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应对牙种植体失败问题。

Dealing with dental implant failures.

作者信息

Levin Liran

机构信息

Department of Oral Rehabilitation, The Maurice and Gabriela Goldschleger School of Dental Medicine, Tel Aviv.

出版信息

J Appl Oral Sci. 2008 May-Jun;16(3):171-5. doi: 10.1590/s1678-77572008000300002.

Abstract

An implant-supported restoration offers a predictable treatment for tooth replacement. Reported success rates for dental implants are high. Nevertheless, failures that mandate immediate implant removal do occur. The consequences of implant removal jeopardize the clinician's efforts to accomplish satisfactory function and esthetics. For the patient, this usually involves further cost and additional procedures. The aim of this paper is to describe different methods and treatment modalities to deal with dental implant failure. The main topics for discussion include identifying the failing implant, implants replacing failed implants at the exact site, and the use of other restorative options.When an implant fails, a tailor made treatment plan should be provided to each patient according to all relevant variables. Patients should be informed regarding all possible treatment modalities following implant failure and give their consent to the most appropriate treatment option for them.

摘要

种植体支持的修复体为牙齿缺失提供了可预测的治疗方法。报道的牙种植体成功率很高。然而,确实会出现需要立即取出种植体的失败情况。取出种植体的后果会危及临床医生实现满意功能和美观的努力。对患者来说,这通常意味着进一步的费用和额外的程序。本文的目的是描述处理牙种植体失败的不同方法和治疗方式。主要讨论的主题包括识别失败的种植体、在确切部位替换失败种植体的种植体以及使用其他修复选择。当种植体失败时,应根据所有相关变量为每位患者提供量身定制的治疗计划。应告知患者种植体失败后所有可能的治疗方式,并征得他们对最适合其治疗方案的同意。

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