上颌磨牙并龈缺损及骨开裂种植修复的临床观察  

Clinical observation of dental implant restoration for maxillary molars with gingiva defect and bone dehiscence

作　　者：宗丽[1] 温玉洁[1] 汪竹红[1] 

机构地区：[1]佛山科学技术学院附属口腔医院,佛山市口腔医院口腔修复科,528000

出　　处：《中国实用医药》2017年第14期13-14,共2页China Practical Medicine

摘　　要：目的观察患重度牙周炎合并龈缺损及骨开裂上颌磨牙的种植修复临床效果。方法 15例重度牙周炎合并龈缺损及骨开裂的上颌磨牙患者,均使用腭侧滑行皮片行拔牙后即刻引导骨组织再生术(GBR)软组织关闭,6个月后行牙种植术,牙种植术6个月后再行修复治疗,观察其术后软组织愈合、成骨以及种植体存留情况。结果 15例患者GBR术后创口愈合正常,成骨效果良好,植入种植体存留率100%(15/15),种植体周软硬组织健康。结论重度牙周炎合并龈缺损及骨开裂患者使用腭侧滑行皮片完成即刻GBR,可获得良好的牙槽骨条件,后续种植修复治疗临床效果良好。Objective To observe the clinical results of dental implant restoration for maxillary molars with severe period0ntitis together with gingiva defect and bone dehiscence. Methods 15 patients, whose maxillary molars with severe periodontitis together with gingiva defect and bone dehiscence, were collected. Palatal flap was applied for soft tissue closure immediately after tooth extraction and guided bone regeneration （GBR）. Dental implant was applied 6 months after treatment, and prosthodontic treatment was schedule 6 months after implantation. Soft tissue healing, bone-formation and implant retained rate were observed. Results The wound healing and bone-formation of all patients were well. The retained rate was 100%. Soft and bone tissues around implants were healthy. Conclusions The application of palatal flap for immediate guided bone regeneration in patients with maxillary molars with severe periodontitis together with gingiva defect and bone dehiscence can obtain good bone-formation and prosthodontic treatment results.

关 键 词：口腔种植 引导骨组织再生术 腭侧滑行皮片 牙周炎 

分 类 号：R783[医药卫生—口腔医学]