中国口腔种植学杂志
中國口腔種植學雜誌
중국구강충식학잡지
Chinese Journal of Oral Implantology
2015年
3期
128-132
,共5页
牙列缺失%即刻修复%All-on-4%并发症
牙列缺失%即刻脩複%All-on-4%併髮癥
아렬결실%즉각수복%All-on-4%병발증
edentulous jaws%immediate loading%All-on-4%complications
目的：分析牙列缺失病例中“All-on-4”种植即刻修复的并发症发生情况，探讨其原因与解决方法。方法：2006年12月至2014年12月于澳门接受“All-on-4”种植即刻修复治疗的21例患者，当中上颌牙列缺失1例，下颌牙列缺失19例，全口牙列缺失1例，均在手术当天制作并戴入临时修复体，术后3-6个月复诊制作最终修复体，共完成22件临时修复体及22件最终修复体。戴入后平均追踪39个月(5~92个月)，观察种植体与修复体的功能状态及并发症的发生情况，并对数据进行分析。结果：本研究中，88枚种植体及22件最终修复体至最后一次复查情况稳定，种植体存活率100%，修复体存活率100%；21位患者当中，9位患者曾发生并发症，并发症发生率42.9%。结论：“All-on-4”在牙列缺失病例治疗效果的中短期观察中，虽然并发症的发生率甚高，但均为可处理而不影响修复体功能的事件，临床使用上仍能获得满意的效果，是一种可行的方法。
目的：分析牙列缺失病例中“All-on-4”種植即刻脩複的併髮癥髮生情況，探討其原因與解決方法。方法：2006年12月至2014年12月于澳門接受“All-on-4”種植即刻脩複治療的21例患者，噹中上頜牙列缺失1例，下頜牙列缺失19例，全口牙列缺失1例，均在手術噹天製作併戴入臨時脩複體，術後3-6箇月複診製作最終脩複體，共完成22件臨時脩複體及22件最終脩複體。戴入後平均追蹤39箇月(5~92箇月)，觀察種植體與脩複體的功能狀態及併髮癥的髮生情況，併對數據進行分析。結果：本研究中，88枚種植體及22件最終脩複體至最後一次複查情況穩定，種植體存活率100%，脩複體存活率100%；21位患者噹中，9位患者曾髮生併髮癥，併髮癥髮生率42.9%。結論：“All-on-4”在牙列缺失病例治療效果的中短期觀察中，雖然併髮癥的髮生率甚高，但均為可處理而不影響脩複體功能的事件，臨床使用上仍能穫得滿意的效果，是一種可行的方法。
목적：분석아렬결실병례중“All-on-4”충식즉각수복적병발증발생정황，탐토기원인여해결방법。방법：2006년12월지2014년12월우오문접수“All-on-4”충식즉각수복치료적21례환자，당중상합아렬결실1례，하합아렬결실19례，전구아렬결실1례，균재수술당천제작병대입림시수복체，술후3-6개월복진제작최종수복체，공완성22건림시수복체급22건최종수복체。대입후평균추종39개월(5~92개월)，관찰충식체여수복체적공능상태급병발증적발생정황，병대수거진행분석。결과：본연구중，88매충식체급22건최종수복체지최후일차복사정황은정，충식체존활솔100%，수복체존활솔100%；21위환자당중，9위환자증발생병발증，병발증발생솔42.9%。결론：“All-on-4”재아렬결실병례치료효과적중단기관찰중，수연병발증적발생솔심고，단균위가처리이불영향수복체공능적사건，림상사용상잉능획득만의적효과，시일충가행적방법。
Objective:To observe the clinical complications of"All-on-4"immediate function treatment, an-alyze and discuss the possible reasons for the complications and try to find a clinical solution for those complications. Methods: Retrospective study was conducted among 21 maxillary or mandible edentu-lous patients who received"All-on-4"treatment in Macau since December 2006 to December 2014. A-mong these 21 patients, there are 1 case of maxillary edentulous, 19 cases of mandible edentulous and 1 case of both maxillary and mandible edentulous. All patients received provisional prostheses for func-tion on the day of surgery. Definitive prostheses were delivered to patients after 3-6months post opera-tion and follow-up visits were performed up to 92 months (average 39 months) after placement of definitive prostheses. Result: Twenty-one patients participated in this study and 22 complete-arch im-mediately loaded prostheses (2 maxillary and 20 mandibular), each supported by four implants (in total 88 implants), were placed. All implants and prostheses stayed in good condition until the last follow-up visit throughout the study period. Implant survival rate was 100%, prosthesis survival rate was 100%. Complications occurred in 9 cases and accumulative complication rate was 42.9%. Conclusion: Al-though some of the complications are inevitable, most of them are minor problems and will not lead to failure of implants and prostheses if they are well treated. "All-on-4" is a practical treatment concept with satisfying outcomes in short and medium term.
