Oliveira Marcio A, Ortega Karem L, Martins Fabiana M, Maluf Paulo S Z, Magalhães Marina G
Special Care Dentistry Center, Department of Oral Pathology, School of Dentistry, University of São Paulo, Brazil.
Spec Care Dentist. 2010 Jan-Feb;30(1):23-6. doi: 10.1111/j.1754-4505.2009.00117.x.
Dental management of patients with epi-dermolysis bullosa (EB) is challenging because of the severe soft tissue lesions associated with this disease. A case history is presented where two immediate endosseous implants were placed in the mandible of a patient with recessive dystrophic EB using computer-aided technology to plan the surgery and prosthetic rehabilitation. After a 24-month follow-up, the prosthesis was stable with healthy asymptomatic soft tissue around the implants. The stereolithographic model provides a precise and noninvasive copy of the mandibular and maxillary arches of patients with EB for rehabilitation of the dentition with immediate endosseous implants and a prosthesis.
由于大疱性表皮松解症(EB)患者伴有严重的软组织病变,因此对其进行牙科治疗具有挑战性。本文介绍了一个病例,利用计算机辅助技术为一名隐性营养不良型EB患者的下颌骨植入了两颗即刻种植体,用于手术规划和修复治疗。经过24个月的随访,修复体保持稳定,种植体周围软组织健康且无不适症状。立体光刻模型为EB患者的下颌和上颌牙弓提供了精确的无创复制,以便通过即刻种植体和修复体来修复牙列。