后牙区种植义齿食物嵌塞影响因素和治疗对策  

Influencing factors and treatment of food impaction between posterior implant-supported restorations and adjacent teeth

作　　者：邵湘庭 邓淞文 张思思 张正仪[1] 傅柏平[1] SHAO Xiangting;DENG Songwen;ZHANG Sisi;ZHANG Zhengyi;FU Baiping(Department of Prosthodontics,Stomatology Hospital Afiliated to Zhejiang University School of Medicine,Hangzhou 310006,China)

机构地区：[1]浙江大学医学院附属口腔医院修复科,浙江杭州310006

出　　处：《口腔医学》2023年第5期471-475,共5页Stomatology

基　　金：国家自然科学基金(81970982)。

摘　　要：食物嵌塞为种植修复后常见并发症。为预防水平型食物嵌塞,除了临床医生应严格把握种植修复适应证,制定合适的种植手术方案和修复方案。同时,加强患者口腔保健意识,定期行种植体周维护也十分重要。垂直型食物嵌塞经常发生在种植义齿与邻接天然牙的邻接触丧失后,种植修复后应定期随访患者,评估邻接关系和咬合关系并及时调整,以预防垂直型食物嵌塞。Food impaction around implants is a common complication. To prevent horizontal food impaction, clinicians should not only strictly control the indications of implant restoration, but also formulate proper implant placement and restoration protocols. Besides, it is also of vital importance for clinicians to strengthen patients′ awareness of oral health care, and provide professional mechanical debridement at regular intervals. Vertical food impaction often results from interproximal contact loss between implant-supported restorations and adjacent teeth. To prevent vertical food impaction, it is recommended to evaluate and adjust interproximal contacts and occlusion during the follow-up.

关 键 词：食物嵌塞 后牙区种植修复 邻接触丧失 

分 类 号：R783.4[医药卫生—口腔医学]