立即植入部位的口腔骨体积变化,有或没有软组织增大:六个月的评估
Mary Jung1, Duong Tran2,3, Chi-Ching Chang1,4,5
1Department of Periodontics and Dental Hygiene, The University of Texas Health Science Center at Houston School of Dentistry, Houston, Texas, USA.
软组织增强 (STA) 在六个月后没有显著影响直接植入牙周围的骨损失. 二维测量可能无法完全捕捉三维体积骨变化.
科学领域:
- 牙科植入物学 牙科植入物学
- 牙周病学 牙周病学
- 口腔和牙面部外科手术
背景情况:
- 研究软组织增强 (STA) 使用亚皮质连接组织移植 (SCTG) 或无细胞皮肤基质 (ADM) 与没有STA.
- 随机对照试验 (RCT) 的一部分即时植入物安置 (IIP) 结果.
- 专注于体积口腔骨尺寸变化手术后6个月.
研究的目的:
- 评估立即植入部位的口腔骨尺寸的体积变化.
- 为了比较SCTG和ADM对STA和没有STA对骨子尺寸的影响.
- 分析临床因素与骨尺寸变化之间的关联.
主要方法:
- 45名接受大前牙或前拔牙和IIP的患者被随机分为三组.
- 抽取前和IIP后6个月的形束计算断层扫描 (CBCT) 扫描用于3D和2D骨尺寸分析.
- 使用线性回归和皮尔森相关性来分析关联和相关性,显著性设置为p < 0.05.
主要成果:
- 在STA组和对照组之间没有观察到体积骨尺寸变化的显著差异.
- 在所有组中,冠状部分表现出最大的骨损失 (ICT: -14.99 mm3,IAD: -13.60 mm3,控制: -12.58 mm3).
- 厚骨形态显着与所有部分的体积性骨损失增加有关; 3D 和 2D 测量显示了可变的相关性.
结论:
- 软组织增强 (STA) 在直接植入植入物后的6个月随访期间没有显著影响骨质尺寸损失.
- 二维 (线性) 测量可能无法充分反映口腔骨尺寸的三维 (体积) 变化.
- 进一步的研究可能会探索长期影响和最佳的STA技术来保持骨体积.
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