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多牙先天缺失患者的种植-外科及修复康复:临床报告

Implant-surgical and prosthetic rehabilitation of patients with multiple dental aplasia: a clinical report.

作者信息

Durstberger G, Celar A, Watzek G

机构信息

Department of Oral Surgery, Dental School of the University of Vienna, Austria.

出版信息

Int J Oral Maxillofac Implants. 1999 May-Jun;14(3):417-23.

Abstract

The expanded experience with oral implants and supplementary augmentation techniques has opened new possibilities for treating patients with oligodontia or anodontia with fixed prostheses. A problem in treating such patients is the need to place implants in growing maxillae or mandibles, as many of these patients are children or adolescents. When implant treatment is postponed until the patient is full grown, dysfunctions become manifest, which necessitates extensive surgical measures to achieve a fixed prosthetic restoration. This report illustrates the problems associated with different concepts for the treatment of multiple aplasia with implants. The results are based on the findings of 22 patients with oligodontia who underwent surgical treatment and were followed over a period of 5 years. Two controversially treated cases are presented.

摘要

口腔种植体及辅助骨增量技术经验的不断丰富,为采用固定修复体治疗少牙症或无牙症患者开辟了新的可能性。治疗这类患者时面临的一个问题是,由于许多此类患者为儿童或青少年,需要在上颌骨或下颌骨生长过程中植入种植体。若将种植治疗推迟至患者成年后,功能障碍就会显现出来,这就需要采取广泛的外科手术措施来实现固定修复。本报告阐述了种植体治疗多数牙缺失的不同理念所涉及的问题。结果基于22例接受手术治疗并随访5年的少牙症患者的研究发现。文中还展示了两例存在争议的治疗病例。

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