美学区应用角度螺丝通道基台的临床效果评价

›› 2018, Vol. 9 ›› Issue (2): 82-86.

美学区应用角度螺丝通道基台的临床效果评价

赵佳明,刘光源,曲哲,阚平平

大连市口腔医院

收稿日期:2018-04-17 修回日期:2018-06-01 出版日期:2018-06-25 发布日期:2018-06-28
通讯作者: 赵佳明 E-mail:dlkq_zhaojiaming@126.com

Evaluation of clinical effect of angulated screw channel abutment in aesthetic area

Received:2018-04-17 Revised:2018-06-01 Online:2018-06-25 Published:2018-06-28
Contact: Jia-Ming ZHAO E-mail:dlkq_zhaojiaming@126.com

摘要/Abstract

摘要： 目的：对美学区应用角度螺丝通道（Angulated Screw Channel，ASC）基台的临床效果进行评价。方法：收集美学区种植修复患者9例，永久修复时应用CAD/CAM设计制作的ASC基台修复体，并通过红色美学指数(Pink Esthetic Score，PES)和白色美学指数(White Esthetic Score，WES)、牙龈乳头指数(Papilla Index Score，PIS)、视觉模拟评分法(Visual Analogue Scale，VAS)等指标评价美学区ASC基台的应用效果。结果：种植体骨结合良好，义齿存留率100%，红、白色美学指数PES及WES平均分分别为9.7分及9.9分，牙龈乳头指数PIS为2.4分，VAS患者满意度调查结果显示，患者对最终美学效果满意。结论：ASC基台可将位于美学区的穿出位点转移到腭侧，实现了粘结固位至螺丝固位的转换，避免因粘结剂滞留导致的生物学并发症，有助于获得理想的美学修复效果。

Abstract: Objective: To evaluatethe clinical effect of Angulated Screw Channel (ASC) abutment in aesthetic area. Methods: Nine cases were selected, which were treated by using ASC abutment designed and made by CAD/CAM in permanent restoration. The application effect of the ASC abutment in the aesthetic area were evaluated by PES, WES, PIS, VAS and other evaluating indicators. Results: The survival rate of the implants was 100% with good osseointegration. The average scores of the red and white aesthetic index indicated by PES and WES were 9.7 and 9.9respectively, while the gingival papilla index indicated by PIS was 2.4.Furthermore, the patient satisfaction survey showed that the patients were satisfied with the final aesthetic effect. Conclusion: The application of ASC abutment can transfer theaccess holein the aesthetic area to the lingual side , and may achieve the screw-retained fixation to replace adhesive-retained fixation,which can help avoiding biological complications due to retention of adhesives and finally achieve ideal aesthetic restoration.

中图分类号:

R783.4

赵佳明刘光源曲哲阚平平. 美学区应用角度螺丝通道基台的临床效果评价[J]. , 2018, 9(2): 82-86.

参考文献

[1] Vohra F, Habib R. Knowledge and attitude of dentists toward implant retained restorations in Saudi Arabia[J]. Nigerian Journal of Clinical Practice, 1900, 18(3):312-317.
[2] Sherif S, Susarla H K, Kapos T, et al. A systematic review of screw- versus cement-retained implant-supported fixed restorations[J]. Journal of Prosthodontics, 2014, 23(1):1-9.
[3] Wittneben JG, Millen C, Br?gger U. Clinical performance of screw-versus cement-retained fixed implant-supported reconstructions--a systematic review[J]. International Journal of Oral & Maxillofacial Implants, 2014, 29 Suppl(Supplement):84-98.
[4] Sailer I,Muhlemann S,Zwahlen M,et al. Cemented and screw-retained implant reconstructions: a systematic review of the survival and complication rates[J].Clinical Oral Implants Research, 2012,23(6):163–201.
[5] Garcia-Gazaui S, Razzoog M, Sierraalta M, et al. Fabrication of a screw-retained restoration avoiding the facial access hole: a clinical report[J]. Journal of Prosthetic Dentistry, 2015, 114(5):621-624.
[6] Belser U C, Grütter L, Vailati F, et al. Outcome evaluation of early placed maxillary anterior single-tooth implants using objective esthetic criteria: a cross-sectional, retrospective study in 45 patients with a 2- to 4-year follow-up using pink and white esthetic scores[J]. Journal of Periodontology, 2009, 80(1):140-151.
[7] Jemt T. Regeneration of gingival papillae after single-implant treatment[J]. International Journal of Periodontics & Restorative Dentistry, 1997, 17(4):326-333.
[8] Wismeijer D, Mans R, Van G M, et al. Patients' preferences when comparing analogue implant impressions using a polyether impression material versus digital impressions (Intraoral Scan) of dental implants.[J]. Clinical Oral Implants Research, 2014, 25(10):1113-1118.
[9] 黄忞,吴润发.角度螺丝通道基台在上颌切牙种植修复的临床应用[J].口腔医学研究,2017,33(2):211-215.
[10] Wittneben J G, Buser D, Belser U C, et al. Peri-implant soft tissue conditioning with provisional restorations in the esthetic zone: the dynamic compression technique[J]. International Journal of Periodontics & Restorative Dentistry, 2013, 33(4):447-456.