天然牙与种植体联合支持修复牙列缺损的研究进展  

Research progress on restoration for dentition defects by combined support of implant and natural tooth

作　　者：牛学刚[1] 王小勇[2] 

机构地区：[1]解放军总后勤部第一门诊部口腔科,北京100842 [2]解放军军事科学院门诊部口腔科,北京100091

出　　处：《国际口腔医学杂志》2016年第5期614-618,共5页International Journal of Stomatology

摘　　要：天然牙与种植体联合支持固定桥修复,为临床上有效修复牙列缺损提供了更多选择,但一直存在争议。有学者认为,天然牙与种植体联合支持固定桥在临床上是一种相对简便、经济、实用、有效的修复方式,天然牙与种植体联合支持固定桥修复远期效果良好,临床上可行。也有学者认为,种植体与天然牙联合修复未必是理想的选择,应尽量避免,当条件有限,无法行种植体支持固定桥修复时可选择应用。天然牙与种植体联合支持可摘局部义齿修复,种植体在缺牙远端的应用可以将可摘局部义齿形式由基牙-黏膜支持式转换为天然牙-种植体支持式,成功率较高。总之,当口内两单位以上牙列连续缺损时,种植体支持固定修复应为最佳选择;当受主客观条件所限难以实现时,可以行天然牙和种植体联合支持。Some controversies prevail on the clinical application of implant-natural tooth-supported fixed partial dentures. This technique could be a preferable choice for restoration of dentition defects because of its simplicity, effectiveness, and long-term results. However, the combination of tooth and implant has not been established as an ideal choice but may be a second choice when implant-supported bridge could not be used. Implant-natural tooth-supported removable partial dentures could also be considered. The application of implant in the distal region of dentition defects could switch the tooth-mucosa support to the tooth-implant support with a high success rate. In conclusion, implant-supported fixed partial dentures may be an optimal choice in the condition of continuous dentition defects; otherwise, the combined support of implant and tooth could be used.

关 键 词：天然牙 种植体 牙列缺损 

分 类 号：R783.6[医药卫生—口腔医学]