无牙颌患者的管理：可摘种植义齿。

Management of the Edentulous Patient: Removable Implant Prostheses.

机构信息

Assistant Clinical Professor, Department of Prosthodontics, College of Dental Medicine, Columbia University, New York, New York; Director of Clinical Education, Dental365™, New Hyde Park, New York; Private Practice, Surgical Implantology and Prosthodontics, White Plains, New York.

Clinical Professor, Department of Periodontics, College of Dental Medicine, Columbia University, New York, New York; Private Practice, Surgical Implantology and Periodontics, Freehold, New Jersey.

出版信息

Compend Contin Educ Dent. 2021 Mar;42(3):114-119; quiz 120.

PMID:34010571

Abstract

For an edentulous patient who does not wish to cope with mastication impairment associated with a conventional denture, either in the maxilla or mandible, function can be restored with a fixed or removable implant-supported prosthesis. This article addresses management of situations when it is preferable to restore an edentulous arch with a removable implant-supported prosthesis. The differences in treatment planning concepts as they relate to the maxillary and mandibular arches are highlighted, and advantages of a bar-retained overdenture versus unsplinted implant-supported overdentures are discussed. A logical sequential approach to case management is delineated starting with determining tooth position after casts are articulated.

摘要

对于不想应对上颌或下颌传统义齿引起的咀嚼功能障碍的无牙颌患者，可以通过固定或可摘的种植体支持式义齿来恢复功能。本文介绍了在哪些情况下更适合用可摘的种植体支持式义齿来修复无牙颌的处理方法。本文重点介绍了上颌和下颌弓在治疗计划概念上的差异，并讨论了杆卡式覆盖义齿与无卡环的种植体支持覆盖义齿的优势。本文还阐述了从确定牙弓上的牙齿位置开始，通过明确的逻辑顺序来管理病例的方法。