Department of Oral Surgery and Implantology, Carolinum, Johann Wolfgang Goethe-University Frankfurt, Frankfurt, Germany.
Department of Oral Surgery, Universitätsklinikum, Düsseldorf, Germany.
Periodontol 2000. 2019 Oct;81(1):64-75. doi: 10.1111/prd.12284.
Damage to the critical anatomic structures during dental implant placement can lead to serious complications, including intra- or postoperative bleeding, hematoma formation, or varying degrees of neurosensory alteration. These complications usually occur when the anatomic features of the major blood vessels and their anastomoses, neurovascular bundles, and alveolar ridge contour are not properly investigated prior to the surgery. Therefore, having proper knowledge of specific anatomic factors is key to avoiding intra- and postsurgical complications. The aim of the current review is to summarize the anatomic structures and their variations in the mandible and maxilla as contributing risk factors in implant therapy.
在牙种植体植入过程中,对关键解剖结构的损伤可能导致严重并发症,包括术中或术后出血、血肿形成或不同程度的神经感觉改变。这些并发症通常发生在手术前未对主要血管及其吻合支、血管神经束和牙槽嵴轮廓的解剖特征进行适当检查的情况下。因此,了解特定解剖因素是避免术中及术后并发症的关键。本综述的目的是总结下颌骨和上颌骨的解剖结构及其变异,作为种植治疗中的危险因素。