一个为期1.5年的随机对照试验,比较标准尺寸的植入物和四个在功能立即负载下保留下部过度植入物的迷你植入物:主观和客观结果
Heba M Moftah1, Mohannad H Al-Saadi1, Khaldoun Darwich2
1Department of Removable Prosthodontics, Faculty of Dental Medicine, Damascus University, Damascus, Syria.
概括
这项研究比较了迷你植入物 (MIs) 和标准植入物 (SIs) 用于保留下假牙. 两种类型的植入物都改善了假牙的结果,随着时间的推移,MI显示了与SI可比的结果.
科学领域:
- 牙科植入物学 牙科植入物学
- 牙修复 牙修复 牙修复 牙修复 牙修复
- 口腔康复口腔康复服务
背景情况:
- 完整的下假牙往往遭受不良的保留和稳定性,影响功能和患者的满意度.
- 迷你植入物 (MI) 和标准植入物 (SI) 为改善假牙支提供了潜在的解决方案.
- 立即功能加载协议旨在加快处理时间表.
研究的目的:
- 为了比较四个迷你植入物 (MIs) 保留下来的下假牙的保留,性能和患者满意度,与使用即时功能负载的两个标准植入物 (SIs) 进行比较.
- 评估患者对植入物保留假牙的客观和主观评价.
主要方法:
- 一项随机对照试验,涉及29名患有完全牙周病 (I或II类) 的参与者.
- 参与者被分为三个组:两个标准植入物 (S组),四个3毫米微型植入物 (M3组) 或四个2.5毫米微型植入物 (M2.5组).
- 包括保持 (力度计),功率 (单) 和患者满意度 (麦吉尔问卷) 在内的结果在多个时间点测量,长达18个月.
主要成果:
- 所有组都在保持,性能和患者满意度方面表现出显著改善 (p < 0.01).
- 没有观察到显著的集团间或集团内部差异,除了S组的保留,最初较高,但随着时间的推移而下降 (p <0.05).
- 迷你植入组 (M3和M2.5) 与标准植入组 (S) 相比,可以比较的性能和患者满意度.
结论:
- 迷你植入物和标准植入物都有效地提高了完全下牙假牙的保留,性能和患者满意度.
- 虽然标准植入物最初提供了优越的保留性,但随着时间的推移,这种优势逐渐减少,迷你植入物提供了类似的长期结果.
- 主观患者评估可以作为评估治疗成功的客观措施的可靠替代方案.
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