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颌面创伤后失败牙种植体的处理：一例报告

Management of Failing Dental Implants following Orofacial Trauma: A Case Report.

作者信息

AlRumaih Hamad Saleh

机构信息

Department of Substitutive Dental Science, College of Dentistry, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia.

出版信息

Saudi J Med Med Sci. 2019 Sep-Dec;7(3):183-186. doi: 10.4103/sjmms.sjmms_26_18. Epub 2019 Aug 28.

DOI:10.4103/sjmms.sjmms_26_18
PMID:31543741
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6734726/
Abstract

Dental implant failure can be caused by several biomechanical and biological factors. Management of failed multiple adjacent dental implants can be challenging, as the amount of bone loss around these implants is often high. This necessitates the need to restore the supporting bone and replace the failed implants with new implants in optimal positions and with a favorable dental prosthetic option. This report describes a case of a 27-year-old female who presented with failed multiple adjacent maxillary dental implants following orofacial trauma and with a significant amount of supporting bone loss. The patient was managed by implants removal, bone grafting and implant-supported fixed hybrid prosthesis, which resulted in a positive outcome, despite several challenges.

摘要

牙种植体失败可能由多种生物力学和生物学因素引起。处理多个相邻牙种植体失败具有挑战性，因为这些种植体周围的骨量流失往往较多。这就需要恢复支持骨，并在最佳位置用新的种植体替换失败的种植体，并选择合适的牙修复方式。本报告描述了一例27岁女性病例，该患者在口腔颌面创伤后出现多个相邻上颌牙种植体失败，且支持骨大量流失。尽管面临诸多挑战，但通过种植体取出、骨移植和种植体支持的固定混合修复体治疗，该患者取得了良好的治疗效果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b6dd/6734726/c52e1c349d9e/SJMMS-7-183-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b6dd/6734726/03f6c9914908/SJMMS-7-183-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b6dd/6734726/9ec6f271cee9/SJMMS-7-183-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b6dd/6734726/6758adfaa0e0/SJMMS-7-183-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b6dd/6734726/721c65514ffe/SJMMS-7-183-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b6dd/6734726/9bda55f3acf0/SJMMS-7-183-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b6dd/6734726/c52e1c349d9e/SJMMS-7-183-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b6dd/6734726/03f6c9914908/SJMMS-7-183-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b6dd/6734726/9ec6f271cee9/SJMMS-7-183-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b6dd/6734726/6758adfaa0e0/SJMMS-7-183-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b6dd/6734726/721c65514ffe/SJMMS-7-183-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b6dd/6734726/9bda55f3acf0/SJMMS-7-183-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b6dd/6734726/c52e1c349d9e/SJMMS-7-183-g006.jpg

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本文引用的文献

1
Relationship between impact of maxillary anterior fixed prosthodontic rehabilitation on daily living, satisfaction, and personality profiles.上颌前牙固定义齿修复对日常生活、满意度及个性特征的影响之间的关系。
J Prosthet Dent. 2016 Feb;115(2):170-6. doi: 10.1016/j.prosdent.2015.07.009. Epub 2015 Oct 9.
2
Long-term function of single-implant restorations: a 17- to 19-year follow-up study on implant infraposition related to the shape of the face and patients' satisfaction.单颗种植修复体的长期功能：一项关于种植体低位与面部形态及患者满意度关系的17至19年随访研究
Clin Implant Dent Relat Res. 2013 Aug;15(4):471-80. doi: 10.1111/j.1708-8208.2011.00381.x. Epub 2011 Aug 11.
3
Technique for controlling the cement for an implant crown.
种植体冠部粘结剂的控制技术。
J Prosthet Dent. 2009 Jul;102(1):57-8. doi: 10.1016/S0022-3913(09)60102-5.
4
Dealing with dental implant failures.应对牙种植体失败问题。
J Appl Oral Sci. 2008 May-Jun;16(3):171-5. doi: 10.1590/s1678-77572008000300002.
5
Endosseous implant failure influenced by crown cementation: a clinical case report.牙冠黏固对骨内种植体失败的影响：一例临床病例报告
Int J Oral Maxillofac Implants. 2008 Sep-Oct;23(5):943-6.
6
Tooth movements adjacent to single-implant restorations after more than 15 years of follow-up.单颗种植修复体邻牙在随访超过15年后的牙齿移动情况。
Int J Prosthodont. 2007 Nov-Dec;20(6):626-32.
7
Success or failure of dental implants? A literature review with treatment considerations.牙种植体的成功或失败？一篇带有治疗考量的文献综述。
Gen Dent. 2005 Nov-Dec;53(6):423-32; quiz 433, 446.
8
The effect of inter-implant distance on the height of inter-implant bone crest.种植体间距对种植体间牙槽嵴高度的影响。
J Periodontol. 2000 Apr;71(4):546-9. doi: 10.1902/jop.2000.71.4.546.
9
Complications associated with excess cement around crowns on osseointegrated implants: a clinical report.骨结合种植体牙冠周围骨水泥过多相关并发症：临床报告
Int J Oral Maxillofac Implants. 1999 Nov-Dec;14(6):865-8.