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窄直径种植体穿龈式种植术在小间隙前牙早期美学修复应用

朱吉昌 陈建钢 帅李娅 铁朝荣 齐根苗

临床口腔医学杂志2018,Vol.34Issue(4):240-243,4.
临床口腔医学杂志2018,Vol.34Issue(4):240-243,4.DOI:10.3969/j.issn.1003-1634.2018.04.016

窄直径种植体穿龈式种植术在小间隙前牙早期美学修复应用

Clinic experience of performing minimally?invasive flapless trans?gingiva approaching technique on narrow clearance frontal teeth with narrow?diameter implant and early esthetic restoration

朱吉昌 1陈建钢 1帅李娅 1铁朝荣 1齐根苗1

作者信息

  • 1. 武汉大学中南医院口腔科 湖北 武汉 430071
  • 折叠

摘要

Abstract

Objective:To analyze the minimally-invasive surgery with flapless trans-gingiva approaching technique on narrow clearance frontal teeth,and the placement of narrow-diameter implant and early crown restoration according to es-thetic outcome and patient satisfaction after treatment.Methods:Twenty-three patients(23 implants in total)receiving flap-less tans-gingiva implant surgery with the placing of narrow-diameter implant(NDI)and early loading after 1 month are se-lected.Pink esthetic score(PES)and white esthetic score(WES)were used to evaluate esthetic degrees,that PES was esti-mated and recorded at 1-month,3-month and 6-month follow-up,whereas WES was evaluated and recorded right after perma-nent restoration.Patient satisfaction degree were measured by visual analogue scale(VAS)at 1-month,3-moth and 6-month follow-up.Results:PES was higher in 3-month follow-up(P<0.05),compared with PES in 1-month follow-up.There was no significant difference between 3-month and 6-month follow-up.There were about 87% of WES categorized in high score region.VAS was higher in 3-month follow-up(P<0.05),compared with VAS in 1-month follow-up,and there was no signif-icant difference between 3-month and 6-month follow-up.Conclusion:Trans-gingiva approaching technique cause minimal damage to gingiva,and usually results in less post-surgery pain and high patient satisfaction.Using the technique along with narrow-diameter implant and early crown restoration is a safe and predictable option.

关键词

小间隙/穿龈式/窄直径种植体/美学修复/早期修复

Key words

Narrow clearance/Trans-gingiva/Narrow-diameter implant/Esthetic restoration/Early restoration

分类

医药卫生

引用本文复制引用

朱吉昌,陈建钢,帅李娅,铁朝荣,齐根苗..窄直径种植体穿龈式种植术在小间隙前牙早期美学修复应用[J].临床口腔医学杂志,2018,34(4):240-243,4.

临床口腔医学杂志

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1003-1634

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