国际口腔医学杂志 ›› 2019, Vol. 46 ›› Issue (3): 292-296.doi: 10.7518/gjkq.2019046

• 论著 • 上一篇    下一篇

即刻种植和传统种植对术后疼痛影响的对比研究

王美洁1,谭欣1,赵雨薇1,于海洋2()   

  1. 1.口腔疾病研究国家重点实验室 国家口腔疾病临床医学研究中心四川大学华西口腔医学院口腔修复学系 成都 610041
    2.口腔疾病研究国家重点实验室 国家口腔疾病临床医学研究中心四川大学华西口腔医院修复2科 成都 610041
  • 收稿日期:2018-06-12 修回日期:2018-12-20 出版日期:2019-05-01 发布日期:2019-06-05
  • 通讯作者: 于海洋
  • 作者简介:王美洁,博士,Email: mangel93@foxmail.com
  • 基金资助:
    国家重点研发计划项目(2016YFC1102704)

Influences of immediat implant or traditional implant on postoperative pain

Meijie Wang1,Xin Tan1,Yuwei Zhao1,Haiyang Yu2()   

  1. 1.State Key Laboratory of Oral Diseases & National Clinical Research Center for Oral Diseases & Dept. of Prosthodontics, West China School of Stomatology, Sichuan University, Chengdu 610041, China
    2.State Key Laboratory of Oral Diseases & National Clinical Research Center for Oral Diseases & Dept. of Prosthodontics 2, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, China
  • Received:2018-06-12 Revised:2018-12-20 Online:2019-05-01 Published:2019-06-05
  • Contact: Haiyang Yu
  • Supported by:
    This study was supported by Program of National Key Research and Development(2016YFC1102704)

摘要:

目的 对比即刻种植和传统种植技术两种手术方式对患者术后疼痛的影响。方法 将80例后牙区需行种植手术的患者,按即刻种植与传统种植分为2组,采用疼痛数字评分法记录患者术后3 d的疼痛值。结果 即刻种植组与传统种植组的术后评分,除术后2 h的疼痛强度差异有统计学意义(P=0.046)以外,其余各时段以及疼痛峰值差异均无统计学意义。结论 即刻种植与传统种植相比,术后疼痛强度无显著差异,但即刻种植的早期术后疼痛反应更为明显,可提前给予相应的疼痛控制。

关键词: 牙种植, 术后疼痛, 即刻种植, 疼痛, 种植

Abstract:

Objective To compare the effect of immediate implant or traditional implant on postoperative pain. Methods Eighty patients asking for dental implant surgery in posterior teeth were included. The patients were divided into two groups by immediate implants and traditional implants. They were requested to evaluate the pain intensity using numerical rating scale for 3 days post-surgery and recorded the pain value. Results There was no significant difference in postoperative pain intensity between immediate implant group and traditional implant group, except for the pain intensity at 2 hours post-surgery (P=0.046). Conclusion Compared with traditional implant, immediate implant had no significant difference in postoperative pain intensity, but the early postoperative pain response of immediate implant was more obvious, and appropriate pain control can be given in advance.

Key words: dental implantation, postoperative pain, immediate implant, pain, implant

中图分类号: 

  • R783.4

表 1

即刻种植组与传统种植组一般资料的比较"

因素 即刻种植组 传统种植组 P
年龄α/岁 50.21±18.37 51.17±15.61 0.846
性别β 0.233
27(33.75%) 21(26.25%)
13(16.25%) 19(23.75%)
A-Stateαγ 36.25±11.91 28.96±15.68 0.076
A-Traitαγ 37.83±12.41 30.29±15.05 0.064
植体数量α 1.38±0.49 1.50±0.72 0.488
植体长度α/mm 11.94±1.12 10.94±1.39 0.009

图 1

即刻种植与传统种植术后疼痛的变化趋势"

表 2

即刻种植与传统种植术后各时段疼痛的差异"

术后的时间/h 即刻种植 传统种植 P
0 0.79±2.45 0.29±1.43 0.392
2 4.29±2.93 2.83±2.63 0.046
4 3.13±2.11 2.54±2.23 0.357
6 1.88±1.87 1.83±1.90 0.939
24 1.63±1.38 1.54±1.44 0.839
48 0.83±1.05 0.88±1.15 0.896
72 0.54±0.78 0.33±0.64 0.316
峰值 4.71±2.96 3.71±2.48 0.210
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