美学区种植骨增量与邻牙慢性根尖周病的联合治疗策略(下):临床诊治流程及实践病例  

Combined treatment strategy of oral implantology and endodontics microsurgery:clinical protocol and practical cases(part 2)

作　　者：满毅[1] 黄定明[2] Man Yi;Huang Dingming(State Key Laboratory of Oral Diseases&National Clinical Research Center for Oral Diseases&Dept.of Implantology,West China Hospital of Stomatology,Sichuan University,Chengdu 610041,China;State Key Laboratory of Oral Diseases&National Clinical Research Center for Oral Diseases&Dept.of Cariology and Endodontics,West China Hospital of Stomatology,Sichuan University,Chengdu 610041,China)

机构地区：[1]口腔疾病研究国家重点实验室国家口腔疾病临床医学研究中心四川大学华西口腔医院种植科,成都610041 [2]口腔疾病研究国家重点实验室国家口腔疾病临床医学研究中心四川大学华西口腔医院牙体牙髓病科,成都610041

出　　处：《国际口腔医学杂志》2022年第6期621-632,共12页International Journal of Stomatology

基　　金：四川省科技厅重点研发项目(2021YFS0030,2021YFS0031);四川大学华西口腔医院探索与研发项目(LCYJ2019-19,LCYJ2019-6);成都市重大科技应用示范项目(2021-YF09-00078-SN)。

摘　　要：种植相关治疗术区合并邻牙慢性根尖周病变时,邻牙的根尖周感染可能成为潜在的感染源引起治疗失败。笔者提出了邻牙显微根尖外科手术与种植相关治疗同期完成的联合治疗模式,既保证了种植相关治疗的早期安全性,也确保了口腔治疗远期效果的可预测性,这似乎是一种更具成本效益的治疗策略。本文将针对这一新的联合治疗策略制订临床应用的诊治流程及其临床实践的病例。When an implant-related surgery is in areas in proximity to a periapical lesion of the adjacent tooth,the chronic apical periodontitis of adjacent teeth could become a potential source of infection to cause the failure of surgery.Unlike traditional treatment procedures,the combined treatment modality of performing implant-related surgery with simultaneous endodontic microsurgery of adjacent teeth was proposed in this study.This novel strategy ensured the early safety of implant-related surgery and increased the long-term predictability of oral treatment.It also seemed to be a more cost-effective treatment strategy.This article presented the clinical procedures and practical cases on the clinical application of the novel combination therapy strategy in different clinical situations.

关 键 词：口腔种植 引导骨再生 显微根尖外科手术 引导组织再生 手术导板 诊治流程 

分 类 号：R78[医药卫生—口腔医学]