牙体牙髓牙周病学杂志
牙體牙髓牙週病學雜誌
아체아수아주병학잡지
CHINESE JOURNAL OF CONSERVATIVE DENTISTRY
2015年
1期
41-44
,共4页
罗新宇%倪峰%柏全民%朴东信
囉新宇%倪峰%柏全民%樸東信
라신우%예봉%백전민%박동신
牙列缺损%严重磨耗%种植%修复重建
牙列缺損%嚴重磨耗%種植%脩複重建
아렬결손%엄중마모%충식%수복중건
dentition defect%severe attrition%implant%rehabilitation
目的：探讨牙齿重度磨损伴牙列缺损（缺失）种植修复与咬合重建联合治疗的疗效。方法：选择牙齿重度磨损伴牙列缺损（缺失）而致咬合关系紊乱的患者10例，通过暂时修复体进行过渡修复以恢复生理性垂直距离，使患者颌位调整到舒适位，再行种植体支持式固定义齿或覆盖义齿修复，并在种植义齿修复的同时对磨损牙进行固定义齿修复，完成咬合重建。随访31～41个月（平均36个月），评价患者社区牙周指数、种植体骨结合、种植体周围软组织以及患者满意度。结果：10例患者共植入57个种植体；种植体3年存留率100％，成功率96．6％；2例（2枚）种植体颈部周围发生牙槽骨吸收并伴发软组织退缩（骨吸收平均高度1．8 mm，软组织平均退缩1．5 mm），但无美学并发症；全部患者对修复后的牙齿美观、功能和舒适度满意。颞颌关节和咬肌均无异常反应。结论：对牙齿重度磨损伴牙列缺损（缺失）的患者，采用种植义齿联合常规固定义齿修复重建，可有效恢复患者的面部美观、咀嚼和发音功能。
目的：探討牙齒重度磨損伴牙列缺損（缺失）種植脩複與咬閤重建聯閤治療的療效。方法：選擇牙齒重度磨損伴牙列缺損（缺失）而緻咬閤關繫紊亂的患者10例，通過暫時脩複體進行過渡脩複以恢複生理性垂直距離，使患者頜位調整到舒適位，再行種植體支持式固定義齒或覆蓋義齒脩複，併在種植義齒脩複的同時對磨損牙進行固定義齒脩複，完成咬閤重建。隨訪31～41箇月（平均36箇月），評價患者社區牙週指數、種植體骨結閤、種植體週圍軟組織以及患者滿意度。結果：10例患者共植入57箇種植體；種植體3年存留率100％，成功率96．6％；2例（2枚）種植體頸部週圍髮生牙槽骨吸收併伴髮軟組織退縮（骨吸收平均高度1．8 mm，軟組織平均退縮1．5 mm），但無美學併髮癥；全部患者對脩複後的牙齒美觀、功能和舒適度滿意。顳頜關節和咬肌均無異常反應。結論：對牙齒重度磨損伴牙列缺損（缺失）的患者，採用種植義齒聯閤常規固定義齒脩複重建，可有效恢複患者的麵部美觀、咀嚼和髮音功能。
목적：탐토아치중도마손반아렬결손（결실）충식수복여교합중건연합치료적료효。방법：선택아치중도마손반아렬결손（결실）이치교합관계문란적환자10례，통과잠시수복체진행과도수복이회복생이성수직거리，사환자합위조정도서괄위，재행충식체지지식고정의치혹복개의치수복，병재충식의치수복적동시대마손아진행고정의치수복，완성교합중건。수방31～41개월（평균36개월），평개환자사구아주지수、충식체골결합、충식체주위연조직이급환자만의도。결과：10례환자공식입57개충식체；충식체3년존류솔100％，성공솔96．6％；2례（2매）충식체경부주위발생아조골흡수병반발연조직퇴축（골흡수평균고도1．8 mm，연조직평균퇴축1．5 mm），단무미학병발증；전부환자대수복후적아치미관、공능화서괄도만의。섭합관절화교기균무이상반응。결론：대아치중도마손반아렬결손（결실）적환자，채용충식의치연합상규고정의치수복중건，가유효회복환자적면부미관、저작화발음공능。
AIM:To evaluate the effect of rehabilitation of dentition defect with severe teeth attrition using implant-supported prosthesis combined with traditional prosthesis.METHODS:10 Patients of dentition defect with severe teeth attrition were treated.The provisional restorations were used to restore vertical dimension of occlusion and to adjust the jaw position to rest position.Then implant-supported prosthesis combined with fixed prosthesis was used for dentition rehabilitation the 10 patients received 57 implants.Clinical parameters concerning implants and restora-tions were evaluated at follow-up visits patients were followed up for 3 1 -40 month.RESULTS:All patients main-tained good oral hygiene;implant survival rate was 100%,and implant success rate was 96.6%.2 implants in 2 pa-tients had alveolar bone loss (1 .8 mm)and soft tissue recession (1 .5 mm)without compromised aesthetic result.All patients were satisfied with function,aesthetics and comfort.Neither complications related to TMJ nor masseter muscle disorders was observed.CONCLUSION:Rehabilitation using implant-supported prosthesis combined with traditional prosthesis for patients with dentition defect and sever teeth attrition can effectively restore their facial esthetics and oral function.
