Department of Restorative and Prosthetic Dentistry, The Ohio State University College of Dentistry, Columbus, OH 43210, USA.
J Prosthodont. 2011 Jul;20(5):336-47. doi: 10.1111/j.1532-849X.2011.00717.x. Epub 2011 May 17.
Maxillary implant prosthetic treatments may be considerably more difficult to accomplish when compared to the corresponding treatments for patients with edentulous or partially edentulous jaws. The objectives of this article include descriptions of diagnostic records and their impact on treatment success, and criteria clinicians should use to determine whether fixed or removable prostheses are the treatment of choice in any given situation. Specific criteria and clinical guidelines will be identified for use in the treatment planning process. Determination of optimal tooth positions and their relationships to residual ridges or extraction sites are one of the critical factors in determining designs for maxillary implant prostheses. Prosthetic designs (fixed or removable) should be determined by clinicians prior to placing implants; removable prostheses should not be considered to be the "fall-back" treatment option if fixed treatments become unavailable secondary to loss of implants or other clinical complications. Inherent differences between fixed and removable prosthetic treatments are critical for clinicians to understand, as they often include key points for clinicians explaining the features of fixed/removable-implant prostheses to patients. Appreciation of the differences between fixed and removable prostheses is critical for patients and clinicians to make informed decisions.
上颌种植体修复治疗可能比无牙或部分无牙颌患者的相应治疗困难得多。本文的目的包括描述诊断记录及其对治疗成功的影响，以及临床医生应使用哪些标准来确定在任何特定情况下固定或可摘义齿是首选治疗方法。将确定具体标准和临床指南，用于治疗计划过程。确定最佳牙齿位置及其与剩余牙槽嵴或拔牙部位的关系是确定上颌种植体修复体设计的关键因素之一。在植入物之前，临床医生应确定修复体设计（固定或可摘）；如果由于植入物丢失或其他临床并发症导致固定治疗不可用，则不应将可摘义齿视为“后备”治疗选择。固定和可摘义齿修复治疗之间的固有差异对临床医生来说至关重要，因为它们通常包括临床医生向患者解释固定/可摘义齿修复体特征的要点。了解固定和可摘义齿之间的差异对于患者和临床医生做出明智的决策至关重要。
