终末牙列即刻修复的临床决策：颌位关系的确定与转移

doi:10.7518/hxkq.2025.2025249

华西口腔医学杂志 ›› 2025, Vol. 43 ›› Issue (6): 763-770.doi: 10.7518/hxkq.2025.2025249

终末牙列即刻修复的临床决策：颌位关系的确定与转移

古一平(), 杨胜涛, 袁泉()

口腔疾病防治全国重点实验室国家口腔医学中心国家口腔疾病临床医学研究中心四川大学华西口腔医院，成都 610041

收稿日期:2025-06-20 修回日期:2025-08-05 出版日期:2025-12-01 发布日期:2025-11-27
通讯作者: 袁泉 E-mail:13550035196@163.com;yuanquan@scu.edu.cn
作者简介:古一平，硕士，E-mail：13550035196@163.com|袁泉，四川大学华西口腔医院教授、博士生导师。国家自然科学基金委杰出青年基金和优秀青年基金获得者，国家高层次人才特殊支持计划科技创新领军人才。担任国际牙科研究会（IADR）种植研究分会主席（2021-2022），中国医师协会口腔医师分会口腔种植工作委员会副主任委员，中华口腔医学会口腔种植专业委员会常务委员，四川省口腔医学会口腔种植专业委员会主任委员。发表第一/通讯作者论文80余篇，担任《口腔种植学》规划本科教材共同主编，主编/主译专著10部。
基金资助:
国家自然科学基金(82125006)

Clinical decision-making for immediate restoration of terminal dentition: determination and transfer of jaw relations

Gu Yiping(), Yang Shengtao, Yuan Quan()

State Key Laboratory of Oral Diseases & National Center for Stomatology & National Clinical Research Center for Oral Diseases & West China Hospital of Stomatology, Sichuan University, Chengdu 610041, China

Received:2025-06-20 Revised:2025-08-05 Online:2025-12-01 Published:2025-11-27
Contact: Yuan Quan E-mail:13550035196@163.com;yuanquan@scu.edu.cn
Supported by:
National Natural Science Foundation of China(82125006)

摘要/Abstract

摘要：

无牙颌种植即刻固定修复技术已被证明有与常规种植修复类似的成功率，但其仍存在一定技术敏感性。在口腔种植即刻固定修复领域，可重复的稳定颌位关系是修复体设计制作的前提，同时也可以节约椅旁戴牙及调时间，并降低咬合相关并发症的风险。终末牙列患者全口种植手术后精准的颌位关系转移是种植支持咬合重建和功能修复的关键基础，也是当前种植支持式固定修复咬合重建领域的研究热点及难点。本文综述了种植即刻固定修复颌位关系确定与转移的流程及方法，以期为终末牙列患者种植固定修复的决策提供参考。

关键词: 无牙颌种植, 颌位关系, 即刻修复

Abstract:

Immediate implant-supported fixed restoration in edentulous jaws demonstrates a success rate comparable to that of conventional implant restoration. However, this approach still presents a certain degree of technique sensitivity. In the field of immediate implant-supported fixed restoration in dentistry, a repeatable and stable jaw relation is the prerequisite for the design and fabrication of prostheses. It also reduces chairside denture placement and occlusal adjustment time and lowers the risk of occlusion-related complications. For patients with terminal dentition, the precise transfer of jaw relation following full-arch implantation serves as the fundamental basis for implant-supported occlusal reconstruction and functional restoration. This process is also a key research focus and challenge in the area of implant-supported occlusal rehabilitation. This review summarizes the procedures and methods for determining and transferring jaw relation in immediate implant-supported fixed restoration. It aims to serve as a basis for clinical decision making in implant-supported fixed restorations for terminal dentition patients.

Key words: edentulous jaw implant, jaw relation, immediate restoration

中图分类号:

R783.4

古一平, 杨胜涛, 袁泉. 终末牙列即刻修复的临床决策：颌位关系的确定与转移[J]. 华西口腔医学杂志, 2025, 43(6): 763-770.

Gu Yiping, Yang Shengtao, Yuan Quan. Clinical decision-making for immediate restoration of terminal dentition: determination and transfer of jaw relations[J]. West China Journal of Stomatology, 2025, 43(6): 763-770.

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终末牙列即刻修复的临床决策：颌位关系的确定与转移

Clinical decision-making for immediate restoration of terminal dentition: determination and transfer of jaw relations

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