背景:已经提出了手术指南,以试图达到更可预测的美学牙冠延长结果。本研究的目的是评估使用3D打印的手术指南进行美学牙冠延长的有效性,以治疗因被动喷发类型1B改变而导致的过度牙龈显示。
方法:16例患者被诊断为1B型被动喷发改变,分为两组。在对照组中,程序按常规进行,在研究小组中,使用了双手术指南。伤口愈合的参数(肿胀,颜色,探测深度,出血指数,和菌斑指数),疼痛评分,牙龈边缘稳定,并在1周评估手术时间,2周,3个月,术后6个月。
结果:在伤口愈合方面没有统计学上的显著差异,疼痛评分,两组在不同时间间隔的牙龈边缘稳定性(P=1),然而,两组的手术时间差异有统计学意义,研究组明显低于对照组(P<0.001).
结论:数字辅助美学牙冠延长有助于缩短手术时间,并减少测量过程中人为错误的可能性。这将有助于帮助从业者取得更好的结果。
结论:常规方法仍然是黄金标准。然而,较短的手术时间和较低的误差幅度将有助于降低成本,因为椅子侧的时间减少,以及第二次手术的可能性较低。这也将提高患者的满意度。
BACKGROUND: Surgical guides have been proposed in an attempt to reach more predictable outcomes for esthetic crown lengthening. The objective of the present study was to evaluate the effectiveness of esthetic crown lengthening using 3D-printed surgical guides in the management of excessive gingival display due to altered passive eruption type 1B.
METHODS: Sixteen patients diagnosed with altered passive eruption type 1B, were divided into two groups. In the control group, the procedure was carried out conventionally, and in the study group, a dual surgical guide was used. The parameters of wound healing (swelling, color, probing depth, bleeding index, and plaque index), pain scores, gingival margin stability, and operating time were assessed at 1 week, 2 weeks, 3 months, and 6 months postoperatively.
RESULTS: There was no statistically significant difference in terms of wound healing, pain scores, and gingival margin stability between both groups at different time intervals (P = 1), however, there was a statistical difference between both groups in terms of operating time with the study group being significantly lower (P < 0.001).
CONCLUSIONS: Digitally assisted esthetic crown lengthening helps shorten the operating time and reduces the possibility of human errors during the measurements. This will be useful in helping practitioners achieve better results.
CONCLUSIONS: The conventional method remains to be the gold standard. However, shorter operating time and lower margins for errors will help reduce costs as the chair side time is reduced as well as the possibility for a second surgery is lower. This will improve patient satisfaction as well.