标题：拔牙同期阻生第三磨牙自体即刻移植的效果分析

      作者：刘军平，侯 旭，吴玲艳
    (东莞市寮步医院口腔科，广东 东莞 523400)

      卷次： 2014年25卷8期

      【摘要】 目的 探讨拔牙同期自体阻生第三磨牙即刻移植的临床效果。方法 选取2005年至2013年8年
间来我院进行拔牙的262例(262牙)患者，所有患者均有愿望进行自体牙即刻移植并具备条件。将患者分为治疗
组105例，该组患者被移植牙均进行根管治疗，保存组157例，该组患者均保存牙髓；按照是否植骨分为植骨组73
例，该组患者被移植牙周缺损人工骨移植，非植骨组189例，该组患者未植骨。结果 保存组的移植牙松动度、牙
根吸收、牙周愈合及牙槽骨降低与治疗组比较差异均无统计学意义(P＞0.05)。植骨组骨性愈合高于非植骨组，
移植牙松动度及牙槽骨降低程度均低于非植骨组，差异均有统计学意义(P＜0.05)。结论 在修复牙列缺损的方
法中拔牙后自体牙即刻移植具有较好的效果，可以作为有价值的方法在临床推广。

      【关键词】 移植；自体牙；拔牙

      【中图分类号】 R782.11 【文献标识码】 A 【文章编号】 1003—6350（2014）08—1204—02


Effectiveness analysis of extraction and simultaneously with impaction the third molars and immediately
autologous transplantation.
LIU Jun-ping, HOU Xu, WU Ling-yan. Department of Stomatology, Hospital of Liao Bu,
Dongguan 523400, Guangdong, CHINA

【Abstract】 Objective To investigate the clinical effect of immediate autogenous tooth transplantation after
tooth extraction. Methods 262 cases (262 teeth) underwent tooth extraction and wished to immediate autogenous
tooth transplantation and met the conditions from 2005 to August 2013 were selected as the study objects. The patients
were divided into 105 cases of the treatment group, the transplanted tooth of patients in which were given root-canal
treatment, and 157 cases of the preservation group, the dental pulp of patients in which were kept. According to wheth-
er had bone graft, the patients were divided into 73 cases of the bone graft group, the patients in which were given peri-
odontal defects bone graft transplants, and 189 cases of the bone non-graft group, the patients in which did not graft.
Results The differences were not significant in the tooth mobility, root resorption, alveolar bone healing and funda-
mentally reduce between the preservation group and the treatment group (P>0.05).. The bony union of the bone graft
group was higher than that of the bone non- graft group, and the transplanted tooth mobility and alveolar bone levels
of the bone graft group were significantly lower than those of the bone non-graft group (P<0.05). Conclusion Imme-
diate autogenous tooth transplantation after tooth extraction has better effect in dentition defect repair method, and it
can be used as a valuable method in clinical practice.

      【Key words】 Transplantation; Autologous teeth; Extraction