ALLon4即刻种植修复无牙颌的临床修复护理配合临床医学.docVIP

ALLon4即刻种植修复无牙颌的临床修复护理配合临床医学 目录 TOC \o 1-9 \h \z \u 目录 1 正文 1 文1：ALLon4即刻种植修复无牙颌的临床修复护理配合临床医学 1 1　材料与方法 3 （1）准备好患者的全口曲面断层片和CT、化验单。 3 2　结果 6 3 讨论 6 文2：种植套筒冠覆盖义齿修复下颌无牙颌的临床应用体会 8 【Key words】 8 1 资料与方法 9 2 结果 10 3 讨论 10 参考文摘引言： 12 原创性声明（模板） 13 文章致谢（模板） 13 正文 ALLon4即刻种植修复无牙颌的临床修复护理配合临床医学 文1：ALLon4即刻种植修复无牙颌的临床修复护理配合临床医学 【Abstract】 Objective To evaluate the key points of nuing management and technique during All-on-4implant operation and its clinical results. Methods 29 full edentulous patients underwent All-on-4implant iertion surgery from April 2008 to October 2009, and the complete-arch all- acrylic prostheses were delivered on the operation day. Surgical care management according to the specificity of implantology was used peri-operatively. Sterility test was applied regularly. Evaluation of the patient satisfaction to the perioperative care was undergone in the study. Results 29 patients were included in the study and among them 8 were edentulous maxilla, 15 were edentulous mandible and 6 were full jaw edentulous implants were placed and restored immediately on the operation day. 8 implants were lost after functioning 1-2 months. All the patients were satisfied with the final results and nuing management during treatment. Conclusio Professional nuing management and prosthetic care techniques can predictably provide security during immediate function of the fixed provisional denture for the edentulous arches with high patient satisfactio. 【Key words】immediate prostheses All-on-four nuing dental implant 无牙颌修复一直是国际上公认的修复难题，与传统全口义齿相比，种植修复能最大限度重建无牙颌患者的口颌功能，明显改善患者的生存质量，临床效果满意且长期成功率高，而经典的无牙颌种植修复方法存在治疗周期长，医疗费用高，使其推广应用受限。[1-4]All-on-4即刻种植固定修复无牙颌是近年来国际上出现的新技术，目前国际上仅有少数病例报告，国内仅有一篇临床研究报道；该技术特点是通过植入四颗种植体，其中远中种植体呈45°向远中倾斜，避开了上颌窦和下齿槽神经管等重要解剖结构，避免了植骨手术，减少了手术创伤，术后当天即刻行固定义齿修复，改善了患者动容貌结构，缩短患者的缺牙时间，降低了医疗费用，极大地提高了无牙颌患者的生存质量，患者满意度高。[4]然而，All-on-4种植修复技术的应用在我国刚刚开始，临床修复时的专业护理配合对保证该技术的成功，缩短治疗时间，提高工作效率，具有重要临床意义，目前国内外尚未见相关研究报告。本研究对北京大学口腔医院种植中心29例All-o