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目的评价上颌前牙区种植义齿即刻修复的短期美学效果。方法选择中国医科大学附属口腔医院种植中心从2007年1月至2011年1月进行上颌前牙修复患者共60例,其中30例为种植后半年延期修复(延期修复组),30例为种植后当天即刻修复(即刻修复组),随访1年,通过牙龈乳头外形、骨吸收状况及满意度调查,评价两组患者的美学效果和满意度。结果随访1年时,即刻修复组牙龈乳头外形明显好于延期修复组(P<0.05);即刻修复后骨吸收小于延期修复(P<0.05);即刻修复组患者满意率高于延期修复组。结论在严格掌握适应证的前提下,即刻修复可很好地恢复美学区龈乳头外形,与延期修复相比骨吸收量较少,具有更佳的美学效果。
Objective To evaluate the short-term aesthetic effect of immediate maxillary anterior denture implant prosthesis. Methods Sixty cases of maxillary anterior teeth were selected from the Affiliated Stomatological Hospital Affiliated to China Medical University from January 2007 to January 2011, of which 30 cases were delayed for six months after implantation (delayed repair group) and 30 cases The same day immediately repaired (immediate repair group), followed up for 1 year, by gingival papilla shape, bone resorption status and satisfaction survey to evaluate the two groups of patients the aesthetic effect and satisfaction. Results After 1 year of follow-up, the shape of gingival papilla in immediate repair group was significantly better than that of delayed repair group (P <0.05). The bone resorption after immediate repair was less than delayed repair (P <0.05). The satisfaction rate of immediate repair group was higher than that of delayed repair group. Conclusion With strict indications, immediate repairs can restore the shape of papillae in esthetic area, with less bone resorption compared with postponement repair, which has better esthetic effect.