All-on-Four技术在口腔种植领域中的应用进展  

Application of All-on-Four technology in the field of dental implants

作　　者：周磊[1] 岳新新[2] 

机构地区：[1]南方医科大学口腔医院.广东省口腔医院,广东广州510280 [2]首都医科大学附属北京口腔医院种植中心,北京100050

出　　处：《口腔疾病防治》2017年第1期1-7,共7页Journal of Prevention and Treatment for Stomatological Diseases

基　　金：国家自然科学基金(81170998);广东省医学科研基金(C2012034)

摘　　要：种植修复是恢复无牙颌患者咀嚼功能和美观的有效治疗方法,但因可用骨量的不足、上颌窦和下牙槽神经血管束等解剖问题而面临巨大挑战。对该类患者行种植体植入术时,常需要进行相关的骨增量手术。All-on-Four技术是指在无牙颌前牙区植入两颗轴向种植体,在远中端植入两颗角度种植体,并即刻负重,且在4~6个月后完成最终修复的新种植修复技术。该技术避免了人工骨粉植入术及上颌窦提升术等骨增量过程,患者心理反应及术后反应较轻,同时节省了患者的时间和金钱成本。这种联合应用倾斜种植体和直种植体来共同完成无牙颌患者的固定修复治疗被认为是一种可行的治疗方式。本文将就All-on-Four概念、常规技术、评价研究以及近年来提出的一些新的观点进行阐述。Dental implant restoration is an effective way to restore the chewing and aesthetic function for edentu-lous. However, dental implant restoration is facing great challenges of the lack of available bone, the maxillary sinus or inferior alveolar nerve vascular bundle, which is often necessary to carry out the related bone augmentation operation.All-on-Four technique is to use four implants in the anterior part of complete edentulous jaws, the two most anterior implants are placed axially whereas the two posterior implants are placed distally angled, to support a provisional, fixed,and immediately loaded prosthesis. The technique avoids the artificial bone substitutes implantation and maxillary sinus augmentation or other bone augmentation surgery. Besides, it could alleviate patients＇ psychological reaction, postoperative reaction, as well as time and money costs. It is considered a feasible treatment method to combine the application of the oblique implant and the axial implant in the treatment of the edentulous patients. This paper will elaborate on the concept of All-on-Four, the conventional technology, the evaluation research and some new viewpoints.

关 键 词：All-on-Four 种植修复 倾斜种植体 无牙颌 

分 类 号：R783.4[医药卫生—口腔医学]