华西口腔医学杂志

• 临床研究 • 上一篇    下一篇

一段式小直径种植体在小缺牙间隙即刻修复种植的临床研究

黄建生 赵建江 刘琼 刘天涛   

  1. 南方医科大学附属口腔医院·广东省口腔医院特诊中心, 广东广州510280
  • 收稿日期:2010-08-25 修回日期:2010-08-25 出版日期:2010-08-20 发布日期:2010-08-20
  • 通讯作者: 赵建江,Tel:020-84413079
  • 作者简介:黄建生(1968—),男,浙江人,主任医师,硕士

Clinical research of immediate restoration implant with mini-implants in edentulous space

HUANG Jiansheng, ZHAO Jian-jiang, LIU Qiong, LIU Tian-tao   

  1. Dept. of Special Clinic, Guangdong Provincial Stomatological Hospital, South University of Medical Sciences, Guangzhou 510280, China
  • Received:2010-08-25 Revised:2010-08-25 Online:2010-08-20 Published:2010-08-20
  • Contact: ZHAO Jian-jiang,Tel:020-84413079

摘要:

目的研究Osstem MS一段式小直径种植体用于5~6 mm的缺牙间隙即刻修复种植的临床效果。方法在36例患者的36个5~6 mm缺牙间隙处植入直径2.5 mm或3.0 mm的Osstem MS一段式小直径种植体36颗,即刻在椅旁或技工室完成树脂冠临时修复,树脂冠避开与对颌牙接触。术后3~5个月,金合金烤瓷冠完成修复。对所有病例进行定期的临床和放射线检查。结果36颗种植体行烤瓷冠修复时无1颗失败,其中1颗种植体植入后导致1颗邻牙牙髓坏死,经根管治疗后天然牙和种植体均成功保留。36例患者从种植体植入开始平均随访21.3个月(12~37个月),36颗种植体均获得成功,种植义齿龈缘与邻牙龈缘曲线协调,龈乳头充盈,美学效果理想。结论5~6 mm缺牙间隙采用Osstem MS一段式小直径种植体即刻修复种植可以取得良好的临床效果。

关键词: 种植体, 缺牙间隙, 即刻修复

Abstract:

Objective The purpose of this study was to investigate the clinical effective of immediate restoration with Osstem MS mini-implant in the edentulous space of 5-6 mm. Methods The sample consisted of 36 consecutively treated partially edentulous patients who had a total of 36 Osstem MS mini-implants, which were 2.5 mm or 3.0 mm in diameter and placed in 5-6 mm gap. The chair-side-made or laboratory-made provisional crowns for implants were fabricated at the time of fixtures placed. The final restorations were fabricated with gold alloy-fusedporcelain crown 3 to 5 months later. During the mean 21.3 months(12-37 months) follow-up time since fixtures placement, all implants were examined clinically and radiologically. Results No implant failed before restoration. One implant led an adjacent tooth pulp necrosis after the implantation, but the natural tooth and implant were successfully retained by root canal therapy. 36 implants in 36 patients who were followed-up were successful and their aesthetic results were satisfactory. Conclusion Immediate loaded implant with Osstem MS mini-implant has good clinical prosthetic effects in the edentulous space of 5-6 mm.

Key words: dental implant, edentulous space, immediate restoration