全牙弓即刻种植即刻修复的临床疗效观察  

Clinical observation of immediate implantation and immediate restoration on patients with potential edentulous jaws

作　　者：付钰 吕凤仪 赵文华 李明[1] 朱志军[1] 王瑞霞[1] FU Yu;LYU Fengyi;ZHAO Wenhua;LI Ming;ZHU Zhijun;WANG Ruixia(Department of Implantology,The Affiliated Stomatological Hospital of Nanjing Medical University,Jiangsu Province Key Laboratory of Oral Diseases,Jiangsu Province Engineering Research Center of Stomatological Translational Medicine,Nanjing 210029,China)

机构地区：[1]南京医科大学附属口腔医院口腔种植科,江苏省口腔疾病研究重点实验室,江苏省口腔转化医学工程研究中心,江苏南京210029

出　　处：《口腔生物医学》2021年第2期120-123,127,共5页Oral Biomedicine

基　　金：江苏高校优势学科建设工程资助项目(2018-87)。

摘　　要：目的:初步评价全牙弓即刻种植即刻修复的临床疗效。方法:回顾性分析2016年1月至2019年12月拔牙后全牙弓即刻种植即刻修复患者17例(上颌4例,下颌7例,全口6例)的临床疗效,平均随访时间24个月(12~36个月)。结果:所有患者均顺利完成整个治疗程序,17例患者共计植入128颗种植体,观察期内无一例发生种植体骨结合失败,2例在术后发生种植体周围黏膜炎,4例临时修复体发生机械并发症,3例永久修复体发生机械并发症,均为冠崩瓷/崩塑;所有患者对咀嚼和美观效果满意。结论:在严格把握适应证、保证种植体植入扭矩的条件下,全牙弓即刻种植即刻修复可以取得理想的临床效果。Objective:To preliminarily evaluate the clinical efficacy of immediate implantation and immediate restoration on patients with potential edentulous jaws.Methods:A retrospective analysis of 17 patients with poetential edentulous jaws from January 2016 to December 2019 was conducted,including 4 patients in the upper jaw,7 patients in the lower jaw,and 6 patients in both jaws.Immediate implantation and immediate restoration were adopted.After 24 months(range from 12 to 36 months)of the mean follow-up period,the clinical efficacy was analyzed.Results:All patients have successfully completed the entire treatment procedure.A total of 128 implants were implanted in 17 patients.No implant osseointegration failure occurred during the observation period.Two cases had peri-implant mucositis after operation while 4 cases had mechanical complications of temporary restorations,and 3 cases had mechanical complications of permanent restorations,all of which were porcelain/plastic fracture.All patients were satisfied with the chewing and aesthetic effects.Conclusions:Patients with poetential edentulous jaws undergo immediate implantation and immediate restoration can achieve ideal clinical effect under the conditions of strictly grasping the indications,ensuring the implant torque,and obtaining the cooperation of patients.

关 键 词：即刻种植 即刻修复 全牙弓 

分 类 号：R782.12[医药卫生—口腔医学]