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美学区域的二期种植手术:一种新技术。

Stage-two implant surgery in the esthetic zone: a new technique.

作者信息

Hürzeler Markus B, von Mohrenschildt Sebastian, Zuhr Otto

机构信息

Department of Operative Dentistry and Periodontology, Albert Ludwigs University, Freiburg, Germany.

出版信息

Int J Periodontics Restorative Dent. 2010 Apr;30(2):187-93.

PMID:20228978
Abstract

The esthetic outcome of implant-supported restorations has become increasingly important, especially for single-tooth implants in the esthetic zone. Because of the morphologic alterations that occur following tooth extraction, augmentation procedures are often necessary before, during, or after implantation to achieve an esthetically pleasing result. This article describes a modified technique for augmenting the soft tissue during stage-two implant surgery. The technique uses a modified roll flap, in combination with a tunneling approach to the adjacent teeth and a coronally positioned palatal sliding flap, to achieve sufficient horizontal dimensions and a scarless and harmonious architecture of the peri-implant soft tissue.

摘要

种植体支持修复体的美学效果变得越来越重要,尤其是对于美学区域的单颗牙种植体。由于拔牙后会发生形态改变,因此在种植前、种植期间或种植后通常需要进行增量手术,以获得美观的效果。本文介绍了一种在二期种植手术中增加软组织的改良技术。该技术采用改良的卷瓣,结合向邻牙的隧道式入路和腭侧冠向滑动瓣,以获得足够的水平尺寸和种植体周围软组织无瘢痕且协调的结构。

相似文献

1
Stage-two implant surgery in the esthetic zone: a new technique.美学区域的二期种植手术:一种新技术。
Int J Periodontics Restorative Dent. 2010 Apr;30(2):187-93.
2
Palatal sliding strip flap: soft tissue management to restore maxillary anterior esthetics at stage 2 surgery: a clinical report.腭部滑动条瓣:二期手术中软组织处理以恢复上颌前部美观:临床报告
Int J Oral Maxillofac Implants. 1999 Jan-Feb;14(1):30-6.
3
Correction of bone and softtissue deformity of the single implant in the aesthetic zone: a case treated with alveolar ridge preservation, modified roll technique and a digitally coded healing abutment.美学区域单颗种植体骨与软组织畸形的矫正:1例采用牙槽嵴保存、改良翻瓣技术及数字编码愈合基台治疗的病例
Eur J Prosthodont Restor Dent. 2014 Jun;22(2):51-5.
4
Coronally positioned palatal sliding flap.腭向移位瓣
Int J Periodontics Restorative Dent. 1995 Jun;15(3):298-310.
5
Maxillary anterior esthetic extractions with delayed single-stage implant placement.上颌前牙美学区拔牙并延期进行单阶段种植体植入。
Compend Contin Educ Dent. 2002 Sep;23(9):829-30, 833-6, 838 passim; quiz 848.
6
Obliteration of the nasopalatine canal in conjunction with horizontal ridge augmentation.鼻腭管闭塞伴水平嵴增大。
Compend Contin Educ Dent. 2012 Feb;33(2):116-20, 122.
7
Early implant placement following single-tooth extraction in the esthetic zone: biologic rationale and surgical procedures.美学区单颗牙拔除后早期种植体植入:生物学原理及手术操作
Int J Periodontics Restorative Dent. 2008 Oct;28(5):441-51.
8
A rotated palatal flap ridge preservation technique to enhance restorative and hard and soft tissue esthetics for tooth replacement in the anterior maxilla.一种旋转腭瓣牙槽嵴保存技术,用于增强上颌前部牙齿缺失修复时的修复效果以及软硬组织美学效果。
Int J Periodontics Restorative Dent. 2010 Apr;30(2):195-201.
9
Preservation of existing soft-tissue contours in the transition from a tooth to an implant restoration in the esthetic zone using a flapless approach: a clinical report.在使用无瓣技术的情况下,从牙到种植修复体在美学区域中保持现有的软组织轮廓:临床报告。
J Prosthodont. 2010 Jul;19(5):391-6. doi: 10.1111/j.1532-849X.2010.00581.x. Epub 2010 Mar 15.
10
Soft tissue management in oral implantology: a review of surgical techniques for shaping an esthetic and functional peri-implant soft tissue structure.口腔种植学中的软组织管理:塑造美观且功能良好的种植体周围软组织结构的手术技术综述
Quintessence Int. 2000 Jul-Aug;31(7):483-99.

引用本文的文献

1
The distally anchored connective tissue graft platform for papilla enhancement: A case report.用于乳头增强的远端锚定结缔组织移植平台:病例报告。
Clin Adv Periodontics. 2025 Jun;15(2):150-159. doi: 10.1002/cap.10299. Epub 2024 Jun 10.
2
Multilayered Connective Tissue Grafting Technique to Improve Aesthetics after Failed GBR: A Clinical Case Report of 16 Months Follow-Up.多层结缔组织移植技术改善引导骨再生失败后的美学效果:一项随访16个月的临床病例报告
Case Rep Dent. 2020 Jul 22;2020:3906468. doi: 10.1155/2020/3906468. eCollection 2020.
3
The dome technique: a new surgical technique to enhance soft-tissue margins and emergence profiles around implants placed in the esthetic zone.
穹顶技术:一种用于增强美学区种植体周围软组织边缘和龈缘轮廓的新型手术技术。
Clin Cosmet Investig Dent. 2018 Feb 14;10:1-7. doi: 10.2147/CCIDE.S154152. eCollection 2018.
4
Rotational Flap to Enhance Buccal Gingival Thickness and Implant Emergence Profile in the Esthetic Zone: Two Cases Reports.旋转皮瓣用于增加美学区颊侧牙龈厚度及种植体穿龈轮廓:两例病例报告
Open Dent J. 2017 Jun 30;11:284-293. doi: 10.2174/1874210601711010284. eCollection 2017.