|
|
Study on the reliability of digital evaluation of gingival thickness in implant area of patients with dentition defect#br# |
ZHANG Ke CHEN Xubing▲ ZHANG Yuhui LIU Zhaogang |
Department of Stomatology, Fuyang People’s Hospital, Anhui Province, Fuyang 236000, China |
|
|
Abstract Objective To explore the reliability of digital evaluation of gingival thickness of alveolar ridge crest in implant area of patients with dentition defect. Methods From January 2020 to June 2021, 47 patients with digital dental support guide implants were selected from the Department of Stomatology, Fuyang People’s Hospital, Anhui Province. All patients underwent cone beam CT photography and 3shape oral scanning. The gingival thickness of alveolar ridge crest was measured by digital technique before operation, and was measured again by modified gingival puncture method during operation. The difference and consistency of gingival thickness measured by the two methods were analyzed and compared, and the reliability of digital measurement results was tested by intraclass correlation coefficient (ICC). Results There was no significant difference in gingival thickness between the two methods (P > 0.05). Bland-altman analysis showed that the consistency of the measurement results of the two methods was good, and no measurement outside the consistency interval appeared. The ICC and its 95%CI of measurement results by different surveyors using digital technology was 0.932(0.882-0.962). Conclusion The results of measuring gingival thickness in implant area of patients with dentition defect by digital technique are consistent with the modified gingival puncture method, and the reliability is good.
|
|
|
|
|
[1] 满毅,于海洋,王佐林,等.种植修复临床评价标准[J].华西口腔医学杂志,2019,37(1):1-6.
[2] 景杨,夏炎,陈梦琦,等.软组织水平种植体不同愈合方式对早期边缘骨吸收影响的回顾性研究[J].实用口腔医学杂志,2021,37(4):509-512.
[3] Coli P,Jemt T. On marginal bone level changes around dental implants [J]. Clin Implant Dent Relat Res,2021,23(2):159-169.
[4] 黄婕,林云红.种植体周围角化龈宽度与种植体周围骨高度的相关性[J].国际口腔医学杂志,2019,46(2):149-155.
[5] 任洁,李淼,任秀云.植体周角化龈研究进展[J].中国实用口腔科杂志,2021,14(1):93-97.
[6] 罗昕,冯宜,何福明.种植体初始生物学宽度对边缘骨水平的影响[J].口腔医学,2021,41(2):154-158.
[7] 臧婧,于晓潜.种植体龈袖口处软组织厚度对支持组织健康影响的初步研究[J].北京口腔医学,2020,28(1):23-27.
[8] Vervaeke S,Dierens M,Besseler J,et al. The influence of initial soft tissue thickness on peri-implant bone remodeling [J]. Clin Implant Dent Relat Res,2014,16(2):238-247.
[9] 郑铮,陈文川.生物学宽度概念在口腔种植中的结构、尺度及功能意义[J].国际口腔医学杂志,2019,46(4):481-487.
[10] Rojas-Vizcaya F. Biological aspects as a rule for single implant placement. The 3A-2B rule: a clinical report [J]. J Prosthodont,2013,22(7):575-580.
[11] 赖春花,徐淑兰,许言,等.颌骨不同骨质区域对种植体表面的接触成骨的影响[J].实用医学杂志,2021,37(8):1008-1013.
[12] 罗昕,冯宜,何福明.初始黏膜厚度对种植体边缘骨吸收影响的研究进展[J].口腔医学,2019,39(8):744-747.
[13] 毛俊木,刘潇.牙槽嵴顶入路治疗牙源性上颌窦炎及缺牙种植修复的临床效果[J].中国当代医药,2020,27(13):86-89.
[14] Zheng Z,Ao X,Xie P,et al. The biological width around implant [J]. J Prosthodont Res,2021,65(1):11-18.
[15] 陈振宇,潘颖菁.牙支持式3D打印种植导板在即刻种植中应用的临床效果观察[J].中国医药科学,2020,10(12):232-235.
[16] Munakata M,Nagata K,Sanda M,et al. Variations in vertical mucosal thickness at edentulous ridge according to site and gender measured by cone-beam computed tomography [J]. Int J Implant Dent,2021,7(1):34.
[17] Obreja K,Ramanauskaite A,Begic A,et al. The influence of soft-tissue volume grafting on the maintenance of peri-implant tissue health and stability [J]. Int J Implant Dent,2021,7(1):15.
[18] 吴洁林,高莺.硬腭获取游离软组织移植物的应用进展[J].国际口腔医学杂志,2020,47(6):686-692.
[19] Sala L,Alonso-Pérez R,Agustin-Panadero R,et al. Comparative in vitro study of two methods for gingival biotype assessment [J]. J Clin Exp Dent,2018,10(9):858-863.
[20] 李初形,邓润智.CBCT种植术前评估颌骨解剖结构的研究进展[J].临床口腔医学杂志,2017,33(11):694-696.
[21] 洪洋,朱辛奕,季海宁.上颌埋伏阻生前牙患者应用CBCT进行成像检查及矫治效果分析[J].中国医药科学,2020, 10(3):196-199.
[22] 陈如岚,彭莉敏.数字化X线牙片与CBCT对牙根纵裂的诊断价值[J].中国当代医药,2022,29(1):127-129.
[23] 闫弘静,李志民,冯婧,等.锥形束临床应用现状分析[J].口腔医学研究,2019,35(2):155-158.
[24] 亚尔肯·阿吉,白尔娜·吾守尔,马嘉平.CBCT介导下的超声骨刀在上颌窦侧壁开窗外提升术中的应用效果[J].中国医药科学,2020,10(13):195-198.
[25] 曹洁,胡文杰,张豪,等.基于锥形束计算机体层摄影技术测量牙龈厚度[J].北京大学学报:医学版,2013,45(1):135-139.
[26] 陈小冬,陈济芬.数字化口腔扫描系统临床应用研究进展[J].口腔医学研究,2020,36(7):611-615.
[27] 赵许兵,程政,姚天华,等.传统和3shape Trios口内印模技术制作全瓷高嵌体的临床效果比较[J].口腔颌面修复学杂志,2018,19(4):205-208,212.
[28] 陈建萍,王林红,杨帆.数字化技术评估上颌前牙区唇侧牙龈厚度与骨板厚度的相关性研究[J].口腔材料器械杂志,2020,29(2):32-37.
[29] 王新桐,战德松.口内数字化扫描仪辅助重建下颌第一磨牙髓腔固位冠修复三维有限元模型研究[J].中国实用口腔科杂志,2018,11(2):95-99. |
|
|
|