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目的评价上颌前牙种植美学修复的效果。方法选择2014年2月—2016年3月就诊的上颌前牙缺失患者60例,随机分为观察组与对照组,每组30例。对照组常规种植,观察组在常规植入种植体的基础上给予美学重建。分别于种植修复后3、6、12个月由医师对种植冠形态、色泽,牙龈形态、质地、色泽、丰满度,龈缘曲线,牙间乳头,与邻牙协调性,与对侧同名牙协调性进行评分,并计算满意度。种植冠形态、色泽,牙龈形态、质地、色泽、丰满度,龈缘曲线,牙间乳头,与邻牙协调性,与对侧同名牙协调性评分采用重复测量的方差分析,满意度比较采用χ~2检验,P<0.05为差异有统计学意义。结果修复后3、6、12个月观察组种植冠形态、色泽,牙龈形态、质地、色泽、丰满度,龈缘曲线,牙间乳头,与邻牙协调性,与对侧同名牙协调性评分均高于对照组,比较差异有统计学意义(均P<0.05)。修复后3、6、12个月观察组满意度(46.67%、93.33%、96.67%)均高于对照组(20.00%、43.33%、46.67%),比较差异有统计学意义(均P<0.05)。结论上颌前牙种植美学修复既保持了种植周围龈组织健康、维持了种植体的长期稳定,改善了缺牙修复效果。
Objective To evaluate the effect of aesthetics restoration on maxillary anterior teeth. Methods Sixty patients with maxillary anterior teeth missing from February 2014 to March 2016 were randomly divided into observation group and control group with 30 cases in each group. The control group was routinely planted, and the observation group was given esthetic reconstruction on the basis of conventional implants. Respectively 3,6,12 months after planting restoration by the physician on the planting crown morphology, color, gingival morphology, texture, color, fullness, gingival margin, interdental nipple, coordination with the adjacent teeth, and the contralateral same name teeth Coordination score, and calculate satisfaction. The crown shape, color, gingival morphology, texture, color, fullness, gingival margin curve, interdental nipple, coordination with adjacent teeth, and the contralateral same name dental coordination score repeated analysis of variance analysis, satisfaction was compared using χ ~ 2 test, P <0.05 for the difference was statistically significant. Results The morphology, color, gingival morphology, texture, color, fullness, gingival margin curve, interdental papilla, coordination with adjacent teeth, and coordination score with the same side of the contralateral teeth at 3, 6 and 12 months after repair Were higher than the control group, the difference was statistically significant (P <0.05). Satisfaction of the observation group (46.67%, 93.33%, 96.67%) was higher than that of the control group (20.00%, 43.33%, 46.67%) at 3, 6 and 12 months after repair ). Conclusion Aesthetic restoration of maxillary anterior teeth not only maintains the health of gingival tissue around the implant, maintains long-term stability of implants, but also improves the effect of missing teeth restoration.