软硬组织增量技术配合种植治疗修复上前牙美学区连续失牙临床研究(附1例报告)  

Planting combined with soft and hard tissue augmentation techniques to restore continuous tooth loss in maxillary aesthetic zone——a case analysis

作　　者：毕小成 甄敏[1] 胡文杰[1] 杨刚[1] 王浩杰[1] 刘云松[2] 

机构地区：[1]北京大学口腔医学院.口腔医院牙周科,北京100081 [2]北京大学口腔医学院.口腔医院修复科,北京100081

出　　处：《中国实用口腔科杂志》2017年第4期224-230,共7页Chinese Journal of Practical Stomatology

基　　金：教育部留学回国启动基金(2012-45);首都卫生发展科研专项基金(2011-4025-04);首都特色基金(Z161100000516042)

摘　　要：随着生活水平及治疗技术的提高,上前牙美学区种植修复成为越来越多患者的选择。种植体唇侧软硬组织轮廓欠丰满是前牙区临床常见的美学缺陷,其在重度牙周炎造成上前牙连续缺失的患者中更为普遍,诊疗设计中常需多学科及多种手术方式联合治疗。本例患者因重度牙周炎造成严重牙周组织破坏,连续拔除多颗上前牙后软硬组织轮廓欠丰满,治疗设计以种植修复为导向,采用引导骨再生(guided bone regeneration,GBR)技术结合翻卷瓣技术、游离龈移植术(free gingival graft,FGG),最终实现软硬组织增量,改善了美学效果,为临床多种手术方式联合治疗重度牙周炎患者上前牙连续缺失的美学问题解决提供经验。Implant has been redefined,influenced by contemporary patients＆#39; increasing expectations for improved comfort and esthetic outcomes.Patients with continuous tooth loss in maxillary aesthetic zone because of severe periodontitis often associated with hard and soft tissue defects,increasing the risk of aesthetics and the operation difficulty.Techniques are needed to reconstruct hard and soft tissue around the implant to create favorable conditions for reconstruction function,and reflecting appearance.This article illustrates a novel approach of reconstruct hard and soft tissue around maxillary implants using guided bone regeneration （GBR）,free gingival graft （FGG）and rolling flap surgery,which achieve a good aesthetic effect.This issue provides an experience of treating patients with continuous front teeth missing due to severe periodontitis by using a combination of surgical procedures in clinic.

关 键 词：重度牙周炎 引导骨再生 游离龈移植 牙种植 前牙美学 

分 类 号：R78[医药卫生—口腔医学]