外胚层发育不全患者上下颌骨重建及全口种植固定修复  

Computer assisted jaw reconstruction and full arch fixed implant restoration for ectodermal dysplasia patient

作　　者：葛严军[1] 单小峰[2] 李曼 冯海兰[1] Ge Yanjun;Shan Xiaofeng;Li Man;Feng Hailan(Department of Prosthodontics,Peking University School and Hospital of Stomatology,National Engineering Laboratory for Digital and Material Technology of Stomatology,Research Center of Engineering and Technology for Digital Dentistry of Ministry of Health,Beijing Key Laboratory of Digital Stomatology,Beijing 100081,China;Department of Oral and Maxillofacial Surgery,Peking University School and Hospital of Stomatology,Beijing 100081,China;Dental Laboratory Center,Peking University School and Hospital of Stomatology,Beijing 100081,China)

机构地区：[1]北京大学口腔医学院·口腔医院修复科,国家口腔疾病临床医学研究中心,口腔数字化医疗技术和材料国家工程实验室,口腔数字医学北京市重点实验室,100081 [2]北京大学口腔医学院·口腔医院颌面外科,100081 [3]北京大学口腔医学院·口腔医院义齿加工中心,100081

出　　处：《中国口腔种植学杂志》2021年第1期44-46,共3页Chinese Journal of Oral Implantology

摘　　要：为了探讨外胚层发育不全无牙颌患者的软硬组织增量及种植固定修复方法,采用数字化手段辅助下进行髂骨移植,恢复上下颌骨缺损。在种植导板辅助下完成种植体植入,骨结合后进行游离龈移植,增加植体周围角化龈宽度及软组织厚度,并同期完成二期手术。通过种植体支持式固定临时义齿验证咬合及美观,最终完成上下颌一段式螺钉固位种植义齿修复。结果表明上下颌骨骨增量效果良好,种植体骨结合稳定,种植体周围角化龈宽度充足,最终修复体美学效果及咀嚼功能良好。修复完成后24个月复查,修复效果稳定。对外胚层发育不全患者进行软硬组织增量,并行种植固定修复,是一种有效的治疗手段,短期效果良好。To investigate clinical approach of bone and soft tissue reconstruction and fixed implant restoration for dysplasia patient.Jaw reconstruction was done by iliac graft with digital guide and implants were placed under surgical guide.Free gingiva graft and second stage surgery was applied after implant osseointegration.Function and esthetic outcome was verified through fixed temporary restoration.Full arch screw retained fixed prosthesis was delivered for final restoration.Bone volume was good enough for implant placement.Implant ossteointegration was successful with enough keratinized tissue around implant after free gingiva graft.Patient was satisfied with the esthetic and masticatory function.The result was stable at 24 months follow-up.Fixed implant restoration for ectodermal dysplasia patient after hard and soft tissue augmentation was an effective therapy approach.Short-term result was stable.

关 键 词：软硬组织 短期效果 上下颌骨 二期手术 修复体 一段式 下颌骨重建 骨结合 

分 类 号：R783.6[医药卫生—口腔医学]