螺丝固位全牙弓种植固定义齿修复1例  

A Case of Screw-retained Full-mouth Implant Fixed Complete Denture Prostheses

作　　者：马静 雷驰 刘艳 吴玉禄 邓再喜 张春宝 Jing Ma;Chi Lei;Yan Liu;Yulu Wu;Zaixi Deng;Chunbao Zhang(Department of Dental Laboratory,The Third Hospital Affiliated of Air Force Military Medical University,Xi'an,Shaanxi Province,P.R.China;Department of Implantology,The Third Hospital Affiliated of Air Force Military Medical University,Xi'an,Shaanxi Province,P.R.China)

机构地区：[1]空军军医大学口腔医院修复工艺科 [2]空军军医大学口腔医院种植科

出　　处：《中国口腔医学继续教育杂志》2024年第3期246-256,共11页Chinese Journal of Stomatologial Continuing Education

摘　　要：目的:通过螺丝固位全口种植固定义齿恢复患者口颌系统功能与美观。诊治经过:对1例牙列缺损患者进行种植固定义齿修复,对上、下颌牙列分时段进行即刻种植、即刻修复完成全口咬合重建,利用计算机辅助设计与制造(computer aided design/computer aided manufacturing,CAD/CAM)技术设计并制作种植桥架,于上颌氧化锆桥架烧结饰瓷,下颌钛桥架螺丝固位聚合瓷种植固定义齿修复。结果:种植义齿就位顺利,咬合关系良好。患者对功能和美观修复效果满意。结论:在医、技、患三方的良好配合下,螺丝固位的全口种植固定义齿修复可高效、精准地恢复患者口颌系统功能与美观。Objective:To restore the function and aesthetics of the patient's oral and maxillofacial system by screw-retained implant fixed complete denture.Diagnosis and treatment:The full-mouth occlusal reconstruction of the patient with dentition defect was completed by immediate implantation and immediate repair of maxillary and mandibular dentition in different periods.The implant bridge was designed and fabricated by computer aided design/computer aided manufacturing(CAD/CAM)technology,and then the decorative porcelain was sintered on the maxillary zirconia bridge,and the polymeric porcelain restoration was made on the mandibular titanium bridge.Results:The final implant-retained denture was successfully worn into the patient's mouth,the prosthesis was in place smoothly,and the occlusion relationship was fit.The patient was satisfied with the aesthetics and function of the denture.Conclusions:With the appropriate cooperation of dentists,medical technicians and patient,the screw-retained full-mouth implant fixed denture restoration can efficiently and accurately restore the function and aesthetics of the patient's oral and maxillofacial system.

关 键 词：全口固定式种植义齿 即刻种植修复 过渡义齿 螺丝固位 CAD/CAM技术 

分 类 号：R783.6[医药卫生—口腔医学]