美容区单冠的一片式基台与两片式基台:临床试验。

IF 4.8 1区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE Clinical Oral Implants Research Pub Date : 2024-10-14 DOI:10.1111/clr.14370
Ana Luísa de Barros Pascoal,Kêiverton Rones Gurgel Paiva,Lidya Nara Marques de Araújo,Liliane Cristina Nogueira Marinho,Bruno César de Vasconcelos Gurgel,Wagner Ranier Maciel Dantas,Angelo Giuseppe Roncalli da Costa Oliveira,Patrícia Dos Santos Calderon
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引用次数: 0

摘要

目的评估在种植体支持的前牙单冠植入中,两件式基台在种植体周围美学、患者满意度和口腔健康相关生活质量(OHRQOL)方面是否与一件式基台相当:单件基台组(OP)和两件基台组(TP)各 15 个。在临时牙冠植入时(T1)、组织调理后(T2)和最终牙冠植入后 30 天(T3),使用粉色美学评分(PES)对种植体周围美学进行评估。在基线、T1 和 T3 阶段,使用 OHIP-14 测量 OHRQOL,使用视觉模拟量表 (VAS) 评估满意度。如果 PES 平均值差异的 95% 系数区间 (CI) 在-1.5 和+1.5 分之间,则认为治疗效果相当。统计分析采用 Mann-Whitney、SPANOVA 和学生 t 检验,并进行 Sidak 后验,采用 p < 0.05。与基线相比(P < 0.05),两组的 OHRQOL 和满意度在 T3 阶段均有明显提高。在整个治疗过程中,尤其是在组织调节后,种植体周围的美观度也有明显改善(p < 0.05)。结论在种植体周围美学、生活质量或无金属单冠修复患者的满意度方面,两件式基台与一件式基台相当。组织调节和最终牙冠植入似乎在改善这些结果方面发挥了作用。
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One-Piece Versus Two-Piece Abutments for Single Crowns in the Esthetic Zone: A Clinical Trial.
OBJECTIVE To evaluate whether a two-piece abutment is equivalent to a one-piece in peri-implant esthetics, patients' satisfaction, and oral health-related quality of life (OHRQOL) for implant-supported anterior single crown placement. MATERIAL AND METHODS Thirty implants were allocated sequentially: 15 in the one-piece abutment group (OP) and 15 in the two-piece abutment group (TP). Peri-implant esthetics were evaluated by the pink esthetic score (PES) at temporary crown insertion (T1), after tissue conditioning (T2), and at 30 days after the final crown insertion (T3). OHRQOL was measured using the OHIP-14 and satisfaction was evaluated using the visual analog scale (VAS) at baseline, T1, and T3. Treatment was considered equivalent if the 95% coefficient interval (CI) for mean difference in PES was between -1.5 and +1.5 points. Statistical analysis was performed using Mann-Whitney, SPANOVA, and Student's t-test, with Sidak's posttest, adopting p < 0.05. RESULTS No differences were found between the groups for any variable and during follow-up. A significant increase in OHRQOL and satisfaction was observed at T3, when compared to baseline (p < 0.05) for both groups. Significant improvements in peri-implant esthetics were also observed throughout the treatment, particularly after tissue conditioning (p < 0.05). Primary and secondary outcomes were evaluated for equivalence, and both abutment types were considered equivalent following the insertion of the temporary crowns. CONCLUSIONS Two-piece abutment was equivalent to one-piece abutment for peri-implant esthetics, quality of life, or the satisfaction of patients rehabilitated with metal-free single crowns. Tissue conditioning and final crown insertion appear to play a role in improving these outcomes.
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来源期刊
Clinical Oral Implants Research
Clinical Oral Implants Research 医学-工程:生物医学
CiteScore
7.70
自引率
11.60%
发文量
149
审稿时长
3 months
期刊介绍: Clinical Oral Implants Research conveys scientific progress in the field of implant dentistry and its related areas to clinicians, teachers and researchers concerned with the application of this information for the benefit of patients in need of oral implants. The journal addresses itself to clinicians, general practitioners, periodontists, oral and maxillofacial surgeons and prosthodontists, as well as to teachers, academicians and scholars involved in the education of professionals and in the scientific promotion of the field of implant dentistry.
期刊最新文献
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