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单颗窄径选择性激光烧结种植体支持的固定局部义齿即刻修复:16 例患者后牙区 2 年前瞻性研究。

Immediate restoration of fixed partial prostheses supported by one-piece narrow-diameter selective laser sintering implants: a 2-year prospective study in the posterior jaws of 16 patients.

机构信息

Department of Morphological and Surgical Science, Dental School, University of Insubria, Varese, Italy.

出版信息

Implant Dent. 2013 Aug;22(4):388-93. doi: 10.1097/ID.0b013e31829afa9d.

Abstract

PURPOSE

Selective laser sintering (SLS) is a new technique that allows implants to be produced by annealing titanium powder microparticles in a focused laser beam, according to a computer-generated model. The aim of this study was to evaluate the survival and success rate of immediately restored 1-piece narrow-diameter SLS implants, placed in the posterior jaws, after 2 years of functional loading.

MATERIALS AND METHODS

At the 2-year follow-up examination, several parameters were assessed. Success criteria included absence of pain, suppuration, exudation, implant mobility; distance between the implant shoulder and the first visible bone-to-implant contact <2.0 mm; and absence of prosthetic complications.

RESULTS

Thirty-seven implants were placed in the posterior jaws (14 maxilla, 23 mandible) of 16 patients (9 males, 7 females). The prosthetic restorations comprised 16 immediately restored fixed partial prostheses. No implant failure occurred, resulting in a 100% survival rate. The implant success was 94.6%, and the mean distance between the implant shoulder and the first visible bone-to-implant contact (DIB) was 0.4 ± 0.3 mm.

CONCLUSIONS

This study supports the hypothesis that 1-piece narrow-diameter SLS implants can be used in fixed prosthetic rehabilitations in the posterior regions of both jaws with a predictable positive outcome.

摘要

目的

选择性激光烧结(SLS)是一种新技术,它可以根据计算机生成的模型,通过将钛粉末微颗粒在聚焦激光束中退火来生产植入物。本研究的目的是评估在后颌中即刻修复的 1 件窄直径 SLS 种植体在 2 年功能负荷后的存活率和成功率。

材料和方法

在 2 年的随访检查中,评估了几个参数。成功标准包括无疼痛、化脓、渗出、种植体松动;种植体肩与第一个可见骨-种植体接触之间的距离<2.0mm;以及无修复体并发症。

结果

37 个种植体被植入 16 名患者(9 名男性,7 名女性)的后颌(14 个上颌,23 个下颌)。修复体包括 16 个即刻修复的固定局部义齿。无种植体失败,存活率为 100%。种植体成功率为 94.6%,种植体肩与第一个可见骨-种植体接触之间的平均距离(DIB)为 0.4±0.3mm。

结论

本研究支持以下假设,即 1 件窄直径 SLS 种植体可用于后颌的固定修复,具有可预测的积极结果。

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