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使用固定皮质基底种植体支持的假体进行颌面创伤的口腔修复:病例系列

Oral rehabilitation of maxillofacial trauma using fixed corticobasal implant-supported prostheses: A case series.

作者信息

Awadalkreem Fadia, Khalifa Nadia, Ahmad Abdelnasir G, Suliman Ahmed Mohamed, Osman Motaz

机构信息

RAK College of Dental Sciences, RAK Medical and Health Sciences University, Ras Al Khaimah, United Arab Emirates.

Department of Preventive and Restorative Dentistry, University of Sharjah/Faculty of Dental Medicine, Sharjah, United Arab Emirates.

出版信息

Int J Surg Case Rep. 2022 Nov;100:107769. doi: 10.1016/j.ijscr.2022.107769. Epub 2022 Oct 24.

Abstract

INTRODUCTION

Maxillofacial trauma is associated with severe loss of soft and hard tissues that lead to aesthetic and functional disfigurements, adverse psychological impacts on the patient's general and oral health, and decreased quality of life. Therefore, treatment of maxillofacial trauma is challenging.

PRESENTATION OF CASE

We present three patients with maxillofacial trauma owing to road traffic accidents that were rehabilitated by immediate use of loaded fixed corticobasal implant-supported prostheses with follow-up periods of 6, 5, and 7 years. All treated patients had a 100 % implant survival rate, healthy peri-implant tissues, stable prosthesis with significant improvement in mastication and phonation, and high patient satisfaction.

DISCUSSION

Rehabilitation of patients with intensive maxillofacial trauma requires a multidisciplinary approach to ensure the standard of care during treatment. The described treatment eliminates the need for bone grafting, reduces susceptibility to grafting complications, shortens treatment time, and provides the patient with a fixed prosthesis with predictable success, excellent implant survival, healthy peri-implant tissue, improved prosthetic stability, and high satisfaction rates.

CONCLUSION

Corticobasal implant-supported prostheses are a feasible treatment modality to rehabilitate patients with maxillofacial trauma with high success and survival rates and patient satisfaction.

摘要

引言

颌面创伤与软硬组织的严重缺失相关,这会导致美观和功能的毁容,对患者的全身和口腔健康产生不利的心理影响,并降低生活质量。因此,颌面创伤的治疗具有挑战性。

病例介绍

我们展示了三名因道路交通事故导致颌面创伤的患者,他们通过立即使用负载的固定皮质基底种植体支持的假体进行了修复,随访期分别为6年、5年和7年。所有接受治疗的患者种植体存活率均为100%,种植体周围组织健康,假体稳定,咀嚼和发声有显著改善,患者满意度高。

讨论

重度颌面创伤患者的修复需要多学科方法,以确保治疗期间的护理标准。所描述的治疗方法无需植骨,降低了植骨并发症的易感性,缩短了治疗时间,并为患者提供了具有可预测成功率、出色种植体存活率、健康种植体周围组织、改善的假体稳定性和高满意度的固定假体。

结论

皮质基底种植体支持的假体是修复颌面创伤患者的一种可行治疗方式,具有高成功率、高存活率和患者满意度。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6749/9615311/f75d6cd48f71/gr1.jpg

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