Leclercq P, Magnien G
Cah Prothese. 1990 Mar(69):16-30.
Implantology, very frequently presented under only the surgical angle, must in fact be approached from a biological and functional point of view. The analysis of the future prosthetic situation will allow an overall treatment scheme to be established, in which periodontics, surgery, prosthodontics and occlusal equilibration will follow each other in order to achieve the functional rehabilitation. In the first part of this article, the various steps which make up the treatment scheme are briefly and quickly described. It is imperative to approach them according to this chronological order when there is any treatment involving implants. While implantology involved only one surgical session a few years ago, it now involves two: the first, consisting of placing the implant in the living tissues, and the second, at some months interval from the first, allowing the endo-osseous portion to be attached to the future prosthesis. These two surgical acts are inter-dependent. Given the wide array of systems proposed and the quantity of "Implant-Prosthesis" connections produced in each system, the practitioner does not always know which kind of connection to choose or how to use it. The second part of the article is devoted to the study of the various connection possibilities between the Steri-oss implants and the prosthesis. The methods for lining up the cores in relation to the others are studied in detail, as are the different possibilities for stabilising removable prosthesis. Some of the methods described can be used with other implant systems.
种植学常常仅从外科手术角度进行阐述，而实际上必须从生物学和功能学角度来探讨。对未来修复情况的分析将有助于制定整体治疗方案，在该方案中，牙周病学、外科学、修复学和咬合平衡调整将依次进行，以实现功能康复。在本文的第一部分，将简要快速地描述构成治疗方案的各个步骤。当涉及任何种植治疗时，必须按照这个时间顺序来处理这些步骤。几年前，种植学仅涉及一次外科手术，而现在涉及两次：第一次是将种植体植入活体组织，第二次是在第一次手术几个月后进行，使骨内部分与未来的修复体相连。这两个外科操作相互依存。鉴于所提出的系统种类繁多，以及每个系统中生产的“种植体 - 修复体”连接方式数量众多，从业者并不总是知道选择哪种连接方式以及如何使用它。本文的第二部分致力于研究Steri - oss种植体与修复体之间的各种连接可能性。详细研究了使种植体中心与其他部分对齐的方法，以及稳定可摘修复体的不同可能性。所描述的一些方法也可用于其他种植系统。
