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一种即刻后牙种植体植入、即刻临时修复和最终种植体冠制作的生物导向性制备技术(BOPT):一种完整的数字化工作流程。

A biologically oriented preparation technique (BOPT) for immediate posterior implant placement, immediate provisionalization, and definitive implant crown fabrication: A complete digital workflow.

机构信息

Area of Stomatology, Health Sciences Faculty, King Juan Carlos University, Alcorcón, Madrid, Spain.

Department of Conservative Dentistry and Prosthodontics, School of Dentistry, Complutense University of Madrid, Madrid, Spain.

出版信息

J Esthet Restor Dent. 2024 Feb;36(2):270-277. doi: 10.1111/jerd.13126. Epub 2023 Aug 24.

DOI:10.1111/jerd.13126
PMID:37615345
Abstract

OBJECTIVE

Immediate implants and immediate alveolar sealing have been a widely utilized treatment with high predictability and biological advantages. The improvement in technology has made it possible to simplify clinical processes. The aim of the present report was to describe the complete digital workflow of the Biologically oriented preparation technique for immediate posterior implant, immediate provisionalization and fabrication of definitive implant crowns.

CLINICAL CONSIDERATIONS

The surgical process and prosthetic management to preserve the gingival contours of the extracted natural tooth during immediate implant placement and provisionalization are described. Additionally, during the same clinical intervention, the definitive intraoral digital implant scans for capturing the implant position, peri-implant tissue contours, adjacent and antagonist dentition, and profile emergence of the interim implant crown are captured for the fabrication of the definitive crown.

CONCLUSIONS

Based on the technique described, the immediate implant placement and provisionalization in the posterior area provides biological and clinical advantages, reducing the number of abutment-implant disconnections and the number of clinical appointments, as well as increases patient comfort.

CLINICAL SIGNIFICANCE

The present article describes a technique for an immediate implant placement and provisionalization in the posterior region for maintaining the gingival architecture of the extracted tooth. During the same appointment, the implant position, peri-implant tissue contours, and adjacent and antagonist dentition, and profile emergence of the interim implant crown are captured by using an intraoral scanner and used for the fabrication of the definitive crown. This technique aims to reduce the number of abutment-implant disconnections and clinical appointments.

摘要

目的

即刻种植和即刻牙槽骨封闭是一种广泛应用的治疗方法,具有较高的可预测性和生物学优势。技术的进步使得简化临床流程成为可能。本报告的目的是描述即刻后牙种植体的生物导向预备技术、即刻临时修复和最终种植体冠制作的完整数字化工作流程。

临床注意事项

描述了在即刻种植体植入和临时修复过程中保留天然牙拔牙后牙龈轮廓的手术过程和修复管理。此外,在同一临床干预中,通过口内数字化种植体扫描,获取种植体位置、种植体周围组织轮廓、相邻和对颌牙齿以及临时种植体冠的轮廓突度,以制作最终的种植体冠。

结论

基于所描述的技术,后牙即刻种植体植入和临时修复具有生物学和临床优势,减少了基台-种植体连接的数量和临床就诊次数,同时提高了患者的舒适度。

临床意义

本文描述了一种在后牙区域即刻种植体植入和临时修复的技术,以维持拔牙后牙齿的牙龈结构。在同一就诊中,通过口内扫描仪获取种植体位置、种植体周围组织轮廓以及相邻和对颌牙齿的信息,并用于制作最终的种植体冠。该技术旨在减少基台-种植体连接的数量和临床就诊次数。

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