摘要
牙外伤是口腔急诊中的常见病和多发病,严重的牙外伤常常导致患牙不能保留而需要拔除.以往前牙缺失后采取传统的固定和活动义齿修复或者常规种植修复,通常需要3～6个月的等待,在这期间患者需要经受缺牙或佩戴活动临时修复体带来的不适.近年来,即刻种植技术迅速发展,不仅能更快地恢复缺失牙的形态和功能,同时能起到尽可能保存原有软硬组织的作用.但临床医生需要意识到,即刻种植在适应证上有较为严格的要求,同时因为牙外伤常发生在前牙美学区,需要考虑相应的美学风险.因此,特别是对于临床经验不足的医生而言,即刻种植手术是一项巨大的挑战.文章对即刻种植在牙外伤中的应用做一简单总结,并结合笔者临床经验分享即刻种植的一些技术要点和病例分析.
Abstract： Dental trauma is a common dental emergency disease. Teeth extraction would be requested in severely damaged cases. The missing teeth would be traditionally restored with a fixed or removed denture or dental implants 3-6 months later after teeth extraction. And the patients should tolerant with the inconvenient of teeth loss or conventional removable prosthesis during such a long periods. With the development of dental implantology, replacement of traumatized teeth with immediate implants and immediate loading became one of the options for management of severely traumatized dentitions. However, dental practitioners should recognize that immediate placement of dental implants in the maxillary anterior area still has strict indications and poses great challenges because of the high esthetic demands in this area. This review Introduces the considerations and the applications of immediate implantation in severe dental trauma and two represented cases were presented.
作者
盛列平
程耀
吴利群
詹静
赵其荣
曹筝
楼志峰
马庆芳
SHENG Lie-ping CHENG Yao WU Li-qun ZHAN Jing ZHAO Qi-rong CAO Zheng LOU Zhi-feng MA Qing-fang(Department of Dental Clinic, Sir Run Run Shaw Hospital, School of Medicine, Zhejiang University, Hangzhou 310016, China)
出处
《中国实用口腔科杂志》
CAS
2016年第11期641-647,共7页
Chinese Journal of Practical Stomatology
关键词
牙外伤
即刻种植
前牙美学区
dental trauma
immediate implant
esthetic area
