Effect of individualized healing abutment on patients with posterior implant prosthesis and improvement of food impaction symptoms

doi:10.19439/j.sjos.2019.04.017

Abstract

Abstract: PURPOSE: To observe the effect of individualized healing abutment on patients with posterior dental implant prosthesis and its influence on implant stability and food impaction. METHODS: Eighty patients who received posterior dental implants in Jiangsu Stomatological Hospital from June 2013 to June 2018 were selected as the study subjects. According to the different healing abutment, they were divided into traditional operation group (40 cases) and experimental group (40 cases). Patients in the experimental group used personalized healing abutment on the basis of traditional dental implants. Differences in dental implant stability, food impaction score, masticatory efficiency and incidence of complications between the two groups after implant restoration were compared. SPSS 13.0 software package was used to analyze the data. RESULTS: At 1, 3 and 6 months after operation, the stability of implants in the experimental group was significantly higher than that in the control group (P<0.01); One, 3 and 6 months after operation, the food impaction score in the experimental group was significantly lower than that in the traditional operation group(P<0.01); There was no significant difference in masticatory ability between the two groups before operation; After treatment, the occlusive force and masticatory efficiency in the experimental group were significantly higher than those in the traditional operation group (P<0.05). The incidence of complications such as tooth loosening and periodontitis in the experimental group was significantly lower than in the traditional operation group (P<0.05). CONCLUSIONS: Individualized healing abutment has a good therapeutic effect on patients with posterior implant prosthesis, and can significantly improve the incidence of food impaction and complications with a good application value.

Key words: Abutment, Dental implant, Impaction, Stability

CLC Number:

R783

PAN Wen-hui, TANG Chun-bo. Effect of individualized healing abutment on patients with posterior implant prosthesis and improvement of food impaction symptoms[J]. Shanghai Journal of Stomatology, 2019, 28(4): 422-425.

References

[1] 宋应亮. 后牙种植修复后食物嵌塞的原因与对策[J]. 中华口腔医学杂志, 2016, 51(1): 7-9.
[2] Jung RE, Zembic A, Pjetursson BE, et al.Systematic review of the survival rate and the incidence of biological, technical, and aesthetic complications of single crowns on implants reported in longitudinal studies with a mean follow-up of 5 years[J]. Clin Oral Implants Res,, 2012, 23(s6): 2-21.
[3] 李可冰, 王晓红, 胡万宁. 固定义齿修复后食物嵌塞的原因分析及扩隙树脂修复治疗[J]. 华西口腔医学杂志, 2016, 34(4): 395-397.
[4] 张强, 张宇, 谢畅. 采用单冠或连冠种植修复上颌后牙连续缺失患者的主观满意度:调查与分析[J]. 中国组织工程研究, 2017, 21(14): 2203-2207.
[5] 罗强, 丁茜, 张磊, 等. 后牙种植冠桥修复邻接触丧失的临床回顾研究[J]. 中华口腔医学杂志, 2016, 51(1): 15-19.
[6] 黄敏, 罗云, 王敏, 等. 相邻牙间的邻面接触与食物嵌塞的关系[J]. 国际口腔医学杂志, 2016, 43(3): 78-80.
[7] 田瑞雪, 唐旭炎, 徐锦程. 即刻种植和延期种植修复前牙的临床效果研究[J]. 中国现代医学杂志, 2017, 27(4): 121-125.
[8] 卢礼, 张纲, 张萍, 等. CEREC 3D瓷嵌体治疗后牙邻面缺损所致食物嵌塞的疗效评价[J]. 口腔颌面修复学杂志, 2011, 12(5): 290-293.
[9] 卢礼, 张纲, 杨建明. 树脂嵌体和充填法治疗后牙Ⅱ类洞所致食物嵌塞的临床观察[J]. 重庆医学, 2013, 11(28): 3372-3373.
[10] Bidra A S.Nonsurgical management of inflammatory periimplant disease caused by food impaction: A clinical report[J]. J Prosthet Dent, 2014, 111(2): 96-100.
[11] 张丽丽, 王远勤, 李镭. 同期永久基台影响种植体周围组织变化的随机对照研究[J]. 口腔医学研究, 2018, 34(5): 522-526.
[12] 李敢, 童昕, 秦海燕, 等. 前牙区钛基台与氧化锆基台修复对种植体周围组织影响的短期评价[J]. 中国组织工程研究, 2017, 21(30): 4812-4817.
[13] 刘丽萍, 吕晓飞, 邓澍, 等. 后牙区倾斜种植修复后不同设定受力下骨界面生物力学有限元分析[J]. 中国组织工程研究, 2018, 22(2): 196-203.
[14] 朱青, 朱陈元, 佘文珺, 等. 3种CAD/CAM内连接个性化基台的边缘密合性研究[J]. 口腔医学研究, 2018, 34(5): 518-521.
[15] 谢畅, 张宇, 张强. SLA种植体表面喷涂钽形成纳米复合表面预防种植术后早期感染的动物体内实验研究[J]. 中国临床解剖学杂志, 2016, 34(2): 208-213.