Effectiveness of 3D Printed Guides in the Restoration of Dentition Defects and the Effect on the Inflammatory Response of the Gingival Sulcus and Quality of Life
CAI Ruolin, BI Wei, YU Youcheng
Xiamen Hospital of Zhongshan Hospital Affiliated to Fudan University, Fujian Xiamen 361015, China
Abstract：Objective: To investigate the application effect of 3D printed guide in dentition defect restoration and its effect on gingival sulcus inflammatory reaction and quality of life. Methods: A total of 86 patients with dentition defects (86 teeth) from October 2019 to October 2020 in our hospital were selected and grouped by random number table method,43 cases in each (43 teeth in each).The control group had traditional implant guides and the study group had 3D printed guides.The implant survival rate,implant cusp and neck deviation values,and complications of the 2 groups were counted,and the masticatory efficiency,occlusal force,gingival sulcus fluid inflammatory factors [interleukin-6 (IL-6),interleukin-8 (IL-8),tumor necrosis factor-α(TNF-α)],and oral health impact scale (OHIP-14) were compared before and after the surgery. Results: The deviation values of apex,neck mesio-distal,buccal-lingual,and vertical in the study group were lower than those in the control group (P<0.05); At 12 months postoperative follow-up,the survival rate of the implants in the study group was 100.00% compared to 75.00% in the control group (P<0.05);Masticatory efficiency,occlusal force and IL-6,IL-8 and INF-α levels were higher in both groups at 6 and 12 months postoperative than preoperative (P<0.05).There was no significant difference in the incidence of complications between the two groups (P>0.05); (5) OHIP-14 scores were higher than those before operation (P<0.05). Conclusion: The application of 3D printed guide plate in patients with dentition defect repair helps reduce the deviation of implant tip and neck,improve implant survival rate,improve quality of life,and has less effect on gingival crevicular fluid inflammatory reaction.
蔡若林, 毕玮, 余优成. 3D打印导板在牙列缺损修复中应用效果及对龈沟炎性反应生活质量的影响[J]. 河北医学, 2022, 28(7): 1182-1188.
CAI Ruolin, BI Wei, YU Youcheng. Effectiveness of 3D Printed Guides in the Restoration of Dentition Defects and the Effect on the Inflammatory Response of the Gingival Sulcus and Quality of Life. HeBei Med, 2022, 28(7): 1182-1188.
[1] Norgaard Petersen F,Jensen SS,Dahl M,et al.Implant treatment after traumatic tooth loss:a systematic review[J].Dent Traumatol,2022,38(2):105-116. [2] Peng K,Zhou Y,Dai Y,et al.The effect of denture restoration and dental implant restoration in the treatment of dentition defect:a systematic review and meta-analysis[J].Ann Palliat Med,2021,10(3):3267-3276. [3] Kernen F,Kramer J,Wanner L,et al.A review of virtual planning software for guided implant surgery - data import and visualization,drill guide design and manufacturing[J].BMC Oral Health,2020,10(1):251. [4] de Sales MC,Florez RM,da Silva Guimaraes J,et al.Guided surgery with 3D printed device:a case report[J].Oral Implantol,2021,1(4):325-332. [5] Manzano Romero P,Vellone V,Maffia F,et al.Customized surgical protocols for guided bone regeneration using 3D printing technology:a retrospective clinical trial[J].Craniofac Surg,2021,32(2):e198-e202. [6] 肖斌,李燕茹,钟纯兰,等.不同材料种植体对糖尿病合并牙列缺损患者种植牙成功率,种植体龈沟液炎症因子水平及ISQ值的影响[J].临床和实验医学杂志,2021,20(19):2123-2126. [7] Panchal N,Mahmood L,Retana A,et al.Dynamic navigation for dental implant surgery[J].Oral Maxillofac Surg Clin North Am,2019,31(4):539-547. [8] Sato M,Garcia-Sanchez A,Sanchez S,et al.Use of 3-dimensional-printed guide in hemisection and autotransplantation of a fusion tooth:a case report[J].Endod,2021,47(3):526-531. [9] Abduo J,Lau D.Accuracy of static computer-assisted implant placement in long span edentulous area by novice implant clinicians:a cross-sectional in vitro study comparing fully-guided,pilot-guided,and freehand implant placement protocols[J].Clin Implant Dent Relat Res,2021,23(3):361-372. [10] 赵妮妮,杨大江,张金鸽,等.3D打印技术种植对牙列缺损患者颈部偏移距离及种植体存活率的影响分析[J].现代诊断与治疗,2020,31(8):1292-1294. [11] 李二红,薛彬,秦育苗,等.3D打印导板技术在牙列缺损患者中种植术及术后的精确性分析[J].中国口腔种植学杂志,2020,25(4):155-157,175. [12] 张宾,李军,张俊花,等.3D打印数字化外科导板在上前牙种植中的应用效果评价[J].中国组织工程研究,2020,24(22):3521-3526.
2022, Vol. 28 
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