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侧化技术与下牙槽神经移位术

Lateralization Technique and Inferior Alveolar Nerve Transposition.

作者信息

Pimentel Angélica Castro, Sanches Marco Antonio, Ramalho Gabriel Cardoso, Roman-Torres Caio Vinicius, Manzi Marcello Roberto, Sendyk Wilson Roberto

机构信息

Department of Post Graduation, Division of Implantology, School of Dentistry, University of Santo Amaro (UNISA), Sao Paulo, SP, Brazil.

School of Dentistry, University of Santo Amaro (UNISA), Sao Paulo, SP, Brazil.

出版信息

Case Rep Dent. 2016;2016:4802637. doi: 10.1155/2016/4802637. Epub 2016 Jun 28.

DOI:10.1155/2016/4802637
PMID:27433360
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4940526/
Abstract

Bone resorption of the posterior mandible can result in diminished bone edge and, therefore, the installation of implants in these regions becomes a challenge, especially in the presence of the mandibular canal and its contents, the inferior alveolar nerve. Several treatment alternatives are suggested: the use of short implants, guided bone regeneration, appositional bone grafting, distraction osteogenesis, inclined implants tangential to the mandibular canal, and the lateralization of the inferior alveolar nerve. The aim was to elucidate the success rate of implants in the lateralization technique and in inferior alveolar nerve transposition and to determine the most effective sensory test. We conclude that the success rate is linked to the possibility of installing implants with long bicortical anchor which favors primary stability and biomechanics.

摘要

下颌骨后部的骨吸收会导致骨边缘减小，因此，在这些区域植入种植体成为一项挑战，尤其是在下颌管及其内容物（下牙槽神经）存在的情况下。提出了几种治疗方案：使用短种植体、引导骨再生、贴附性骨移植、牵张成骨、与下颌管相切的倾斜种植体以及下牙槽神经外移。目的是阐明种植体在下牙槽神经外移技术中的成功率以及下牙槽神经移位情况，并确定最有效的感觉测试。我们得出结论，成功率与使用具有双皮质锚固的长种植体进行植入的可能性有关，这有利于初始稳定性和生物力学。

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