种植牙修复技术治疗老年牙列游离端缺失患者的效果[J].全科口腔医学杂志:电子版,2020,7(1):51-52.
[13] 张 强,胡美玲,李灵芝,等.口腔种植修复与常规修复治疗牙列缺失的效果比较[J].世界复合医学,2020,6(3):85-87.
[14] Tao W,Stomatology DO,Hospital LP,et al.To evaluate the clinical effect of orthodontic and prosthetic treatment for malocclusion with dentition defect[J].General Journal of Stomatology,2019,37(8):1253-1259.
[15] Yoon HI,Sohn PJ,Jin S,et al.Fracture resistance of CAD/CAM-fabricated lithium disilicate mod inlays and onlays with various cavity preparation designs[J].Journal of Prosthodontics,2018,38(3):421-428.
[16] Pietruski JK,Skurska A,Bernaczyk A,et al.Evaluation of concordance between CAD/CAM and clinical positions of abutment shoulder against mucosal margin:an observational study[J].BMC Oral Health,2018,18(1):73-75.
[17] Bertl K,Bertl MH,Heimel P,et al.Alveolar bone resorption after primary tooth loss has a negative impact on straightforward implant installation in patients with agenesis of the lower second premolar[J].Clinical Oral Implants Research,2018,35(15):116-119.
[18] Zimmermann M,Valcanaia A,Neiva G,et al.Three-dimensional digital evaluation of the fit of endocrowns fabricated from different CAD/CAM materials[J].Journal of Prosthodontics,2018,10(4):576-586.

备注/Memo

备注/Memo:
*陕西省延安市科技计划项目(2016KS-05)
更新日期/Last Update: 2020-11-05