对植入物稳定性和术后焦虑症的五种骨切除方案的比较:一个随机对照试验
Rozerin Konuklu1, Sercan Küçükkurt1
1Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Istanbul Aydın University, Istanbul, Türkiye.
Clinical implant dentistry and related research
|February 10, 2026
概括
中等速度钻孔 (300rpm) 在早期骨整合过程中提供了最好的植入物稳定性和患者舒适性. 这项研究比较了五种骨切除术技术,发现中等速度钻探是早期植入物稳定率 (ISQ) 进展和减少焦虑的最佳方法.
科学领域:
- 牙科植入物学 牙科植入物学
- 生物材料科学 生物材料科学
- 手术技巧 手术技巧
背景情况:
- 临床试验.gov的标识符:NCT07234214.gov的标识符:NCT07234214.gov的标识符:NCT07234214.gov的标识符:NCT07234214.gov的标识符:NCT07234214.gov的标识符:NCT07234214.gov的标识符:NCT07234214.gov的标识符:NCT07234214.
- 牙科植入物骨切除技术显著影响早期骨整合和患者体验.
研究的目的:
- 为了比较五种牙科植入物骨切除技术:高速钻探 (800rpm),中等速度钻探 (300rpm),超低速度钻探 (50rpm),骨缩,骨凝结.
- 为了评估插入扭矩 (IT),早期植入物稳定率 (ISQ) 的进展,以及在早期骨整合期间的立即术后视觉模拟尺度 (VAS) -焦虑.
主要方法:
- 一项随机对照临床试验,涉及100名健康成年人,每个人都接受单个植入物,并随机分配到五种骨切除协议之一 (n=20/组).
- 插入扭矩 (IT) 和植入器稳定率 (ISQ) 在多个时间点测量,直至手术后3个月.
- 患者报告的焦虑被用视觉模拟尺度 (VAS) 评估.
主要成果:
- 中等速度钻探 (300rpm) 显示出最一致的ISQ增加和最高的最终稳定性 (p < 0.05).
- 高速钻探 (800rpm) 产生了最高的初始IT,特别是在密集的骨中.
- 所有技术都显示出显著的VAS-焦虑减轻 (p < 0.001),骨凝结显示出最大的减少和与较高的残留焦虑相关的骨凝结.
结论:
- 骨切除术技术极大地影响了机械稳定性和患者报告的焦虑.
- 中等速度钻探 (300rpm) 在前3个月内提供了平衡的稳定性.
- 建议根据骨密度,机械需求和患者因素进行个性化骨切除选择.
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