Department of Advanced Prosthodontics, School of Dentistry, University of Southern California, Los Angeles, CA, USA.
J Prosthodont. 2010 Apr;19(3):235-9. doi: 10.1111/j.1532-849X.2009.00563.x. Epub 2010 Jan 22.
Severe periodontal disease leading to tooth loss causes multiple challenges when treatment planning replacement of these teeth with implant-supported restorations. Provisionalization and transitioning the patient from natural dentition to implant-supported restorations without use of removable prostheses can be difficult to achieve. A detailed evaluation and comprehensive treatment plan should precede extraction of the affected teeth. Forced eruption as a method of modifying the osseous and gingival topography has been established. This clinical report illustrates the use of nonmaintainable teeth to simultaneously develop the site for future implant placement, as well as support a fixed interim restoration during treatment. Patient was classified as an American College of Prosthodontists Prosthodontic Diagnostic Index (ACP PDI) class IV patient.
严重的牙周病导致牙齿缺失，在制定使用种植体支持修复体替代这些牙齿的治疗计划时会带来诸多挑战。在不使用可摘义齿的情况下，实现临时修复和将患者从天然牙过渡到种植体支持修复体可能具有挑战性。在拔除受影响的牙齿之前，应进行详细的评估和全面的治疗计划。作为一种改变骨和牙龈形态的方法，强制萌出已经确立。本临床报告说明了使用不可维护的牙齿来同时为未来的种植体放置开发部位，并在治疗过程中支持固定临时修复体。患者被归类为美国修复牙科学会修复诊断指数（ACP PDI）第四类患者。
