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The Chinese journal of dental research : the official journal of the Scientific Section of the Chinese Stomatological Association最新文献

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Effect of Provisional Restorations with Ovate Pontics on Preservation of the Ridge after Tooth Extraction: Case Series. 卵状支架临时修复体对拔牙后牙脊保存的影响:病例系列。
Yang Yang, F. Cui, Xiao Qiang Liu, T. Pu, J. Zhou, Jianguo Tan
OBJECTIVETo evaluate the effect of provisional restorations using ovate pontics on the hard and soft tissues of the alveolar ridge after tooth extraction.METHODSPatients with intact buccal bone after extraction of a maxillary incisor underwent a series of treatments. The protocol included tooth extraction and provisional restoration using ovate pontics. The outcomes were assessed 1, 3 and 6 months after the procedure, regarding changes in bone volume and soft tissue dimension.RESULTSA total of 11 patients (6 female and 5 male) were treated using an ovate pontic provisional restoration after tooth extraction. After 6 months, bone loss at level 1, 3 and 5 mm below the most coronal section of the bone crest was 2.28 ± 0.53 mm, 1.51 ± 0.30 mm and 1.46 ± 0.41 mm, respectively. Changes in bone volume of these three levels were significantly lower (P < 0.01) than changes previously reported in the literature. The mesial and distal papillae recessed 0.47 ± 0.24 mm and 0.88 ± 0.57 mm, respectively, whereas the midfacial shrinkage was 0.86 ± 0.44 mm. The dimension of the ridge contour around the socket reduced mostly at 3 and 5 mm below the coronal section and the gingival mucosa, with values of 1.68 ± 0.48 mm and 1.61 ± 0.48 mm, respectively.CONCLUSIONUsing a provisional restoration with ovate pontics after tooth extraction may preserve the alveolar ridge by sustaining the soft tissue, in particular the gingival papilla.
目的评价卵形支架临时修复对拔牙后牙槽嵴硬软组织的影响。方法对拔除上颌切牙后颊骨完整的患者进行一系列的治疗。方案包括拔牙和使用卵形支架进行临时修复。在手术后1、3和6个月评估骨体积和软组织尺寸的变化。结果11例患者(女6例,男5例)在拔牙后行卵形桥临时修复。6个月后,最冠状面下1、3、5 mm骨丢失分别为2.28±0.53 mm、1.51±0.30 mm和1.46±0.41 mm。这三个水平的骨体积变化均明显低于文献报道(P < 0.01)。面中乳头缩窄0.86±0.44 mm,面中乳头缩窄0.47±0.24 mm,面中乳头缩窄0.88±0.57 mm。牙槽周围牙槽嵴轮廓尺寸在冠状面以下3、5 mm处减小最多,分别为1.68±0.48 mm、1.61±0.48 mm。结论在拔牙后使用卵形支架进行临时修复,可以通过维持软组织,特别是牙龈乳头来保护牙槽嵴。
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引用次数: 2
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The Chinese journal of dental research : the official journal of the Scientific Section of the Chinese Stomatological Association
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