[1]阮慧,张昊,庞杰.数字化导板在美学区即刻种植中的应用效果研究[J].陕西医学杂志,2026,(2):225-229,234.[doi:DOI:10.3969/j.issn.1000-7377.2026.02.014]
　RUAN Hui,ZHANG Hao,PANG Jie.Clinical efficacy of digital surgical guides for immediate implantation in the aesthetic zone[J].,2026,(2):225-229,234.[doi:DOI:10.3969/j.issn.1000-7377.2026.02.014]
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数字化导板在美学区即刻种植中的应用效果研究

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

卷:
期数:
2026年2期
页码:
225-229,234
栏目:
临床研究
出版日期:
2026-02-05

文章信息/Info

Title:
Clinical efficacy of digital surgical guides for immediate implantation in the aesthetic zone
作者:
阮慧; 张昊; 庞杰
（湖北医药学院附属人民医院 十堰市人民医院口腔科，湖北 十堰 442000）
Author(s):
RUAN Hui; ZHANG Hao; PANG Jie
（Department of Stomatology,Affiliated People’s Hospital of Hubei University of Medicine,Shiyan 442000,China）
关键词:
即刻种植; 美学区; 数字化导板; 精确度; 美学效果; 牙周健康
Keywords:
Immediate implantation; Aesthetic zone; Digital surgical guides; Accuracy; Aesthetic outcome; Periodontal health
分类号:
R 783.4
DOI:
DOI:10.3969/j.issn.1000-7377.2026.02.014
文献标志码:
A
摘要:
目的：探讨数字化导板在美学区即刻种植中的应用效果。方法：选取行美学区即刻种植患者43例，根据不同手术方式分为观察组（22例，29颗患牙）和对照组（21例，27颗患牙）。对照组行传统自由手即刻种植，观察组行数字化导板辅助即刻种植。比较两组术后种植体植入精确度（角度偏差、颈部距离偏差、根尖距离偏差、深度偏差）。比较两组修复后即刻及3个月美学效果[红色美学评分（PES）、白色美学评分（WES）、牙龈乳头指数（PIS）]。比较两组术前及修复后3个月牙周健康指标[菌斑指数（PLI）、改良龈沟出血指数（mSBI）、牙龈指数（GI）]。比较两组患者满意度。结果：观察组角度偏差、颈部距离偏差、根尖距离偏差及深度偏差小于对照组(均P＜0.05)。修复后即刻，观察组PES、WES评分高于对照组（均P＜0.05）。修复后3个月，两组PES、WES、PIS评分较修复后即刻升高，且观察组PES、WES、PIS评分高于对照组(均P＜0.05)。治疗后，两组PLI、mSBI、GI指标较治疗前改善，且观察组mSBI、GI指标改善效果优于对照组（均P＜0.05）。观察组患者修复后总满意度较高于对照组，但差异无统计学意义（P＞0.05）。结论：数字化导板辅助下美学区即刻种植能够提升种植体植入位点精确度，改善美学效果及患牙牙周健康，提高患者满意度。
Abstract:
Objective:To investigate the clinical efficacy of digital surgical guides for immediate implantation in the aesthetic zone.Methods：A total of 43 patients requiring immediate implantation in the aesthetic zone were selected and divided into an observation group (22 patients,29 teeth) and a control group (21 patients,27 teeth) based on different surgical protocols.The control group underwent conventional free-hand immediate implantation,while the observation group received computer-guided template-assisted immediate implantation.The postoperative implant placement accuracy (angular deviation,neck deviation,apex deviation,depth deviation) was compared between the two groups.Aesthetic outcomes were assessed immediately and 3 months post-restoration using the Pink Esthetic Score (PES),White Esthetic Score (WES),and Papilla Index Score (PIS).Periodontal health indicators,including the Plaque Index (PLI),modified Sulcus Bleeding Index (mSBI),and Gingival Index (GI),were compared before and 3 months post-restoration.Patient satisfaction was also evaluated.Results:The observation group showed significantly smaller angular deviation,neck deviation,apex deviation,and depth deviation compared to the control group (all P<0.05).Immediately post-restoration,the PES and WES scores in the observation group were higher than those in the control group (all P<0.05).At 3 months post-restoration,the PES,WES,and PIS scores in both groups increased from the immediate post-restoration levels,with the observation group demonstrating superior scores (all P<0.05).After treatment,both groups showed improvement in PLI,mSBI,and GI compared to baseline,and the observation group exhibited better improvement in mSBI and GI than the control group (all P<0.05).The overall post-restoration satisfaction rate was higher in the observation group,although the difference was not statistically significant (P>0.05).Conclusion:Computer-guided template-assisted immediate implantation in the aesthetic zone can enhance the precision of implant placement,improve aesthetic outcomes and periodontal health of the treated teeth,and yield higher patient satisfaction.

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备注/Memo

备注/Memo:
湖北省教育厅科学技术研究项目(B2022133）
更新日期/Last Update: 2026-02-04