双种植体-杆卡固位覆盖义齿修复下颌无牙颌的临床应用

doi:10.7518/hxkq.2017.04.019

摘要/Abstract

摘要：

颏孔间双种植体固位的杆卡固定覆盖义齿能够为无牙颌患者提供良好的固位与稳定,临床工作中应根据患者的客观条件合理应用。本文依据杆卡附着体特点及修复空间的要求,探讨并归纳颏孔间双种植体-杆卡固定覆盖义齿修复的诊疗步骤,并附以病例说明。

Abstract:

Implant-overdenture supported by an interforaminal bar provides stability and is effective in an edentulous atro-phic mandible. However, using this attachment requires precise planning from the restorative and surgical aspects to ensure a satisfying outcome. Consdering the feature and space requirements for bar attachment, this article establishes a clinical pro-tocol for a two-implant-retained overdenture on the mandible. In this study, a case of mandibular edentulism was considered to illustrate this protocol and provide a reference for clinical practice.

Key words: edentulous jaw, overdenture, dental implantation, mandible

中图分类号:

R783.4

刀力, 肖雪, 王晓东, 赵克. 双种植体-杆卡固位覆盖义齿修复下颌无牙颌的临床应用[J]. 华西口腔医学杂志, 2017, 35(4): 442-447.

Li Dao, Xue Xiao, Xiaodong Wang, Ke Zhao. Clinical application of mandibular overdenture supported by a two-implant and interforaminal bar in an edentulous atrophic mandible[J]. West China Journal of Stomatology, 2017, 35(4): 442-447.

图/表 9

图 1

图 2

图 3

图 4

图 5

图 6

图 7

图 8

图 9

参考文献 19

[1]	Kern JS, Kern T, Wolfart S, et al.A systematic review and meta-analysis of removable and fixed implant-supported prostheses in edentulous jaws: post-loading implant loss[J]. Clin Oral Implants Res, 2016, 27(2):174-195.
[2]	Mumcu E, Bilhan H, Geckili O.The effect of attachment type and implant number on satisfaction and quality of life of mandibular implant-retained overdenture wearers[J]. Gero-dontology, 2012, 29(2):e618-e623.
[3]	Thomason JM.The McGill Consensus Statement on Over-dentures. Mandibular 2-implant overdentures as first choice standard of care for edentulous patients[J]. Eur J Prostho-dont Restor Dent, 2002, 10(3):95-96.
[4]	Fitzpatrick B.Standard of care for the edentulous mandible: a systematic review[J]. J Prosthet Dent, 2006, 95(1):71-78.
[5]	Thomason JM, Feine J, Exley C, et al. Mandibular two im-plant-supported overdentures as the first choice standard of care for edentulous patients—the York Consensus Statement[J]. Br Dent J, 2009, 207(4):185-186.
[6]	Mericske-Stern R.Clinical evaluation of overdenture resto-rations supported by osseointegrated titanium implants: a retrospective study[J]. Int J Oral Maxillofac Implants, 1990, 5(4):375-383.
[7]	Singh K, Gupta N, Kapoor V, et al.Hader bar and clip attach-ment retained mandibular complete denture[J]. BMJ Case Rep, 2013, 2013:bcr2013010401.
[8]	Lin WS, Ozdemir E, Morton D. A three-appointment alter-native treatment protocol for fabricating an implant-supported milled bar overdenture[J]. J Prosthet Dent, 2012, 107(2):75-79.
[9]	Cekiç C, Akça K, Cehreli MC.Effects of attachment design on strains around implants supporting overdentures[J]. Quin-tessence Int, 2007, 38(6):e291-e297.
[10]	Skalak R.Biomechanical considerations in osseointegrated prostheses[J]. J Prosthet Dent, 1983, 49(6):843-848.
[11]	Duyck J, Van Oosterwyck H, Vander Sloten J, et al.In vivo forces on oral implants supporting a mandibular overdenture: the influence of attachment system[J]. Clin Oral Investig, 1999, 3(4):201-207.
[12]	Katsoulis J, Wälchli J, Kobel S, et al.Complications with computer-aided designed/computer-assisted manufactured titanium and soldered gold bars for mandibular implant-overdentures: short-term observations[J]. Clin Implant Dent Relat Res, 2015, 17(Suppl 1):e75-e85.
[13]	Mericske-Stern R.Force distribution on implants supporting overdentures: the effect of distal bar extensions. A 3-D in vivo study[J]. Clin Oral Implants Res, 1997, 8(2):142-151.
[14]	Misch CE.Contemporary implant dentistry[M]. 3rd ed. St. Louis: Mosby Elsevier, 2008:293-300.
[15]	Albrecht D, Ramierez A, Kremer U, et al.Space requirement of a prefabricated bar on two interforaminal implants: a pros-pective clinical study[J]. Clin Oral Implants Res, 2015, 26
	(2):143-148.
[16]	Fridrich T, Foo H.Tooth position index for the fabrication of a mandibular implant-supported overdenture bar[J]. J Pros-thet Dent, 1998, 80(1):121-123.
[17]	Cune MS, de Putter C, Hoogstraten J. Treatment outcome with implant-retained overdentures: PartⅠ—Clinical findings and predictability of clinical treatment outcome[J]. J Pros-thet Dent, 1994, 72(2):144-151.
[18]	Roccuzzo M, Bonino F, Gaudioso L, et al.What is the opti-mal number of implants for removable reconstructions? A systematic review on implant-supported overdentures[J]. Clin Oral Implants Res, 2012, 23(Suppl 6):229-237.
[19]	Cakarer S, Can T, Yaltirik M, et al.Complications asso-ciated with the ball, bar and Locator attachments for implant-supported overdentures[J]. Med Oral Patol Oral Cir Bucal, 2011, 16(7):e953-e959.