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双侧颧骨种植体即刻负载:一项长达 54 个月随访的回顾性图表研究。

Two Bilateral Zygomatic Implants Placed and Immediately Loaded: A Retrospective Chart Review with Up-to-54-Month Follow-up.

出版信息

Int J Oral Maxillofac Implants. 2017 Nov/Dec;32(6):1399-1403. doi: 10.11607/jomi.5786.

DOI:10.11607/jomi.5786
PMID:29140384
Abstract

PURPOSE

To report on the outcome of placement of two bilateral zygomatic implants with an immediately loaded prosthesis.

MATERIALS AND METHODS

A retrospective chart review was conducted of all patients treated with zygomatic implants between August 1, 2011 and June 6, 2016. All patients had at least two zygomatic implants placed bilaterally and immediately loaded with a provisional prosthesis the same day of implant placement. The implants were Nobel Biocare TiUnite or machined surface with lengths of 30 to 52.5 mm. All patients were treated by a team consisting of one surgeon, a restorative dentist or prosthodontist, an anesthesiologist, and a laboratory technician. Implant success was defined as successful integration of the implant; prosthetic success was defined as retention of the prosthesis under normal function.

RESULTS

One hundred five zygomatic implants were placed and immediately loaded in 28 patients over a period of 1 to 60 months. Ages ranged from 46 to 81 years, with 26 female and 2 male patients. All the implants were placed by one surgeon. The immediate load on the day of implant placement was completed by either one of 2 prosthodontists or 11 restorative dentists. Implant success was 96% (101/105). All four failed implants were in one patient and were TiUnite surface coated.

CONCLUSION

This study demonstrated that two zygomatic implants bilaterally placed and immediately loaded with a full-arch splinted prosthesis will provide a predictable outcome.

摘要

目的

报告双侧颧骨种植体即刻负载修复体的结果。

材料与方法

对 2011 年 8 月 1 日至 2016 年 6 月 6 日期间接受颧骨种植体治疗的所有患者进行回顾性图表分析。所有患者均双侧植入至少 2 枚颧骨种植体,同日植入即刻负载临时修复体。种植体为 Nobel Biocare TiUnite 或机械加工表面,长度为 30-52.5mm。所有患者均由一名外科医生、一名修复牙医或修复专家、一名麻醉师和一名实验室技术员组成的团队进行治疗。种植体成功定义为种植体成功整合;修复体成功定义为在正常功能下保留修复体。

结果

28 名患者在 1-60 个月期间共植入并即刻负载了 105 枚颧骨种植体。年龄在 46-81 岁之间,其中 26 名女性和 2 名男性。所有种植体均由一名外科医生植入。在种植体植入当天,通过 2 名修复专家或 11 名修复牙医中的任何一位来完成即刻负载。种植体成功率为 96%(101/105)。四个失败的种植体都在一名患者中,种植体为 TiUnite 表面涂层。

结论

本研究表明,双侧植入 2 枚颧骨种植体并即刻负载全弓夹板修复体可获得可预测的结果。

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