Ankylos种植系统单牙修复临床应用  

Clinical application of single-tooth replacement with Ankylos implant system

作　　者：杨旭[1] 张玉凤[2] 刘学[1] 张恒[1] 邓燕[1] 郭照中[1] 

机构地区：[1]广东医学院附属深圳南山医院口腔科,广东深圳518052 [2]吉林大学口腔医院口腔修复科,吉林长春130021

出　　处：《吉林大学学报（医学版）》2011年第4期738-741,共4页Journal of Jilin University：Medicine Edition

基　　金：广东省深圳市科技计划项目资助课题(201003258)

摘　　要：目的:评价Ankylos种植体用于修复单牙缺失的临床应用效果。方法:临床选择90例单牙缺失患者,采用Ankylos种植体进行潜入式种植手术,部分骨量不足的患者,同期使用膜引导骨再生术、上颌窦内提升术及上颌窦外提升术。Ⅱ期手术2周后,按照常规方法完成金钯合金烤瓷冠修复。术后随访,检查修复体与基台的稳定性以及种植体周围牙龈组织的健康状况;通过X线检查观察种植体周骨组织的吸收情况及基台的密合程度;调查患者对种植义齿咀嚼、美观、功能的主观满意度。种植后及义齿修复后的临床观察期为1～2.5年。结果:全冠修复后,除1枚植体发生种植体周围炎、1颗烤瓷冠崩瓷外,其余植体稳定度好,短期追踪未发现松动问题;基台植体界面密合,未发现有上部基台松动情况;牙龈组织健康;术后1年内骨吸收小于1mm;患者主观满意率高,为98.9%(89/90)。按种植成功标准,修复成功88枚,累积成功率97.8%;失败2枚,占2.2%。结论:Ankylos种植体用于单牙修复具有良好的临床效果。Objective To evaluate the clinical effects of Ankylos implant system to restore the loss of single-tooth.Methods 90 cases with loss of single-tooth were selected and treated with routinely two-stage surgery.When the patients presented with deficient alveolar ridge,guided bone regeneration（GBR）,osteotome sinus floor elevation,lateral antrostomy surgery with simultaneous placement of implant were applied.They were restored with platinum ceramic crown.All the implants were followed up,and the records were kept about stability of the implant and abutment,the status of surrounding soft tissue,sealability of implant abutment junction and the marginal bone lossing through X-ray checking,and satisfaction of the patients to mastication and aspect of the restorations.The follow-up time was 1-2.5 years.Results Among the cases,one case had peri-implant inflammation,and one case had porcelain dropped.No loosening occurred in the other implants and abuments.Implant abutment junction was sealed well.The marginal bone loss 1 year after final restoration was less than 1 mm.Soft tissue surrounding implants was healthy.The satisfaction rate was 98.9%（89/90）.According to standard of implant success,88 cases were successful,the 2.5-year cumulative success rate was 97.8%,2 cases failed,and the failure rate was 2.2 %.Conclusion A satisfactory treatment effects could be gotten by using Ankylos implant system to restore the loss of single-tooth.

关 键 词：种植系统 ANKYLOS 单牙修复 

分 类 号：R783[医药卫生—口腔医学]