种植体与精密附着体在上颌单侧游离端缺失修复中的临床应用.pdfVIP

口腔镊面修复学杂志2008年1月第9卷第1期 · 论著· 种植体与精密附着体在上颌单侧游离端缺失修复中的临床应用 王 珏 焦艳军 金恩龙 【摘要】 目的：评价XIVE种植体与精密附着体在上颌单侧游离端缺失修复中联合应用的临床疗效。方法： 临床选择l2例上颌单侧游离牙缺失。全部病例均为双尖牙与磨牙缺失，磨牙区距上颌窦较近，牙槽骨高度 10mm不能直接行种植术。在双尖牙区进行常规种植手术，共植入XIVE种植体24枚，并在种植体上行键槽 缓压式(ASC-52)精密附着体修复。结果：随访2年，患者均感觉义齿美观舒适，固位稳定性强，咀嚼功能好。 l例种植体周围炎伴附着体上有结石。结论：XIVE种植体与精密附着体在上颌单侧游离端缺失修复的联合应用 中，能达到良好的修复效果。 关键词：种植；XIVE种植体；精密附着体；上颌；游离端；牙缺失 [中国图书分类号】R783．4 [文献标识码】A [文章编号】1009-3761(2008)01-0032-02 Clinical appHcafion of dental implant and precision attachment in maxillary unilateral extension denture WANG Jue，JIA0 Yan-jun,JIN En-long．rDental Division，No．J Hospital ofShan Xi Medical University,Shanxi 030001， China) [Abstract]0bjective：To evalua~the clinical effects of X1VE implant and precision attachment in maxillary unilateral extension denture．Methods：1 2 cases with maxillary unilateral premolars and molars missing were inc~ded in this study． The molar areas couldn’t accept denml implant because the height of bone was lower than 1 0mm．24 XIVE implants were placed in premolar areas and ASC一52 precision attachment dentures were fabricated．Results：All patien~were followed up for 2 years．They felt comfortable and esthetical with the dentures．The dentures also showed good retention，stability and masticatary function．Periimplantitis was found in one case．Conclusion：XIVE implant combined with precision attachment could achieve s~isfing result in the restoration ofmaxillary unilateral extension defect． Key words：implant；XIVE implant；precision attachment；maxillary；free end；tooth loss 上颌前磨牙和磨牙缺失的单侧游离端牙列缺损患 择 l2例上颌单侧游离端牙缺失患者，其中男性9例， 者，用常规卡环固位型可摘义齿修复往往因基托面积 女性3例；年龄 16-60岁，平均年龄38岁。均为磨 大，异物感强，固位稳定差，基牙受扭力创伤大，咀嚼 牙与前磨牙的全部缺失，对颌牙无伸长。其中右侧上 效率不高，因而达不到患者的满意程度I]】。近年来，我 颌游离缺失患者5例，左侧上颌游离端缺失患者7例。 们参