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采用置入性骨移植和种植体的勒福Ⅰ型截骨术治疗严重吸收的上颌骨:两阶段手术。

Le Fort I osteotomy with interpositional bone grafts and implants for rehabilitation of the severely resorbed maxilla: a 2-stage procedure.

作者信息

Kahnberg K E, Nilsson P, Rasmusson L

机构信息

Department of Oral and Maxillofacial Surgery, Göteborg University, Sweden.

出版信息

Int J Oral Maxillofac Implants. 1999 Jul-Aug;14(4):571-8.

PMID:10453674
Abstract

A surgical procedure for the rehabilitation of severely resorbed maxillae is described. Twenty-five patients, made up of a development group of 5 and a routine group of 20, were treated with Le Fort I osteotomy using interpositional bone grafts from the iliac crest and, in a second stage, titanium implants. Altogether, 181 Brånemark implants were placed, and the patients were followed for up to 5 years. The implant survival rate for the development group was 60.0% after 5 years. Life table analysis for the routine group showed a 5-year survival rate of 85.6%. Twenty-two patients received fixed prostheses and 2 received overdentures. One patient lost all implants and was rehabilitated with a prong denture.

摘要

本文描述了一种用于严重吸收上颌骨修复的外科手术方法。25例患者分为5例的实验组和20例的常规组,采用Le Fort I截骨术,术中植入取自髂嵴的骨块,二期植入钛种植体。共植入181枚Brånemark种植体,对患者进行了长达5年的随访。实验组5年后种植体存留率为60.0%。常规组的生命表分析显示5年存留率为85.6%。22例患者接受了固定义齿修复,2例患者接受了覆盖义齿修复。1例患者所有种植体均脱落,采用叉形义齿进行修复。

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