前牙美观区即刻种植修复临床应用.doc

前牙美观区即刻种植修复临床应用[摘要]目的：探讨前牙美观区即刻种植与即刻修复的临床效果。方法：24例患者的31个牙位在拔牙同时植入种植体，5个牙位在拔牙后一周植入种植体，全部病例都作了种植后一周内的即刻修复，追踪观察6～28个月。结果：全部种植体稳固无松动，种植体周围无炎症，X线片未见明显骨吸收。结论：在适当选择病例的情况下，即刻种植与即刻修复可成功应用于前牙美观区。 [关键词]牙种植；即刻种植；即刻修复；美观区 [中图分类号]R783 [文献标识码]A [文章编号]1008-6455（2008）08-1205-03 Clinical application of immediate implant and restoration in aesthetic zone WANG Zhan,HE Yi-chuan,CHEN Wen-jun,YANG Wei-dong,HE Jie-ru,XIAO Jian (Department of Oral Maxillofacial Surgery, Dali Prefectural People’s Hospital, Dali 671000,Yunnan,China) Abstract: ObjectiveTo evaluate the clinical results of immediate implant and immediate restoration in aesthetic zone.MethodsTwenty-four cases were performed an operation of immediate implant for 31 dental implants as soon as the teeth of roots were extracted. 5 dental implants were implanted after one week of extractions. All cases were performed an operations of immediate restoration in one week and 6～28 month follow-up observation.ResultsAll dental implants were implanted successfully. No inflammation occurred around the implants. No remarkable bore resorption occurred after X-ray examination.Conclusion Immediate implant and immediate restoration could be applied to the aesthetic zone dental clinical practice if the cases are properly selected. Key words:dental implant;immediate implant;immediate restoration;aesthetic zone 前牙区是对美学效果要求较高的区域,口腔种植是修复前牙美学区牙列缺失最佳的治疗方法。前牙区的失牙患者需要尽早地进行美观修复。随着口腔种植技术的不断发展，通过即刻种植与早期修复技术可大大缩短患者的种植治疗时间。我们对24例患者36颗牙位进行即刻种植修复，取得满意的效果。 1资料和方法 1.1 临床资料：24例患者为2004年7月～2007年8月在我院口腔颌面外科就诊的条件适宜并愿意接受即刻种植的患者，男性14例，女性10例，年龄16～51岁，平均32.6岁，上颌25颗，下颌11颗。36颗牙中，因外伤根折19颗，龋坏残冠根12颗，牙周病松动牙5颗。其中拔牙后即刻种植31颗，牙周病松动牙5颗拔除后牙槽窝搔刮消炎处理， 1周后作延期即刻种植。 1.2 种植材料：采用四川大学卫生部口腔种植科技中心(China Dentallmplantology Center Ministry of Public Health , CDIC)的锥状螺旋一段式种植体，直径3.0～3.6mm，长度12～26 mm；配套的CDIC锥状螺旋种植手术器械及CDIC－III型种植机。植骨材料采用自体骨、Bio-Oss人工骨粉、Bio-Gide胶原膜（Osteohealth公司，美国）。 1.3 手术方法：手术前对患者牙槽嵴软硬组织进行全面检查和评价。采用牙槽嵴唇侧切翻梯型牙龈瓣，微创拔牙刀拔除患牙，注意避免损伤骨壁，特别是唇舌侧骨壁。仔细搔刮牙槽窝，