Department of Surgery and General Clinical, Araçatuba Dental School, Univ Estadual Paulista (UNESP), Araçatuba, São Paulo, Brasil.
Dent Traumatol. 2010 Dec;26(6):512-5. doi: 10.1111/j.1600-9657.2010.00934.x. Epub 2010 Oct 14.
Post-traumatic complications occasionally lead to tooth loss as well as the need for future implants. However, rehabilitation with endosseous osseointegrated implants does not protect the patient from the risk of suffering a new trauma. Implant fracture and the damage of the hexagon are post-traumatic complications that guide the clinician to preparing a more intricate treatment plan. The authors present a clinical case of a recurrent trauma of maxillary implant fracture. The treatment plan was to remove the implants followed by autogenous bone grafting to correct the defect. Two titanium implants were replaced, followed by connective tissue graft after allowing complete the healing process of the bone graft to occur. In the postoperative period of 6 months, satisfactory results have been shown as regards soft and hard tissues wound healing.
创伤后并发症偶尔会导致牙齿缺失，需要进行未来的种植。然而，使用骨内种植体进行修复并不能保护患者免受新创伤的风险。种植体骨折和六角损坏是创伤后的并发症，这会指导临床医生制定更复杂的治疗计划。作者介绍了上颌种植体骨折反复发作创伤的临床病例。治疗计划是先取出种植体，然后进行自体骨移植以矫正缺陷。在完全愈合后，更换了两个钛种植体，并进行了结缔组织移植。在术后 6 个月，软组织和硬组织的伤口愈合情况均显示出满意的结果。
