中国医药
中國醫藥
중국의약
China Medicine
2015年
12期
1848-1850
,共3页
种植体%连续牙位缺失%龈乳头%美学效果
種植體%連續牙位缺失%齦乳頭%美學效果
충식체%련속아위결실%간유두%미학효과
Implant%Continuous tooth missing%Gingival papilla%Aesthetic effect
目的 探讨上颌前牙连续牙位缺失种植修复的美学效果.方法 选取2009年10月至2014年10月于山西省大同市美源口腔医院接受种植治疗的患者12例,均为上颌前牙缺失.术前常规牙周检查和治疗后,在前牙区连续牙位缺失处植入种植体,在种植体愈合期间,制作临时修复体,戴入口内对种植体周围软组织进行诱导塑形,在6个月后取模,制作最终修复体戴入口腔内,3、6、12个月后复查,观察其修复效果,并使用Jemt龈乳头指数进行美学评价.结果 12例患者种植体稳定性良好,与周围组织协调性好,种植体周围骨质致密,无骨吸收,周围软组织健康、色泽正常、附丽高度适中,患者咬合、咀嚼、语音功能良好.Jemt龈乳头指数Ⅱ度及Ⅲ度者11例(91.7％),有1例2枚种植体Jemt龈乳头指数为Ⅰ度.修复体牙间龈乳头高度随时间延长,而呈现增长趋势.结论 采用种植义齿修复连续牙位缺失能满足患者对美观的基本要求.修复体完成后牙间龈乳头高度随时间延长而呈现增长趋势.
目的 探討上頜前牙連續牙位缺失種植脩複的美學效果.方法 選取2009年10月至2014年10月于山西省大同市美源口腔醫院接受種植治療的患者12例,均為上頜前牙缺失.術前常規牙週檢查和治療後,在前牙區連續牙位缺失處植入種植體,在種植體愈閤期間,製作臨時脩複體,戴入口內對種植體週圍軟組織進行誘導塑形,在6箇月後取模,製作最終脩複體戴入口腔內,3、6、12箇月後複查,觀察其脩複效果,併使用Jemt齦乳頭指數進行美學評價.結果 12例患者種植體穩定性良好,與週圍組織協調性好,種植體週圍骨質緻密,無骨吸收,週圍軟組織健康、色澤正常、附麗高度適中,患者咬閤、咀嚼、語音功能良好.Jemt齦乳頭指數Ⅱ度及Ⅲ度者11例(91.7％),有1例2枚種植體Jemt齦乳頭指數為Ⅰ度.脩複體牙間齦乳頭高度隨時間延長,而呈現增長趨勢.結論 採用種植義齒脩複連續牙位缺失能滿足患者對美觀的基本要求.脩複體完成後牙間齦乳頭高度隨時間延長而呈現增長趨勢.
목적 탐토상합전아련속아위결실충식수복적미학효과.방법 선취2009년10월지2014년10월우산서성대동시미원구강의원접수충식치료적환자12례,균위상합전아결실.술전상규아주검사화치료후,재전아구련속아위결실처식입충식체,재충식체유합기간,제작림시수복체,대입구내대충식체주위연조직진행유도소형,재6개월후취모,제작최종수복체대입구강내,3、6、12개월후복사,관찰기수복효과,병사용Jemt간유두지수진행미학평개.결과 12례환자충식체은정성량호,여주위조직협조성호,충식체주위골질치밀,무골흡수,주위연조직건강、색택정상、부려고도괄중,환자교합、저작、어음공능량호.Jemt간유두지수Ⅱ도급Ⅲ도자11례(91.7％),유1례2매충식체Jemt간유두지수위Ⅰ도.수복체아간간유두고도수시간연장,이정현증장추세.결론 채용충식의치수복련속아위결실능만족환자대미관적기본요구.수복체완성후아간간유두고도수시간연장이정현증장추세.
Objective To study the aesthetic effect of implant restoration of maxillary anterior tooth on continuous tooth missing.Methods Totally 12 patients with continuous tooth missing of anterior teeth area were enrolled and received dentures implants.During the recovery of implants, the temporary restoration was made and put into the mouth to induce the remodeling of soft tissue around the implants.Six months later, the temporary restoration was taken out and the last restoration was made.The restoration effect was assessed 3,6 and 12 months later with Jemt gingival papilla index.Results In all the patients, the implants were stable and coordinated well with surround tissue;the bones around the implants were dense without bone resorption;the surrounding soft tissue was healthy with normal color and appropriate attachment height;the biting, chewing and phonetic function showed no abnormity.There were 11 cases (91.7％) with Jemt gingival papilla index of grade Ⅱ and Ⅲ,1 case (8.3％) with Jemt gingival papilla index of grade Ⅰ.The implant size increased along with time.Conclusions Dentures implants can meet the artistic requirement in repairing continuous missing tooth.The size of the inter-dental papilla increases along with time.
