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使用口外植入物修复眼部缺损的手术和修复考虑因素:临床报告。

Surgical and prosthetic considerations to rehabilitate an ocular defect using extraoral implants: a clinical report.

机构信息

UNIFOR, Prosthodontics, Fortaleza, Brazil.

出版信息

J Prosthodont. 2012 Apr;21(3):205-8. doi: 10.1111/j.1532-849X.2011.00816.x. Epub 2012 Feb 19.

Abstract

This clinical report shows the use of extraoral implants to rehabilitate an ocular defect, focusing the surgical and prosthetic procedures. Using local anesthesia and a surgical template obtained from the diagnostic wax ocular pattern, two cylinder dental implants were strategically placed in the lateral aspect of the right infraorbital region. Four months later, an acrylic framework including two spherical magnets was made using plastic UCLA abutments. After casting laboratory steps, a customized silicon prosthetic appliance was fabricated from the diagnostic wax ocular pattern and attached to the Co-Cr framework, observing its profile and seating aspects. The patient was satisfied with the treatment result, due to the retention, esthetics, and adhesive-free method to anchor his ocular prostheses.

摘要

本临床报告展示了如何使用口外植入物来修复眼部缺损,并重点介绍了手术和修复程序。使用局部麻醉和从诊断性蜡眼部模型获得的手术模板,在右眶下区的外侧部位战略性地放置了两个圆柱形牙科植入物。四个月后,使用塑料 UCLA 基台制作了包括两个球形磁铁的丙烯酸框架。经过铸造实验室步骤,根据诊断性蜡眼部模型制作了定制的硅酮修复体,并将其连接到 Co-Cr 框架上,观察其轮廓和就位情况。患者对治疗结果非常满意,因为这种方法能够保留、美观且无需使用粘合剂来固定他的眼部假体。

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