通讯作者: 黄建静, wenhjj@126.com

DOI：10.12201/bmr.202504.00023

Clinical application of bonding temporary restoration after bone augmentation surgery

• 摘要：目的：评价美学区单牙种植骨增量后粘接临时修复对周围软组织的影响和患者满意度，并探讨其临床修复效果。方法：筛选2022年3月至2024年3月于温州医科大学附属第一医院口腔科行上前牙美学区单牙种植体植入同期水平骨增量手术的患者30例，研究组和对照组各15例。研究组采用数字化口内扫描技术和CAD/CAM技术制作个性化切削树脂牙；对照组采用传统金属翼板粘接桥。永久修复后对软组织进行美学评价，统计种植体存留率、临时修复体的脱落率，并请患者对临时修复的临床效果进行满意度评价。结果：观察期结束时临时修复体存留93.33%（28/30）。30例美学区种植修复均获得成功修复，无种植体早期失败或骨增量失败而再次手术。PES评分均值研究组（10±1.55）和对照组（9.13±1.81），在8～12区间。两组患者满意度评价总分均较高，但研究组均值更高，且差异有统计学意义。在发音、异物感和颜色评分上，研究组均值高于对照组，差异有统计学意义。研究组比对照组患者满意度更高。结论：在本研究的局限性范围内，就软组织美学和患者满意度而言，在美学区单牙种植骨增量后使用粘接临时修复体临床修复效果良好，患者满意度高，而且个性化切削树脂临时修复体相对更好，但需把握好适应证。

  关键词： 种植临时修复体; 骨增量; 粉色美学评分; 临床效果

   

  Abstract: Objective:To evaluate the impact of bonded provisional restorations after bone augmentation for single-tooth implantation in the aesthetic zone on the surrounding soft tissues and patient satisfaction, and to explore its clinical restoration effect.Methods: Thirty patients who underwent single-tooth implantation in the aesthetic zone of the maxillary anterior teeth and simultaneous horizontal bone augmentation in the Department of Stomatology of the First Affiliated Hospital of Wenzhou Medical University from March 2022 to March 2024 were selected, with 15 cases in each of the study group and the control group.The study group used digital intraoral scanning technology and CAD/CAM technology to fabricate personalized milled resin teeth;the control group used traditional metal winged provisional bridges.After permanent restoration,the soft tissues were evaluated aesthetically,and the implant survival rate and the provisional restoration dropout rate were statistically analyzed.Patients were also asked to evaluate their satisfaction with the clinical effect of the provisional restoration. Results: At the end of the observation period,93.33% (28/30) of the provisional restorations remained.All 30 aesthetic zone implant restorations were successfully restored,with no early implant failure or bone augmentation failure requiring reoperation.The mean PES score was 10±1.55 in the study group and 9.13±1.81 in the control group, both within the 8 to 12 range.The total scores of patient satisfaction evaluation were high in both groups, but the mean score was higher in the study group, and the difference was statistically significant.In terms of pronunciation,foreign body sensation, and color scores,the mean scores of the study group were higher than those of the control group, and the differences were statistically significant. Patients in the study group had higher satisfaction than those in the control group.Conclusion:Within the limitations of this study, the clinical outcome of using bonded provisional restorations after bone augmentation for single-tooth implant placement in the aesthetic zone was favorable in terms of soft tissue aesthetics and patient satisfaction. Personalized milled resin provisional restorations were relatively better, but the indications should be well controlled.

  Key words: Implant provisional restoration; Bone augmentation; Pink esthetic score; Clinical outcome

  提交时间：2025-04-09

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• 序号	提交日期	编号	操作
  1	2025-03-10	10.12201/bmr.202504.00023V1	下载

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