重度咽反射患者多牙种植手术经验分享1例  

A case report on dental implant surgery for a patient with severe gag reflex and multiple tooth loss

作　　者：徐邢环宇 杨艳兰 徐普[1] 郁豆[1] 陆丽英[1] Xu Xinghuanyu;Yang Yanlan;Xu Pu;Yu Dou;Lu Liying(Center of Stomatology,Haikou Hospital,Xiangya Medical College,Central South University,Haikou 570100,China)

机构地区：[1]中南大学湘雅医学院附属海口医院口腔医学中心,570100

出　　处：《中国口腔种植学杂志》2025年第1期81-85,共5页Chinese Journal of Oral Implantology

基　　金：海南省重点研发计划项目(ZDYF2022SHFZ119);国家自然科学基金(82060194);海南省卫生健康行业科研项目(20A200048)。

摘　　要：探讨重度咽反射患者牙种植一期手术的治疗经验,为临床处理相应的患者提供参考。患者保持45°坐姿,药物含漱,种植位点麻醉及神经阻滞麻醉联合应用,选择操作便捷的种植系统进行手术。患者咽反射抑制成功,顺利完成牙种植一期手术,术后CBCT检查种植体就位良好,复诊显示伤口愈合良好。对于重度咽反射患者,采用药物含漱可以减少患者痛苦,并顺利完成牙种植手术。This study aims to share the clinical experience of performing dental implantation in patients with severe gag reflex,providing a reference for the treatment of similar patients.The patient was maintained in a 45°sitting position,and medicated rinsing,local anesthesia,and nerve block anesthesia were used in combination to facilitate the procedure.A user-friendly implant system was employed during the surgery.The severe gag reflex was successfully suppressed,and the dental implant placements were completed smoothly.Postoperative CBCT confirmed proper placement of the implants,and follow-up visits showed satisfactory wound healing.For patients with severe gag reflex,medicated rinsing can effectively reduce discomfort and facilitate successful dental implantation.

关 键 词：重度咽反射 多牙种植 利多卡因 种植位点麻醉 

分 类 号：R782.12[医药卫生—口腔医学]