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在粘结固位修复体中取出基台螺丝:一项临床技巧。

Access to abutment screw in cement retained restorations: a clinical tip.

作者信息

Kheur Mohit, Harianawala Husain, Kantharia Nidhi, Sethi Tania, Jambhekar Shantanu

机构信息

Professor and PG Guide, Department of Prosthodontics, M A Rangoonwala College of Dental Sciences and Research Centre , Pune, India .

Post Graduate Student, Department of Prosthodontics, M A Rangoonwala College of Dental Sciences and Research Centre , Pune, India .

出版信息

J Clin Diagn Res. 2015 Feb;9(2):ZD17-8. doi: 10.7860/JCDR/2015/11159.5607. Epub 2015 Feb 1.

DOI:10.7860/JCDR/2015/11159.5607
PMID:25859535
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4378818/
Abstract

Abutment screw loosening has been reported to be the most common prosthetic complications occurring in screw retained as well as cement retained implant restorations. Different methods to treat this issue have been reported in the literature so far; however these have their own short-comings. Retrievability of an implant restoration intact becomes a clinical challenge when the restoration is cement retained especially with an angulated abutment. This technique is aimed at accurately determining the position of the abutment screw in 3 dimensional relationships using a vacuum formed clear stent. This technique can be used as a viable protocol for management of screw loosening in cement retained implant restorations.

摘要

据报道,基台螺丝松动是螺丝固位和粘结固位种植体修复中最常见的修复并发症。迄今为止,文献中已报道了治疗该问题的不同方法;然而,这些方法都有其自身的缺点。当修复体为粘结固位时,尤其是使用角度基台时,完整取出种植体修复体成为一项临床挑战。该技术旨在使用真空成型透明支架精确确定基台螺丝在三维关系中的位置。该技术可作为粘结固位种植体修复中螺丝松动管理的可行方案。

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本文引用的文献

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Occlusal-view photograph of a cement-retained implant prosthesis as a permanent guide for access-hole preparation.用于制备接入孔的永久性导向器的水泥固位种植体修复体的咬合面照片。
J Prosthet Dent. 2013 May;109(5):343-4. doi: 10.1016/S0022-3913(13)60315-7.
2
Simple device for locating the abutment screw position of a cement-retained implant restoration.用于确定粘结固位种植体修复体基台螺钉位置的简易装置。
J Prosthet Dent. 2013 Apr;109(4):272-4. doi: 10.1016/S0022-3913(13)60058-X.
3
A modified technique to locate the abutment screw access opening of a cemented implant-supported restoration.一种用于确定粘结式种植体支持修复体基台螺钉通道开口位置的改良技术。
J Prosthet Dent. 2012 Jul;108(1):58-9. doi: 10.1016/S0022-3913(12)60106-1.
4
Template to determine the position and angulation of the abutment screw channel for implant-supported, cement-retained restorations.用于确定种植体支持的、粘结固位修复体基台螺丝通道位置和角度的模板。
J Prosthet Dent. 2012 Feb;107(2):134-6. doi: 10.1016/S0022-3913(12)60041-9.
5
Long-term outcome of cemented versus screw-retained implant-supported partial restorations.骨水泥固位与螺钉固位种植体支持式局部修复体的长期疗效比较。
Int J Oral Maxillofac Implants. 2011 Sep-Oct;26(5):1102-7.
6
A technique for repairing a loosening abutment screw for a cement-retained implant prosthesis.一种用于修复固位水泥型种植体修复体松动基台螺丝的技术。
J Prosthodont. 2011 Dec;20(8):652-5. doi: 10.1111/j.1532-849X.2011.00748.x. Epub 2011 Aug 24.
7
A rationale for retrievability of fixed, implant-supported prostheses: a complication-based analysis.固定的、种植体支持的修复体可取出性的理论依据:基于并发症的分析。
Int J Prosthodont. 2007 Jan-Feb;20(1):13-24.
8
Clinical complications with implants and implant prostheses.植入物及植入式假体的临床并发症。
J Prosthet Dent. 2003 Aug;90(2):121-32. doi: 10.1016/S0022-3913(03)00212-9.
9
Technique for removing a cemented superstructure from an implant abutment.从种植体基台上移除粘结式上部结构的技术。
J Prosthet Dent. 2002 Feb;87(2):241-2. doi: 10.1067/mpr.2002.119525.
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Cement-retained versus screw-retained implant restorations: achieving optimal occlusion and esthetics in implant dentistry.骨水泥固位与螺丝固位种植体修复:在种植修复中实现最佳咬合与美学效果
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