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计算机引导下的种植体取出:一份临床报告。

Computer-guided implant removal: A clinical report.

机构信息

Associate Professor, Department of Oral and Maxillofacial Surgery, School of Dentistry, Virginia Commonwealth University, Richmond, Va.

Former predoctoral student, School of Dentistry, Virginia Commonwealth University, Richmond, Va.

出版信息

J Prosthet Dent. 2018 Dec;120(6):796-800. doi: 10.1016/j.prosdent.2017.10.032. Epub 2018 May 25.

DOI:10.1016/j.prosdent.2017.10.032
PMID:29807745
Abstract

Occasionally, osseointegrated dental implants must be removed because of complications such as malpositioning or screw fracture. This is most often accomplished with a surgical handpiece and trephine. However, a flap is often required to access and visualize the implants. This paper presents a treatment in which computer planning and a 3-dimensional-printed, custom fabricated, surgical guide was used to assist in implant removal. This technique simplified the procedure, allowed conservative removal of peri-implant bone, and permitted subsequent immediate implant replacement.

摘要

有时,由于位置不当或螺丝断裂等并发症,必须将牙种植体取出。这通常是通过手术手机和环钻完成的。然而,通常需要进行瓣状手术以接触和观察种植体。本文介绍了一种治疗方法,该方法使用计算机规划和 3 维打印的定制手术导板来辅助植入物取出。该技术简化了手术过程,允许对种植体周围骨进行保守性去除,并允许随后立即进行植入物替换。

相似文献

1
Computer-guided implant removal: A clinical report.计算机引导下的种植体取出:一份临床报告。
J Prosthet Dent. 2018 Dec;120(6):796-800. doi: 10.1016/j.prosdent.2017.10.032. Epub 2018 May 25.
2
Prosthetically driven, computer-guided implant planning for the edentulous maxilla: a model study.牙列缺失上颌骨的义齿驱动计算机引导种植体植入规划:一项模型研究
Clin Implant Dent Relat Res. 2009 Sep;11(3):238-45. doi: 10.1111/j.1708-8208.2008.00110.x. Epub 2008 Sep 9.
3
Maxillary and mandibular immediately loaded implant-supported interim complete fixed dental prostheses on immediately placed dental implants with a digital approach: A clinical report.数字化方法在上颌和下颌即刻种植的种植体上即刻加载种植体支持的临时全口固定义齿:一份临床报告。
J Prosthet Dent. 2015 Sep;114(3):315-22. doi: 10.1016/j.prosdent.2015.03.021. Epub 2015 Jun 3.
4
Clinical and radiological 12-year follow-up of full arch maxilla prosthetic restoration supported by dental implants positioned through guide flapless surgery.通过无瓣引导手术植入牙种植体支持的全牙弓上颌修复体的12年临床和影像学随访
Minerva Stomatol. 2014 Mar;63(3):85-94.
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Immediate Loading of Fixed Complete Denture Prosthesis Supported by 4-8 Implants Placed Using Guided Surgery: A 5-Year Prospective Study on 66 Patients with 356 Implants.使用引导手术植入4至8颗种植体支持的固定全口义齿假体的即刻加载:对66例患者356颗种植体的5年前瞻性研究
Clin Implant Dent Relat Res. 2017 Feb;19(1):195-206. doi: 10.1111/cid.12449. Epub 2016 Sep 15.
6
Predictably replacing maxillary incisors with implants using 3-D planning and guided implant surgery.使用三维规划和引导式种植手术可预测地用种植体替换上颌切牙。
Compend Contin Educ Dent. 2014 Nov-Dec;35(10):758-62, 764-6, 768.
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Computer-aided flapless implant surgery and immediate loading. A technical note.计算机辅助无瓣种植手术与即刻负重。技术说明。
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8
Use of Intraoral Welding to Increase the Predictability of Immediately Loaded Computer-Guided Implants.使用口内焊接技术提高即刻负重计算机引导种植体的可预测性。
Int J Periodontics Restorative Dent. 2017 Jul/Aug;37(4):591-598. doi: 10.11607/prd.3027.
9
Horizontal and vertical dimensional changes of peri-implant facial bone following immediate placement and provisionalization of maxillary anterior single implants: a 1-year cone beam computed tomography study.上颌前牙区单颗种植体即刻植入即刻修复后种植体周围面骨的水平向和垂直向变化:一项为期 1 年的锥形束 CT 研究。
Int J Oral Maxillofac Implants. 2012 Mar-Apr;27(2):393-400.
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Accuracy and complications of computer-designed selective laser sintering surgical guides for flapless dental implant placement and immediate definitive prosthesis installation.无牙颌种植即刻修复中应用计算机设计选择性激光烧结导板的准确性和并发症。
J Periodontol. 2012 Apr;83(4):410-9. doi: 10.1902/jop.2011.110115. Epub 2011 Aug 5.

引用本文的文献

1
A systematic review on removal of osseointegrated implants: un update.关于骨整合种植体取出的系统综述:更新。
BMC Oral Health. 2023 Oct 13;23(1):756. doi: 10.1186/s12903-023-03438-5.
2
Osteotomy combined with the trephine technique for invisible implant fracture: A case report.截骨术联合环钻技术治疗隐形种植体骨折:一例报告
World J Clin Cases. 2022 Jun 6;10(16):5479-5486. doi: 10.12998/wjcc.v10.i16.5479.
3
Evaluation of Implant Stability and Trephination Depth for Implant Removal-An In Vitro Study.种植体取出时的稳定性评估及环切深度——一项体外研究
Materials (Basel). 2022 Jun 13;15(12):4200. doi: 10.3390/ma15124200.
4
Reversal of Osseointegration as a Novel Perspective for the Removal of Failed Dental Implants: A Review of Five Patented Methods.骨结合的逆转:一种用于移除失败牙种植体的新视角——五种专利方法综述
Materials (Basel). 2021 Dec 17;14(24):7829. doi: 10.3390/ma14247829.
5
Removal of failed dental implants revisited: Questions and answers.再谈失败牙种植体的取出:问答
Clin Exp Dent Res. 2019 Aug 21;5(6):712-724. doi: 10.1002/cre2.234. eCollection 2019 Dec.
6
Removal of osseointegrated dental implants: a systematic review of explantation techniques.骨整合牙科种植体的取出:一项关于种植体取出技术的系统评价。
Clin Oral Investig. 2020 Jan;24(1):47-60. doi: 10.1007/s00784-019-03127-0. Epub 2019 Nov 15.