Sahl Erik, Alqahtani Ali, Alqahtani Nasser M, Gallez Fabrice
1 Loma Linda University School of Dentistry, Loma Linda, Calif.
2 Department of Periodontics, King Khalid University, Abha, Saudi Arabia.
J Oral Implantol. 2018 Dec;44(6):456-461. doi: 10.1563/aaid-joi-D-17-00304.
One of the most important concerns during posterior mandibular implant placement is avoiding the mandibular canal. Nerve injury can be very disturbing to the patient, possibly causing mild paresthesia to complete anesthesia. Explantation of a dental implant that gas violated the mandibular canal is the most recommended treatment. However, an osseointegrated implant that placed in the mandibular canal can be left if the patient shows no symptoms. In this case report, we describe a technique to maintain the apexes of the implants while partially removing fractured osseointegrated implants previously placed in the mandibular canal.
下颌后部种植体植入过程中最重要的注意事项之一是避免损伤下颌管。神经损伤对患者来说可能非常困扰,可能导致轻度感觉异常甚至完全麻醉。对于已侵犯下颌管的牙种植体,最推荐的治疗方法是取出种植体。然而,如果患者没有症状,放置在下颌管内的骨结合种植体可以保留。在本病例报告中,我们描述了一种技术,即在部分取出先前放置在下颌管内的骨折骨结合种植体时,保持种植体根尖的完整性。