华西口腔医学杂志 ›› 2021, Vol. 39 ›› Issue (4): 377-385.doi: 10.7518/hxkq.2021.04.002

• 专家论坛 • 上一篇    下一篇

牙列缺失倾斜种植设计

范震, 刘月, 王佐林()   

  1. 同济大学附属口腔医院种植科,上海牙组织修复与再生工程技术研究中心,上海 200072
  • 收稿日期:2020-12-30 修回日期:2021-03-09 出版日期:2021-08-01 发布日期:2021-08-10
  • 通讯作者: 王佐林 E-mail:zuolin@tongji.edu.cn
  • 作者简介:范震,主任医师,博士,E-mail:miss.fanzhen@tongji.edu.cn。口腔医学博士,主任医师,硕士生导师。现任同济大学附属口腔医院口腔种植科主任。中华口腔医学会口腔种植专业委员会常务委员,中华口腔医学会口腔修复学专业委员会委员,上海市口腔医学会口腔种植专业委员会副主任委员,全国卫生产业企业管理协会数字化口腔产业分会常务委员,“十三五”规划本科教材《口腔种植学》编委,口腔专科医师规范化培训规划教材《口腔种植专科分册》编委,《口腔种植学辞典》编委,《中国口腔种植学杂志》、《口腔医学》及《国际口腔颌面种植》(中文版)编委。
  • 基金资助:
    国家重点研发计划“战略性国际科技创新合作”重点专项(2018YFE0202200);同济大学研究生教育与改革项目(ZD1903056)

Tilted implantation technique for edentulous patients

Fan Zhen, Liu Yue, Wang Zuolin()   

  1. Dept. of Implantology, School & Hospital of Stomatology, Tongji University, Shanghai Engineering Research Center of Tooth Restoration and Regeneration, Shanghai 200072, China
  • Received:2020-12-30 Revised:2021-03-09 Online:2021-08-01 Published:2021-08-10
  • Contact: Wang Zuolin E-mail:zuolin@tongji.edu.cn
  • Supported by:
    National Key Research and Development Program Project Application(2018YFE0202200);Tongji University Graduate Education and Reform Project(ZD1903056)

摘要:

倾斜植入技术是指当上、下颌可用骨高度不足时,为避让上颌窦、下牙槽神经、鼻底等解剖结构,采取与水平面呈超过15º、小于45º角度植入种植体,最大限度地利用可用骨,避免大范围骨增量的种植方法。牙列缺失患者常存在骨量不足,倾斜种植技术减小了患者的手术创伤,增加了即刻修复的可能性,缩短了患者的治疗周期,在临床中的应用日益广泛。本文对牙列缺失患者临床常用倾斜种植技术的适用范围、设计要素、设计方案及并发症作以阐述。

关键词: 牙列缺失, 倾斜种植, 翼上颌区种植, 牙种植, 骨缺损

Abstract:

The tilted implantation technique is characterized by placing the implant at an angle of more than 15° and less than 45° from the horizontal plane. This technique can avoid damaging the maxillary sinus, inferior alveolar nerve, nasal base, and other anatomical structures when the height of the upper and lower jaw available bone is insufficient, to maximize the use of available bone and avoid a large range of bone increment. The tilted implantation technique can reduce the trauma of the surgery, increase the possibility of immediate restoration and shorten the treatment cycle, which has been widely used clinically. In this review, the scope of application, design elements, design scheme and complications of the tilted implantation technique for edentulous patients will be described.

Key words: edentulous, tilted implantation, pterygomaxillary implant, dental implantation, bone defect

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