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使用骨移植和计算机辅助设计/计算机辅助制造(CAD/CAM)引导下即刻负重的最终种植修复体治疗严重吸收的无牙上颌骨:一例临床报告

The management of a severely resorbed edentulous maxilla using a bone graft and a CAD/CAM-guided immediately loaded definitive implant prosthesis: a clinical report.

作者信息

Cheng Ansgar C, Tee-Khin Neo, Siew-Luen Chan, Lee Helena, Wee Alvin G

机构信息

Mount Elizabeth Hospital, National University of Singapore, Singapore.

出版信息

J Prosthet Dent. 2008 Feb;99(2):85-90. doi: 10.1016/S0022-3913(08)00014-0.

Abstract

Functional reconstruction of an occlusion with severe residual ridge resorption is a clinical challenge. Removable prostheses are unsuccessful in situations with severe bone resorption. A patient with an edentulous maxilla received bone grafts from the anterior iliac crest to augment the maxillary alveolar residual ridges. The maxilla underwent bilateral sinus lift in the posterior area and onlay bone graft on the anterior maxilla using platelet-rich plasma. Eight endosseous implants were placed using a CAD/CAM surgical template approximately 6 months after the bone augmentation procedure. A prefabricated definitive implant-supported fixed complete denture was connected immediately after implant placement using a CAD/CAM-guided surgical implant placement protocol.

摘要

严重剩余牙槽嵴吸收的牙列缺损功能重建是一项临床挑战。在严重骨吸收的情况下,可摘义齿修复往往不成功。一位无牙上颌患者接受了取自髂前嵴的骨移植,以增加上颌牙槽嵴剩余骨量。上颌后部区域进行了双侧上颌窦提升,并使用富血小板血浆对上颌前部进行了覆盖植骨。在骨增量手术约6个月后,使用CAD/CAM手术模板植入了8颗种植体。在种植体植入后,立即按照CAD/CAM引导的种植手术植入方案连接预制的确定性种植体支持的固定全口义齿。

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