前牙牙周病即刻种植及修复体会  

Immediate implantation and follow-up restoration in maxillary anterior tooth with periodontal disease

作　　者：肖剑锐[1] 陈宇轩[1] 兰纲[2] 陈书军[1] 陈双民[1] 耿郁[1] 孔亮 

机构地区：[1]解放军第252医院口腔科,河北保定071000 [2]解放军第252医院外科,河北保定071000 [3]第四军医大学口腔医院颌面外科,陕西西安710032

出　　处：《中国美容医学》2015年第10期60-64,共5页Chinese Journal of Aesthetic Medicine

基　　金：国家自然科学基金(30900284)

摘　　要：目的:探讨上颌前牙牙周病致牙槽骨吸收、患牙松动、功能丧失而不能保留时即刻种植的临床技巧和不同修复方法的应用时机,评价牙周病牙槽骨吸收情况下即刻种植治疗的效果。方法:2008年1月-2011年1月在我院实施上前牙牙周病即刻种植、固定修复病例30例,即刻种植辅以引导骨再生技术GBR(guided bone regeneration)、Onlay植骨、骨劈开技术及延深植入深度等,修复方式采用粘结固位、螺丝固位等:包括角度基台、个性化制作基台以及过渡义齿牙龈成形、牙冠颈部填加牙龈瓷等美学补偿方式达到修复效果。结果:30例患者种植体稳定、修复效果良好,患者的主观满意度好、X线检查种植体周围骨质稳定、牙龈形态保持良好。结论:牙槽骨吸收的牙周病患者即刻种植只要把握种植时机、种植术式,采取灵活的修复方案是可以达到较理想的治疗效果的。Objective To investigate clinical skills about immediate implantation in maxillary anterior tooth with serious periodontal disease and the application of various restorations,so to evaluate the clinical effects of implantation in periodontal disease with bone loss. Methods The study included 30 patients with hopeless maxillary single tooth of periodontal disease from Jan.2008 to Jan.2011.All patients accepted immediate implantation and finished with follow- up restorations.The implantation procure includes GBR,Onlay bone graft,alveolar bone split,deeper insertion and so on.The restoration adopts with adhesive and screw retention,with its abutment and esthetic assistance comprise of angle abutment,custom- made abutment,temporary restoration,gingival contour shaping and gingival porcelain decorating. Results All implants were stable with well osteointegration and restorations and patient satisfaction,the bone resorption was normal under X- ray detection and the gingival contour was fine. Conclusion Immediate implantation in alveolar with periodontal disease and severe bone loss is available if the occasions,the procedures and the flexible restorations are in assurance,and ideal effects can be obtained.

关 键 词：牙种植 即刻种植 牙周病 种植修复 

分 类 号：R782.1[医药卫生—口腔医学] R783[医药卫生—临床医学]