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Updated: Jan 22, 2026

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植入物的临床参数 植入物放置在骨水平以盖面螺丝或愈合支柱技术. 手术后6个月的随机对照临床试验报告
Carlo Prati1, Andrea Spinelli2, Jacopo Lenzi3
1Endodontic clinical section, Dental School, Department of Biomedical and Neuromotor Sciences, University of Bologna, Bologna, 40125, Italy. carlo.prati@unibo.it.
Oral and maxillofacial surgery
|January 20, 2026
概括
与覆盖螺丝相比,使用单个植入物的愈合支柱导致在假肢手术期间的出血减少. 这两种方法都显示了稳定的周围植入物组织和六个月后类似的边缘骨水平变化.
科学领域:
- 牙科植入物学 牙科植入物学
- 牙周病学 牙周病学
- 牙修复 牙修复 牙修复 牙修复 牙修复
背景情况:
- 牙周植入物软组织健康和边缘骨水平 (MBL) 对长期牙科植入物成功至关重要.
- 在治愈支柱和覆盖螺丝之间做出选择会影响手术程序和患者的结果.
研究的目的:
- 为了比较边缘骨水平 (MBL) 变化和周围植入物软组织健康,在单个植入物放置中治疗支柱和覆盖螺丝之间.
- 评估每个方法的临床效率和侵入性.
主要方法:
- 一项随机临床试验,涉及45名患者的66个单个植入物.
- 患者被随机分配到治疗支柱组 (n=34) 或覆盖螺丝组 (n=32).
- 临床和放射性评估,包括在Scanbody定位 (BuSP) 时出血,在假肢支架 (BuPA) 应用时出血和MBL,在基线,3个月和6个月进行.
主要成果:
- 在两组中,植入物存活率为100%.
- 与覆盖螺丝组相比,愈合支柱组在假肢手术 (BuSP和BuPA) 期间出血显著减少 (p < 0.001).
- 在6个月后,两组之间没有观察到蒙贝利修饰斑块得分或MBL变化的显著差异.
结论:
- 愈合支柱和盖面螺丝都提供稳定的周植入组织和可比的MBL在6个月.
- 治愈支柱的放置通过减少出血和避免板重新进入来简化假肢程序.
- 愈合支柱方法提供了一个不那么侵入性和同样有效的替代方案,以覆盖单个植入物修复的螺丝协议.
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