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在老年患者中通过阻生牙植入牙种植体以支持固定局部义齿,作为侵入性拔牙手术的替代方法。

Placing Dental Implants through Impacted Teeth to Support a Fixed Partial Denture in a Geriatric Patient as an Alternative to Invasive Extraction Surgeries.

作者信息

Brinkmann Jorge Cortés-Bretón, Lobato-Peña Marina, Pérez-González Fabián, Molinero-Mourelle Pedro, Sánchez-Labrador Luis, Santos-Marino Juan, López-Quiles Juan, Martínez-González Jose María

机构信息

Department of Dental Clinical Specialties, Faculty of Dentistry, Complutense University of Madrid, Madrid, Spain.

Department of Surgery and Medical-Surgical Specialities, Area of Orthodontics, University Medical and Dental School, University of Oviedo, Oviedo, Spain.

出版信息

Eur J Dent. 2020 Oct;14(4):697-701. doi: 10.1055/s-0040-1716318. Epub 2020 Sep 9.

Abstract

Multiple dental impactions not associated with craniofacial syndromes are a rare condition and present the dentist with a therapeutic challenge when it comes to performing surgical/restorative treatments in adult patients. This case report describes a geriatric patient with multiple impacted teeth restored by means of two different protocols. In the second quadrant, an impacted tooth was extracted followed by regeneration and placement of an implant. In the third quadrant, implants were placed though impacted teeth for restoration with a fixed partial prosthesis. Placing dental implants through impacted teeth may offer a possible therapeutic option for implant-supported restorations in middle-aged or elderly patients, for whom surgery and orthodontic traction are not possible, and/or patients who refuse to undergo more invasive extraction surgery.

摘要

与颅面综合征无关的多颗牙阻生是一种罕见情况,在成年患者进行外科/修复治疗时给牙医带来了治疗挑战。本病例报告描述了一名老年患者,通过两种不同方案修复了多颗阻生牙。在第二象限,拔除一颗阻生牙,随后进行骨再生并植入种植体。在第三象限,通过阻生牙植入种植体,用于固定局部义齿修复。对于无法进行手术和正畸牵引的中年或老年患者,以及/或者拒绝接受更具侵入性拔牙手术的患者,通过阻生牙植入种植体可能为种植体支持的修复提供一种可行的治疗选择。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ce4a/7536093/cd14d5dc0db3/10-1055-s-0040-1716318_00743_01.jpg

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