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种植体支持的上颌阻塞器假体的临床评估:一项原创研究。

A Clinical Evaluation of Implant-Supported Maxillary Obturator Prostheses: An Original Study.

作者信息

Mandal Nag Bhushan, Kumari Akanksha, Baldev Karan Cecil, Shobana T, Warghane Komal Khond, Doddy Lokanathan Balaji, Peela Parvathi Ramya

机构信息

Department of Prosthodontics Crown and Bridge, Buddha Institute of Dental Sciences and Hospital, Patna, Bihar, India.

Department of Conservative and Endodontics, PHC, Patna, Bihar, India.

出版信息

J Pharm Bioallied Sci. 2022 Jul;14(Suppl 1):S313-S314. doi: 10.4103/jpbs.jpbs_777_21. Epub 2022 Jul 13.

DOI:10.4103/jpbs.jpbs_777_21
PMID:36110761
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9469456/
Abstract

INTRODUCTION

Rehabilitation after the maxillectomy is challenging to the clinician and the patient. Since the invention of the implants, the rehabilitation has changed the treatment strategies. Hence in our study, we evaluated the maxillary obturator that is implant supported.

MATERIALS AND METHODS

We piloted a retrospective analysis of the patients who received the maxillary obturator prosthesis with implant support from the department records from 2010 to 2020. We finalized 50 subjects who fit the criteria and evaluated clinically for various parameters. The comparison of these parameters was done using the Chi-square tests deliberating < 0.05 as significant.

RESULTS

We observed that the implant survival was 94%. There was significant variation for the implant bone height ( = 0.001) and the implant threads exposed ( = 0.044) for the posterior and the anterior regions.

CONCLUSION

The implant-supported maxillary obturator prosthesis has been shown to perform clinically satisfactorily. The success of the implant-supported maxillary obturator is dependent on the time of the placement, load applied, the radiation regime, and the patient follow-up.

摘要

引言

上颌骨切除术后的康复对临床医生和患者来说都具有挑战性。自从植入物发明以来,康复改变了治疗策略。因此,在我们的研究中,我们评估了种植体支持的上颌阻塞器。

材料与方法

我们对2010年至2020年科室记录中接受种植体支持的上颌阻塞器假体的患者进行了回顾性分析。我们确定了50名符合标准的受试者,并对各种参数进行了临床评估。这些参数的比较采用卡方检验,以<0.05为有统计学意义。

结果

我们观察到种植体存活率为94%。后部和前部区域的种植体骨高度(=0.001)和种植体螺纹暴露(=0.044)存在显著差异。

结论

种植体支持的上颌阻塞器假体在临床上已显示出令人满意的效果。种植体支持的上颌阻塞器的成功取决于植入时间、施加的负荷、放疗方案和患者随访。

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Contemp Clin Dent. 2020 Jul-Sep;11(3):285-289. doi: 10.4103/ccd.ccd_193_19. Epub 2020 Nov 26.
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Implant-Retained Obturator for an Edentulous Patient with a Hemimaxillectomy Defect Complicated with Microstomia.用于一名半侧上颌骨切除术后缺损并伴有小口畸形的无牙患者的种植体固位阻塞器。
Case Rep Dent. 2016;2016:4618510. doi: 10.1155/2016/4618510. Epub 2016 Oct 23.
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Rehabilitation of an Edentulous Maxilla in a Patient with Isolated Cleft Palate.
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Long-term results for maxillary rehabilitation with dental implants after tumor resection.肿瘤切除术后牙种植体上颌骨修复的长期效果
Clin Implant Dent Relat Res. 2014 Apr;16(2):282-91. doi: 10.1111/j.1708-8208.2012.00481.x. Epub 2012 Aug 9.
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A protocol for maxillary reconstruction following oncology resection using zygomatic implants.一种使用颧骨种植体进行肿瘤切除术后上颌骨重建的方案。
Int J Prosthodont. 2007 Sep-Oct;20(5):521-31.
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Implant-supported edentulous maxillary obturators with milled bar attachments after maxillectomy.上颌骨切除术后采用铣削杆附件的种植体支持无牙上颌阻塞器
J Oral Maxillofac Surg. 2004 Jul;62(7):799-805. doi: 10.1016/j.joms.2004.01.013.
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