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腓骨移植部位早期发生的种植体周围炎的治疗

Treatment of Early Developed Peri-Implantitis in Fibula Graft Site.

作者信息

Tatić Zoran, Bubalo Marija, Petrović Nenad, Konstantinović Vitomir, Milović Radomir

机构信息

Department of Oral Implantology, Military Medical Academy, University of Defense, Belgrade, Serbia.

Department of Dentistry, Faculty of Medicine, University of Nis, Serbia.

出版信息

Acta Stomatol Croat. 2021 Mar;55(1):69-75. doi: 10.15644/asc55/1/8.

DOI:10.15644/asc55/1/8
PMID:33867539
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8033620/
Abstract

The fibula microvascular free flap technique and placement of dental endosseous implants seem to be viable options for reconstructing the mandible, following a resective jaw surgery. The causes of early failures of implants include bone overheating, latent infection by surgical trauma, the factors related with the implant, and overcompression. This case report reviews the mechanisms of early post-implantation bone loss, and suggests the course of treatment for early peri-implantitis for implants that show no mobility. Radiographs and clinical data presented have shown that the surgical treatment of early developed peri-implantitis using GBR methods in free fibula graft sites offers promising and stabile results.

摘要

腓骨微血管游离皮瓣技术和牙骨内种植体植入似乎是下颌骨切除术后下颌骨重建的可行选择。种植体早期失败的原因包括骨过热、手术创伤引起的潜在感染、与种植体相关的因素以及过度压迫。本病例报告回顾了种植后早期骨丢失的机制，并提出了针对无松动种植体早期种植体周围炎的治疗方案。所呈现的X线片和临床数据表明，在游离腓骨移植部位使用引导骨再生（GBR）方法对早期发生的种植体周围炎进行手术治疗可取得良好且稳定的效果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/18a5/8033620/d129f14dbb6f/ASC_55(1)_69-75-f6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/18a5/8033620/51974115d3ac/ASC_55(1)_69-75-f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/18a5/8033620/256b71fc7ab5/ASC_55(1)_69-75-f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/18a5/8033620/6132796ad5ab/ASC_55(1)_69-75-f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/18a5/8033620/046c53abe250/ASC_55(1)_69-75-f4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/18a5/8033620/2b8971bac5a0/ASC_55(1)_69-75-f5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/18a5/8033620/d129f14dbb6f/ASC_55(1)_69-75-f6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/18a5/8033620/51974115d3ac/ASC_55(1)_69-75-f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/18a5/8033620/256b71fc7ab5/ASC_55(1)_69-75-f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/18a5/8033620/6132796ad5ab/ASC_55(1)_69-75-f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/18a5/8033620/046c53abe250/ASC_55(1)_69-75-f4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/18a5/8033620/2b8971bac5a0/ASC_55(1)_69-75-f5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/18a5/8033620/d129f14dbb6f/ASC_55(1)_69-75-f6.jpg

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本文引用的文献

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Factors Influencing the Presence of Papilla between Adjacent Implants and between a Tooth and an Implant.影响相邻种植体之间以及牙齿与种植体之间乳头存在的因素。
Acta Stomatol Croat. 2019 Dec;53(4):337-346. doi: 10.15644/asc53/4/4.
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Implant-Supported Rehabilitation Using GBR Combined with Bone Graft on a Reconstructed Maxilla with the Fibula Free Flap.在采用游离腓骨瓣重建的上颌骨上使用引导骨再生联合骨移植进行种植体支持的修复
Case Rep Dent. 2019 Nov 5;2019:2713542. doi: 10.1155/2019/2713542. eCollection 2019.
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Long-term results of osseointegrated implant-based dental rehabilitation in oncology patients reconstructed with a fibula free flap.
腓骨游离皮瓣重建的肿瘤患者种植体支持式牙修复的长期效果。
Clin Implant Dent Relat Res. 2018 Oct;20(5):852-859. doi: 10.1111/cid.12658. Epub 2018 Aug 24.
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