上颌窦囊肿摘除及上颌窦植骨种植术.pdf

中国口腔种植学杂志2008年第 13卷第 3期 137 discussedwithregardtOthecurrentfiterature．In casesofsevereatrophy．theuseofiliacbonegraftsmaybethe treatmentofchoice：Long—term clinicaland histologic evaluation hasshown thatiliac rgaftsshow sufficient revascularizationforimplantplacementafterathree——monthshealingperiod；theuseofresorbablemembranesin combination with autologousbone rgaftswillbe discussed using case presentationsand dataregarding these procedures．Afterbone rgafting，ashortened healing period hasproven sufficientofrthergaftand ensuresthe secureplacementofimplantsatsecond—stagesurgery． Reducingthehealing timeofrough——surfaced dentalimplantshasbeen clinically approved：shorteningthe timeofunloaded osseointergation tosix weeksofrmandibularimplantsand twelveweeksofrmaxillary placed implantsshowsequivalent successratesto implants showing an unloaded period asrecommended in the Branemarkprotocol (mandible：threemonths，maxilla：sixmonths)．Shortenedhealingperiodsoftheimplants increasepatientcomfortbyreducingthetimeintervaluntilthepermanentprostheticrestoration canbeplaced． Surgicalproceduresenablean enhancementofwidth and heighttO allow theplacementofdentalimplants，but predictablerestoration ofthe idealgingivalcontourin funy edentulouspatientsisstilla challenge and will presumablystay achallenge．Thusimplant—retainedprosthesesneed tO compensatethisinadequacy allowingthe reconstitutionofthewhiteandredestheticswhilesatisfyingnumerousotherdemandsbythepatientaswellasthe clinician．Implant—supported prosthesesforedentulouspatientscan beremovableorfixed．Limitingfactorsand treatmentmodalitiesthatarethebasisofrdecisionmakingtowhichkind ofprostheticrestorationisadequatefor thisspecificedentulouspatientwillbediscussed．Foracomprehensiveestheticandfunctionalrehabilitationofthe edentulouspatientmimicking nature，several aspectsneed to be illumi nated and considered including basic phonetic，aestheticandfunctional aspe