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使用虚拟引导手术和数字修复方案的多单位基台全口螺丝固位种植体支持修复

Full-Mouth Screw-Retained Implant-Supported Rehabilitation with Multiunit Abutments Using Virtual Guided Surgery and Digital Prosthetics Protocol.

作者信息

Ashurko Igor, Trofimov Artem, Tarasenko Svetlana, Mekhtieva Sabina

机构信息

Department of Surgery Dentistry Institute of Dentistry, Federal State Autonomous Educational Institution of Higher Training I.M. Sechenov First Moscow State Medical University of the Ministry of Health of the Russian Federation (Sechenov University), 8-2 Trubetskaya St., 119991 Moscow, Russia.

Dental Clinic(Rio-Stom), 9 Veliyaminovskaya St., 105318 Moscow, Russia.

出版信息

Case Rep Dent. 2020 Sep 9;2020:3585169. doi: 10.1155/2020/3585169. eCollection 2020.

Abstract

Total rehabilitation is one of the most sophisticated kinds of dental implant-supported prosthetics. The usage of multiunit abutment system allows the clinician an accurate and passive fitting of screw-retained full-arch construction. In addition, it retains a condition of soft and bone tissues around prosthetic construction. The aim of this case is to demonstrate a modern approach in planning and realisation of full-mouth screw-retained dental implant prosthetics. A 59-year-old patient had an extraction of all failed teeth on upper and lower jaws with immediate 16 implant placement (8 implants on maxilla and 8 implants on mandible) using surgical template. Multiunit abutments were installed intraoperatively. Temporary constructions were fixed immediately after surgery. After 3 months of dental impressions, plaster models and their scan were prepared to make final screw-retained zirconium dioxide constructions. Reevaluation of functional and aesthetic result of the treatment was made after 12 months.

摘要

全口修复是最复杂的种植牙支持修复类型之一。多单位基台系统的使用使临床医生能够精确且被动地安装螺丝固位的全牙弓结构。此外,它能保持修复结构周围软组织和骨组织的状态。本病例的目的是展示全口螺丝固位种植牙修复的规划和实现的现代方法。一名59岁患者上下颌所有患牙均被拔除,通过手术模板即刻植入16颗种植体(上颌8颗,下颌8颗)。术中安装多单位基台。术后立即固定临时修复体。3个月后取牙模,制作石膏模型并进行扫描,以制作最终的螺丝固位二氧化锆修复体。12个月后对治疗的功能和美学效果进行重新评估。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/40fc/7501563/accc051254e1/CRID2020-3585169.001.jpg

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