口腔种植学精品教学（中山大学）implantology,bone physiology.pptVIP

When this basic biologic principle is violated违反，违犯, resorption occurs . Resorptive and depository fields in the mandible affect the whole mandible. Local influences in EBL include traumatic bone loss and loss during extraction. Accelerated bone loss has been shown in areas where loss of the buccal or lingual plate occurred during extraction. This suggests that simple extraction with the preservation of the buccal and lingual plates is important. Excessive compressive forces from ill-adapted dentures or occlusal schemes 方案设计contributing to excessive compressive forces are also thought to contribute to more rapid EBL. Balancing of the occlusal scheme and preinsertion laboratory remounts重新安装 are thought to decrease or slow this contribution加速，促进 to EBL. Parafunctional 功能异常habits may contribute to the degree of EBL as well. The rate at which EBL occurs is variable. It is generally estimated to be up to 1 mm per year, with the greatest amount of loss occurring within 12 to18 months after extraction. Over time, it can be expected预计 that the mandibular ridge resorption will be about four times greater than maxillary ridge reduction. Tallgren observed that the greatest reduction of mandibular anterior bone height occurred in individuals with a marked mandibular base bend明显下颌基骨弯曲; less marked resorption occurred in patients with a flattened mandibular base. Alveolar Ridge Evaluation In patients who will become edentulous or who will receive an immediate denture, assessing the ridge contour at the time of extraction is essential. Resorption will occur at the edges of the empty sockets, and bone deposition will occur within the sockets as they heal. At the time of extraction, before suturing, the soft tissues should be placed in their natural position Palpating the underlying bone to determine areas of bony sharpness that would result in pain from pressure upon一旦 function. Areas of undercut下部被削去[切去、挖掉、凿去]can be evaluated and eliminated at that time as well