Pennington Jeff, Parker Sid
Compend Contin Educ Dent. 2012 Apr;33(4):268-70, 272, 274-6.
Removable and fixed implant-retained prostheses can greatly enhance patients' quality of life, improving their speech, appearance, and ability to eat and otherwise function normally. Yet patients may resist this type of treatment due to barriers, including cost, fear, and lengthy treatment times. It is, therefore, important that clinicians engage in discovering and understanding their patients' concerns and expectations in addition to making a thorough and complete diagnosis of their dental conditions. In the case presented, emphasis was placed on patient-clinician communication to correctly facilitate the desired clinical result. The final restoration consisted of a maxillary removable, implant-assisted denture and a mandibular screw-retained, fixed, implant-supported prosthesis.
可摘式和固定式种植体支持的修复体可以极大地提高患者的生活质量,改善他们的言语、外观以及进食和正常行使其他功能的能力。然而,患者可能会由于包括费用、恐惧和治疗时间长等障碍而抗拒这种治疗方式。因此,除了对患者的牙齿状况进行全面彻底的诊断外,临床医生了解并理解患者的担忧和期望也很重要。在本病例中,重点在于医患沟通,以正确实现预期的临床效果。最终修复体包括上颌可摘式种植辅助义齿和下颌螺丝固位的固定式种植支持修复体。