中国组织工程研究

中国组织工程研究 ›› 2010, Vol. 14 ›› Issue (4): 744-747.doi: 10.3969/j.issn.1673-8225.2010.04.041

• 骨与关节临床实践 clinical practice of the bone and joint • 上一篇    下一篇

球帽附着体种植覆盖总义齿即刻负载修复低平下颌无牙颌13例：随访24个月

王丽萍1，张树标2，方  颖1，范长斌1   

  1. 1广州医学院口腔医院，广东省广州市  510140；2广州医学院第一附属医院，广东省广州市  510120
  • 出版日期:2010-01-22 发布日期:2010-01-22
  • 通讯作者: 张树标，主任医师，广州医学院第一附属医院口腔科，广东省广州市 510120 zsb8@21cn.com
  • 作者简介:王丽萍★，女，1969年生，浙江省东阳市人，汉族，在读硕士，副主任医师，主要从事口腔种植临床研究。 wangliplj@126.com

Immediately loaded ball-cap attachments implant-supported overdenture in 13 cases with mandibular alveolar ridge atrophy: A 24-month follow-up

Wang Li-ping1, Zhang Shu-biao2, Fang Ying1, Fan Chang-bin1   

  1. 1 Stomatological Hospital of Guangzhou Medical College, Guangzhou  510140, Guangdong Province, China; 2 Department of Stomatology, First Affiliated Hospital of Guangzhou Medical College, Guangzhou  510120, Guangdong Province, China
  • Online:2010-01-22 Published:2010-01-22
  • Contact: Zhang Shu-biao, Chief physician, Department of Stomatology, First Affiliated Hospital of Guangzhou Medical College, Guangzhou 510120, Guangdong Province, China zsb8@21cn.com
  • About author:Wang Li-ping★, Studying for master’s degree, Associate chief physician, Stomatological Hospital of Guangzhou Medical College, Guangzhou 510140, Guangdong Province, China wangliplj@126.com

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摘要：

目的：无牙颌种植修复是目前口腔种植关注的热点，如何做到简单、快捷、经济是正在努力探索的问题。观察使用2颗ITI球帽附着体种植覆盖总义齿即刻负载对低平下颌无牙颌的修复效果。
方法：纳入下颌牙槽骨萎缩低平义齿固位差的患者13例，分别于下颌置入种植体2颗，正畸牵引圈保存球帽基台与球帽阴型间缓冲空间，制作下颌球帽附着体种植覆盖总义齿，即刻负载修复，随访24个月。
结果：所有种植体无松动，无明显骨吸收，义齿咀嚼及固位满意。3例出现种植体周围牙龈轻度红肿，对症处理后痊愈。
结论：2颗ITI球帽附着体种植覆盖总义齿即刻负重修复低平下颌无牙颌是简单、快捷、经济、可行的手段。

关键词: 球帽附着体, 覆盖义齿, 种植义齿, 即刻负载, 植入体

Abstract:

BACKGROUND: Dental implants in edentulous patients have been widely discussed, and how to do simple, fast, and economic is working hard. To investigate the clinical effect of immediately loading of two implants supporting a ball-cap attachment-retained implant-supported overdenture in patients with mandibular alveolar ridge atrophy.
METHODS: Totally 13 patients of with mandibular alveolar ridge atrophy were selected and treated with ITI implant system and ITI ball-cap attachment system, every case had 2 implants in mandible only and loaded immediately when ball-cap attachments implant-supported overdenture was finished. The applied effect of overdenture was followed-up for 24 months.
RESULTS: Every implant was stability, there was not obvious bone absorbed around implant marginal bone, and the overdenture could supply reliable retention and highly masticatory efficiency. Slight mucosal response was found around implants in 3 cases and was cured by maintenance.
CONCLUSION: Immediately loading of two implants supporting a ball-cap attachment-retained implant-supported overdenture in patients with mandibular alveolar ridge atrophy was a simple, fast, economic, and feasible mean of dental prosthesis.

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