背景:这项临床研究调查了富血小板纤维蛋白(PRF)对牙种植体稳定性的影响,解决全球口腔健康挑战和传统方法的局限性。强调骨整合的关键作用,该研究探讨了PRF在增强植入物稳定性方面的潜力,通过共振频率分析(RFA)和植入物稳定性商(ISQ)进行评估。该假设表明,PRF可以提高初级和次级稳定性,旨在揭示牙科种植程序中的临床益处材料和方法:该研究涉及来自牙周病科门诊诊所的24名受试者,他们采用精心设计的方法。这包括口服预防的术前方案,印象,和锥形束计算机断层扫描(CBCT)分析。PRF制剂利用微创静脉穿刺技术。植入物植入遵循两阶段手术方案,用MEGAISQ(Ostell)评估主要稳定性。手术后,患者接受了指导,并在3个月后接受了继发性稳定性的召回.临床参数,如菌斑指数(PI),牙龈指数(GI),植入物探测袋深度(IPPD),沟出血指数(SBI),系统记录植入物稳定性(IS)。稳健的统计分析,使用IBMSPSSStatisticsforWindowsv20.0(IBMCorp.,Armonk,美国)软件,将Mann-WhitneyU和Wilcoxon符号秩检验纳入小组和时间点比较,显著性水平为p<0.05。这项全面的研究对PRF和植入程序对关键临床参数的影响产生了细微的见解。为该领域做出重大贡献。
结果:本研究比较了24例患者使用和不使用PRF的牙种植体。两组患者的PI均有显著改善,GI,和SBI。PRF组在第三和第六个月表现出更高的IS,而PRF组第6个月IPPD较低。
结论:研究结果强调了对植入物稳定性的积极影响,有助于更好的植入物结局。
BACKGROUND: This clinical study investigates platelet-rich fibrin\'s (
PRF) impact on dental implant stability, addressing global oral health challenges and limitations of traditional methods. Emphasizing osseointegration\'s pivotal role, the study explores
PRF\'s potential in enhancing implant stability, assessing it through resonance frequency analysis (RFA) and implant stability quotient (ISQ). The hypothesis suggests PRF may improve both primary and secondary stability, aiming to uncover clinical benefits in dental implant procedures Materials and methods: The study involved 24 subjects from the Department of Periodontics outpatient clinics with a meticulously designed methodology. This included a pre-surgical protocol with oral prophylaxis, impressions, and cone-beam computed tomography (CBCT) analysis.
PRF preparation utilized a minimally invasive venipuncture technique. Implant placement followed a two-stage surgical protocol, assessing primary stability with MEGA ISQ (Ostell). Post-surgery, patients received instructions and underwent recall for secondary stability after three months. Clinical parameters such as plaque index (PI), gingival index (GI), implant probing pocket depth (IPPD), sulcus bleeding index (SBI), and implant stability (IS) were systematically recorded. Robust statistical analyses, using IBM SPSS Statistics for Windows v20.0 (IBM Corp., Armonk, USA) software, incorporated Mann-Whitney U and Wilcoxon signed-rank tests for group and within-time point comparisons, with a significance level of p<0.05. This comprehensive study yields nuanced insights into the impact of PRF and implant procedures on key clinical parameters, contributing significantly to the field.
RESULTS: This study compared dental implants with and without
PRF in 24 patients. Both groups showed significant improvements in the PI, GI, and SBI. The
PRF group exhibited higher IS in the third and sixth months, while IPPD was lower in the
PRF group in the sixth month.
CONCLUSIONS: The findings of the study highlight a positive impact on implant stability contributing to better implant outcomes.