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一例高笑线（露龈笑）患者的单步种植治疗——采用锚固于皮质骨的一体式种植体进行全口修复的外科、修复及经济考量——病例报告

A Single-Step Implant Treatment of a Patient Presenting with a High Smile Line (Gummy Smile) - Surgical, Prosthetic, and Financial Considerations of Full-Mouth Rehabilitation with One-Piece Implants Anchored in Cortical Bone - A Case Report.

作者信息

Ihde Stefan, Sipic Olga, Pałka Lukasz

机构信息

International Implant Foundation, Department of Evidence and Research, Munich, Germany.

Private Dental Practice, Żary, Poland.

出版信息

Ann Maxillofac Surg. 2020 Jul-Dec;10(2):512-517. doi: 10.4103/ams.ams_43_19. Epub 2020 Dec 23.

DOI:10.4103/ams.ams_43_19
PMID:33708607
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7943993/
Abstract

Dental implant treatment and immediate loading protocol in the front maxillae provides severe esthetical difficulties, for example in cases where the transition zone of the patients' teeth and the gums is visible during habitual movements of the upper lip or when the patient presents excessive gingival display. In this case report, it is shown in detail how to overcome the esthetic problems in a straightforward manner in such clinical situations. The article also discusses in which financial environments treatments on teeth are endlessly continued and under which conditions patients manage to get (and prefer) an early switch to implant borne teeth.

摘要

上颌前部的牙种植治疗及即刻负重方案存在严重的美学难题，例如，在上唇习惯性运动时患者牙齿与牙龈的过渡区可见，或者患者牙龈过度显露的情况。在本病例报告中，详细展示了在这类临床情况下如何直接解决美学问题。本文还讨论了在何种经济环境下对牙齿的治疗会无休止地持续，以及在哪些条件下患者能够（并且倾向于）尽早改用种植牙。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8432/7943993/045395d6aabf/AMS-10-512-g008.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8432/7943993/453f5a9d745c/AMS-10-512-g006.jpg
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A Single-Step Implant Treatment of a Patient Presenting with a High Smile Line (Gummy Smile) - Surgical, Prosthetic, and Financial Considerations of Full-Mouth Rehabilitation with One-Piece Implants Anchored in Cortical Bone - A Case Report.一例高笑线（露龈笑）患者的单步种植治疗——采用锚固于皮质骨的一体式种植体进行全口修复的外科、修复及经济考量——病例报告
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本文引用的文献

1
Functional and Esthetic Indication for Dental Implant Treatment and Immediate Loading (2) Case Report and Considerations: Typical Attitudes of Dentists (and their Unions) toward Tooth Extractions and the Prevention of Early, Effective, and Helpful Dental Implant Treatment in the European Union.牙种植治疗与即刻负重的功能及美学适应症（2）病例报告与思考：欧盟地区牙医（及其协会）对拔牙以及早期、有效且有益的牙种植治疗预防措施的典型态度
Ann Maxillofac Surg. 2019 Jul-Dec;9(2):470-474. doi: 10.4103/ams.ams_152_19.
2
Immediately Loaded Bicortical Implants Inserted in Fresh Extraction and Healed Sites in Patients with and Without a History of Periodontal Disease.即刻负重双皮质种植体植入有或无牙周病病史患者的新鲜拔牙位点和已愈合位点。
Ann Maxillofac Surg. 2019 Jul-Dec;9(2):371-378. doi: 10.4103/ams.ams_147_19.
3
Immediate Functional Loading: Results for the Concept of the Strategic Implant.即刻功能负载：战略种植体概念的结果
Ann Maxillofac Surg. 2019 Jan-Jun;9(1):78-88. doi: 10.4103/ams.ams_250_18.
4
Total intrusion and distalization of the maxillary arch to improve smile esthetics.上颌牙弓整体内收及远中移动以改善微笑美学效果。
Korean J Orthod. 2017 Jan;47(1):59-73. doi: 10.4041/kjod.2017.47.1.59. Epub 2016 Dec 19.
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Surgical correction of excessive gingival display in class I vertical maxillary excess: Mucosal strip technique.I类垂直上颌骨过长导致的牙龈过度外露的手术矫正：黏膜条技术。
J Nat Sci Biol Med. 2014 Jul;5(2):494-8. doi: 10.4103/0976-9668.136290.
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Management of patients with excessive gingival display for maxillary complete arch fixed implant-supported prostheses.上颌全弓固定种植义齿修复中牙龈过度外露患者的处理。
J Prosthet Dent. 2012 Nov;108(5):324-31. doi: 10.1016/S0022-3913(12)60186-3.
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Current strategies in the treatment of gummy smile using botulinum toxin type A.目前使用A型肉毒杆菌毒素治疗露龈笑的策略。
Plast Reconstr Surg. 2012 Jun;129(6):1015e. doi: 10.1097/PRS.0b013e31824f00a6.
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A classification system of patients for esthetic fixed implant-supported prostheses in the edentulous maxilla.上颌无牙颌美学固定种植支持修复患者的分类系统
Compend Contin Educ Dent. 2010 Jun;31(5):366-8, 370, 372-4 passim.
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Prosthetic gingival reconstruction in fixed partial restorations. Part 3: laboratory procedures and maintenance.
Int J Periodontics Restorative Dent. 2010 Feb;30(1):19-29.
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Excessive gingival display--etiology, diagnosis, and treatment modalities.牙龈过度外露——病因、诊断及治疗方式
Quintessence Int. 2009 Nov-Dec;40(10):809-18.