摘要
目的:分析本病例种植体尖周炎的病因,总结治疗经验。方法:女性患者1例,上颌前牙即刻种植后并发种植体尖周炎,取出植体并进行严密的清创冲洗,种植窝内植入碘仿明胶海绵和富血小板纤维蛋白,延期植入植体,观察临床修复效果。结果:X线片示骨缺损处有新骨生成,透射影消失植体稳固,修复效果满意。结论:根尖周炎牙齿拔除后拔牙窝有残留的肉芽组织和炎症瘢痕组织,必须翻瓣刮除肉芽组织及感染物,否则容易因种植区残留的细菌导致种植的失败。种植时机的选择和术前术后抗生素的应用也是成功种植的关键因素。
Objective:To analyze the etiology of periapical periodontitis of implant and summarize the experience of treatment.Methods:One female patient was complicated with periapical periodontitis after immediate implantation of maxillary anterior teeth.The implant was removed and strict debridement irrigation was carried out.Iodoform gelatin sponge and platelet-rich fibrin were implanted in the implant fossa,and the implant was delayed.Observation of clinical repair effect.Results:The X-ray film showed that there was new bone formation in the bone defect,the transmission shadow disappeared and the graft was stable,and the repair effect was satisfactory.Conclusion:After the extraction of periapical teeth,there are residual granulation tissue and inflammatory scar tissue in the extraction fossa.It is necessary to scrape off the granulation tissue and infection,otherwise,it is easy to cause the failure of implantation due to the residual bacteria in the planting area.The choice of planting time and the application of antibiotics before and after implantation are also the key factors for successful implantation.
作者
赵彬彬
寇霓
仲维剑
马国武
ZHAO Binbin;KOU Ni;ZHONG Weijian(Department of Oral Implantology,School of Stomatology,Dalian Medical University,Dalian 116023,Liaoning Province,China.)
出处
《中国口腔种植学杂志》
2020年第1期17-19,共3页
Chinese Journal of Oral Implantology
基金
辽宁省自然科学基金(2015020313),项目负责人:仲维剑。
关键词
种植体尖周炎
种植
治疗
预防
implant periarthritis
planting
treatment
prevention
