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一体式钛植入物:回顾性病例系列

One-Piece Titanium Implants: Retrospective Case Series.

作者信息

Wagner Gunar, Hartung Dieter

机构信息

Department of Restorative Dentistry and Periodontology, University Medical Center Leipzig, 04103 Leipzig, Germany.

Dental Practice, 37213 Witzenhausen, Germany.

出版信息

Case Rep Dent. 2021 Apr 8;2021:6688355. doi: 10.1155/2021/6688355. eCollection 2021.

DOI:10.1155/2021/6688355
PMID:33898069
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8052180/
Abstract

PURPOSE

One-piece titanium implants are not routinely used for reconstruction after tooth loss. Several limitations seemed to be apparent although the concept provides a straightforward approach for different clinical situations. A clinical documentation of five prosthetic restorations with one-piece titanium implants serving as a relevant treatment option in dental surgery is pursued. We demonstrate the feasibility and benefits of one-piece titanium implants for fixed dental prosthesis. Detailed descriptions of the technical features and the surgical approach by means of clinical cases are given. The prosthetic workflow when working with one-piece titanium implants is depicted in detail as well as examples for implant-supported tooth replacement in the posterior region and the esthetic zone. Conditions of applications regarding different timing of implant placement using the system and its limitations are discussed.

RESULTS

Clinical cases with a follow-up period of up to 10 years are presented to prove the long-term success of one-piece titanium implants in terms of bone and soft-tissue stability respecting the biological criteria for periodontal health.

CONCLUSIONS

One-piece titanium implants represent a reliable treatment method for single-tooth replacements. Clinical success with long-time bone stability around the implantation site can be achieved. Taken into account the requirements for periodontal tissue stability, uneventful healing without extensive tissue loss is demonstrated by means of clinical cases presenting patients with periodontitis.

摘要

目的

一体式钛种植体在牙齿缺失后的重建中并非常规使用。尽管该概念为不同临床情况提供了一种直接的方法,但似乎存在一些明显的局限性。本文旨在对五例使用一体式钛种植体作为牙科手术相关治疗选择的修复病例进行临床记录。我们展示了一体式钛种植体用于固定义齿修复的可行性和优势。通过临床病例详细介绍了其技术特点和手术方法。详细描述了使用一体式钛种植体时的修复流程,以及后牙区和美学区种植体支持的牙齿替代示例。讨论了使用该系统在不同种植时机的应用条件及其局限性。

结果

展示了随访期长达10年的临床病例,以证明一体式钛种植体在骨和软组织稳定性方面符合牙周健康生物学标准的长期成功。

结论

一体式钛种植体是单颗牙替换的可靠治疗方法。可以实现种植部位周围长期的骨稳定性的临床成功。考虑到牙周组织稳定性的要求,通过呈现牙周炎患者的临床病例证明了能够实现无大量组织损失的顺利愈合。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1777/8052180/755ebfd35ec9/CRID2021-6688355.007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1777/8052180/740a8d3ec34c/CRID2021-6688355.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1777/8052180/7f3f6c516e1b/CRID2021-6688355.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1777/8052180/3f13bb815afe/CRID2021-6688355.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1777/8052180/3478b143f1b9/CRID2021-6688355.004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1777/8052180/322e750a3bb5/CRID2021-6688355.005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1777/8052180/dce5340ac996/CRID2021-6688355.006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1777/8052180/755ebfd35ec9/CRID2021-6688355.007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1777/8052180/740a8d3ec34c/CRID2021-6688355.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1777/8052180/7f3f6c516e1b/CRID2021-6688355.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1777/8052180/3f13bb815afe/CRID2021-6688355.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1777/8052180/3478b143f1b9/CRID2021-6688355.004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1777/8052180/322e750a3bb5/CRID2021-6688355.005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1777/8052180/dce5340ac996/CRID2021-6688355.006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1777/8052180/755ebfd35ec9/CRID2021-6688355.007.jpg

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