对于那些患有慢性牙牙周炎的人来说,延迟牙植入有什么好处吗?
1Dental Core Trainee, Oral and Maxillofacial Surgery, Queen Elizabeth University Hospital, Glasgow, UK. Rabab594@gmail.com.
Evidence-based dentistry
|March 27, 2024
概括
在慢性牙周炎患者的牙中立即植入植入物是临床上可行的. 这项研究发现,与延迟安置相比,植入物稳定性或骨愈合没有显著差异,这表明患者可以选择安全的替代方案.
科学领域:
- 牙科植入物学 牙科植入物学
- 牙周病学 牙周病学
- 在口腔外科手术.
背景情况:
- 慢性牙周炎会影响部区域,需要有效的治疗策略.
- 牙植入物安置是缺失牙的常见解决方案,但时间可能是至关重要的.
研究的目的:
- 为了比较慢性牙周炎患者的牙植入物在部区域的立即与延迟植入.
- 评估临床和放射性结果,包括植入物稳定性和骨水平.
主要方法:
- 一个单中心,双盲,前性随机对照试验,涉及74名患者.
- 立即植入植入物放置与延迟放置 (3-6个月的愈合) 的比较.
- 临床评估 (探测深度,出血指数,斑块指数) 和CBCT扫描用于骨质评估.
主要成果:
- 在即时或6个月后的随访中,植入物稳定率 (ISQ) 没有显著差异.
- 探测深度 (PD),修改的硫出血指数 (mSBI) 或修改的斑块指数 (mPI) 没有显著差异.
- 在直接安置组中观察到显著的口腔水平边缘骨损失 (P=0.003);没有显著的舌头或垂直骨损失.
结论:
- 在慢性牙周炎患者的部区域立即植入植入物似乎在临床上可行.
- 在适当的手术技术下,立即安置对骨质整合或骨愈合没有显著的不利影响.
- 建议进行进一步的长期,更大规模的研究,以证实这些发现并了解长期结果.
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