• 文献检索
  • 文档翻译
  • 深度研究
  • 学术资讯
  • Suppr Zotero 插件Zotero 插件
  • 邀请有礼
  • 套餐&价格
  • 历史记录
应用&插件
Suppr Zotero 插件Zotero 插件浏览器插件Mac 客户端Windows 客户端微信小程序
定价
高级版会员购买积分包购买API积分包
服务
文献检索文档翻译深度研究API 文档MCP 服务
关于我们
关于 Suppr公司介绍联系我们用户协议隐私条款
关注我们

Suppr 超能文献

核心技术专利：CN118964589B侵权必究
粤ICP备2023148730 号-1Suppr @ 2026

文献检索

告别复杂PubMed语法，用中文像聊天一样搜索，搜遍4000万医学文献。AI智能推荐，让科研检索更轻松。

立即免费搜索

文件翻译

保留排版，准确专业，支持PDF/Word/PPT等文件格式，支持 12+语言互译。

免费翻译文档

深度研究

AI帮你快速写综述，25分钟生成高质量综述，智能提取关键信息，辅助科研写作。

立即免费体验

“压迫性坏死”——早期种植失败的一个值得关注的原因？病例报告及文献综述

"Compression Necrosis" - A Cause of Concern for Early Implant Failure? Case Report and Review of Literature.

作者信息

Ramesh Roshni, Sasi Anoop, Mohamed Shahana C, Joseph Sonia P

机构信息

Department of Periodontology, Government Dental College, Thiruvananthapuram, Kerala, India.

出版信息

Clin Cosmet Investig Dent. 2024 Mar 7;16:43-52. doi: 10.2147/CCIDE.S453798. eCollection 2024.

DOI:10.2147/CCIDE.S453798
PMID:38469322
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10926919/
Abstract

PURPOSE

Compression necrosis refers to bone tissue damage that can occur when excessive pressure or force is applied to surrounding bone during implant placement. This pressure can compromise blood supply to the bone, leading to necrosis. Compression necrosis is a concern, because it can affect the stability and long-term success of dental implant.

PATIENTS AND METHODS

This case report highlights a case of early bone loss and implant failure possibly due to compression necrosis. Clinical data, photographs, radiographs, blood examination report and histology were presented to document the early failure of an implant placed in the mandibular left posterior region of a 33-year-old female patient.

RESULTS

Radiograph taken six weeks after implant placement showed severe angular defect. Therefore, the implant was surgically removed. Histological examination of the area showed bony trabeculae with an absence of osteoblastic riming, suggestive of necrotic bone.

CONCLUSION

Using excessive torque values when placing implants in dense bones can increase the risk of implant failure due to bone over compression. Dental professionals must follow the manufacturer's instructions and employ quality surgical techniques during implant placement into dense cortical bone to minimise risks.

摘要

目的

压迫性坏死是指在种植体植入过程中，当对周围骨骼施加过大压力或力量时可能发生的骨组织损伤。这种压力会损害骨骼的血液供应，导致坏死。压迫性坏死是一个值得关注的问题，因为它会影响牙种植体的稳定性和长期成功率。

患者和方法

本病例报告重点介绍了一例可能因压迫性坏死导致早期骨丢失和种植体失败的病例。展示了临床数据、照片、X光片、血液检查报告和组织学检查结果，以记录一名33岁女性患者下颌左后区域植入种植体的早期失败情况。

结果

种植体植入六周后拍摄的X光片显示严重的角形缺损。因此，通过手术取出了种植体。对该区域的组织学检查显示骨小梁缺乏成骨细胞包绕，提示骨坏死。

结论

在致密骨中植入种植体时使用过大的扭矩值会增加因骨过度受压导致种植体失败的风险。牙科专业人员在将种植体植入致密皮质骨时必须遵循制造商的说明并采用高质量的手术技术，以将风险降至最低。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c7da/10926919/bc0968f0b6b3/CCIDE-16-43-g0007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c7da/10926919/567ee1028c06/CCIDE-16-43-g0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c7da/10926919/6678c9c60151/CCIDE-16-43-g0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c7da/10926919/2e93829cadc1/CCIDE-16-43-g0003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c7da/10926919/b8d56f7d2376/CCIDE-16-43-g0004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c7da/10926919/c3f2f833db1f/CCIDE-16-43-g0005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c7da/10926919/0b1a6e9e6dfe/CCIDE-16-43-g0006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c7da/10926919/bc0968f0b6b3/CCIDE-16-43-g0007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c7da/10926919/567ee1028c06/CCIDE-16-43-g0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c7da/10926919/6678c9c60151/CCIDE-16-43-g0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c7da/10926919/2e93829cadc1/CCIDE-16-43-g0003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c7da/10926919/b8d56f7d2376/CCIDE-16-43-g0004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c7da/10926919/c3f2f833db1f/CCIDE-16-43-g0005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c7da/10926919/0b1a6e9e6dfe/CCIDE-16-43-g0006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c7da/10926919/bc0968f0b6b3/CCIDE-16-43-g0007.jpg

相似文献

1
"Compression Necrosis" - A Cause of Concern for Early Implant Failure? Case Report and Review of Literature.“压迫性坏死”——早期种植失败的一个值得关注的原因？病例报告及文献综述
Clin Cosmet Investig Dent. 2024 Mar 7;16:43-52. doi: 10.2147/CCIDE.S453798. eCollection 2024.
2
Implant compression necrosis: current understanding and case report.植入物压迫性坏死：当前认识与病例报告
J Periodontol. 2009 Apr;80(4):700-4. doi: 10.1902/jop.2009.080581.
3
Effect of cortical bone thickness and implant placement torque on stability of orthodontic mini-implants.皮质骨厚度和种植体植入扭矩对正畸微型种植体稳定性的影响。
Int J Oral Maxillofac Implants. 2007 Sep-Oct;22(5):779-84.
4
Cementing a Monoblock Dual-Mobility Implant into a Fully Porous Cup in Revision Total Hip Arthroplasty to Address Hip Instability: Surgical Technique.在翻修全髋关节置换术中将一体式双动植入物固定到完全多孔髋臼杯以解决髋关节不稳定：手术技术
JBJS Essent Surg Tech. 2023 Nov 22;13(4). doi: 10.2106/JBJS.ST.22.00058. eCollection 2023 Oct-Dec.
5
Alternative bone expansion technique for implant placement in atrophic edentulous maxilla and mandible.用于在上颌和下颌萎缩无牙颌中植入种植体的替代性骨扩张技术。
J Oral Implantol. 2011 Aug;37(4):463-71. doi: 10.1563/AAID-JOI-D-10-00028. Epub 2010 Jul 21.
6
Insertion Torques of Self-Drilling Mini-Implants in Simulated Mandibular Bone: Assessment of Potential for Implant Fracture.模拟下颌骨中自攻微型种植体的植入扭矩：种植体骨折可能性评估
Int J Oral Maxillofac Implants. 2016 May-Jun;31(3):e57-64. doi: 10.11607/jomi.4427.
7
Early outcome of an implant system with a resorbable adhesive calcium-phosphate coating--a prospective clinical study in partially dentate patients.一种具有可吸收黏附性钙磷涂层的种植系统的早期结果——部分牙列缺失患者的前瞻性临床研究。
Clin Oral Investig. 2012 Aug;16(4):1039-48. doi: 10.1007/s00784-011-0598-8. Epub 2011 Aug 6.
8
A randomized controlled clinical trial comparing the effects of three loading protocols on dental implant stability.一项比较三种加载方案对牙种植体稳定性影响的随机对照临床试验。
Int J Oral Maxillofac Implants. 2012 Jul-Aug;27(4):945-56.
9
Impact of dental implant insertion method on the peri-implant bone tissue--an experimental study.牙种植体植入方法对种植体周围骨组织的影响——一项实验研究。
Vojnosanit Pregl. 2013 Sep;70(9):807-16. doi: 10.2298/vsp110405003s.
10
Five-year results of implants with an oxidized surface placed predominantly in soft quality bone and subjected to immediate occlusal loading.主要植入软质骨并立即进行咬合加载的氧化表面种植体的五年结果。
J Prosthet Dent. 2007 Jun;97(6 Suppl):S59-68. doi: 10.1016/S0022-3913(07)60009-2.

引用本文的文献

1
Influence of Drilling Protocol on Primary Implant Stability Depending on Different Bone Qualities and Implant Macro-Designs, Lengths, and Diameters.根据不同骨质量以及种植体的宏观设计、长度和直径，钻孔方案对种植体初期稳定性的影响
J Funct Biomater. 2025 Aug 16;16(8):296. doi: 10.3390/jfb16080296.
2
Comparison of One-Drill Protocol to Sequential Drilling In Vitro and In Vivo.体外和体内单钻孔方案与序贯钻孔的比较。
Bioengineering (Basel). 2025 Jan 9;12(1):51. doi: 10.3390/bioengineering12010051.

本文引用的文献

1
Effect of Implant Macro-Design and Magnetodynamic Surgical Preparation on Primary Implant Stability: An In Vitro Investigation.种植体宏观设计和磁动力手术预备对种植体初期稳定性的影响：一项体外研究
Dent J (Basel). 2023 Sep 24;11(10):227. doi: 10.3390/dj11100227.
2
Influence of different drilling protocols and bone density on the insertion torque of dental implants.不同钻取方案和骨密度对牙种植体植入扭矩的影响。
Med Oral Patol Oral Cir Bucal. 2023 Jul 1;28(4):e385-e394. doi: 10.4317/medoral.25804.
3
Influence of different surgical techniques on primary implant stability in the posterior maxilla: a randomized controlled clinical trial.
不同外科手术技术对上颌后牙区初次种植体稳定性的影响：一项随机对照临床试验。
Clin Oral Investig. 2023 Jul;27(7):3499-3508. doi: 10.1007/s00784-023-04962-y. Epub 2023 Mar 28.
4
Comparison of insertion torque, implant stability quotient and removal torque, in two different implant designs with and without osseodensification. - An ex vivo bench top study.在有和没有骨致密化的两种不同种植体设计中，植入扭矩、种植体稳定性商数和拆除扭矩的比较。——一项体外台式研究。
J Oral Biol Craniofac Res. 2023 Mar-Apr;13(2):249-252. doi: 10.1016/j.jobcr.2023.02.004. Epub 2023 Feb 14.
5
Randomized Clinical Trial Comparing Insertion Torque and Implant Stability of Two Different Implant Macrogeometries in the Initial Periods of Osseointegration.随机临床试验比较两种不同种植体宏观几何形状在骨整合初始阶段的植入扭矩和稳定性。
Medicina (Kaunas). 2023 Jan 14;59(1):168. doi: 10.3390/medicina59010168.
6
Complications and treatment errors in periodontal and implant therapy.牙周病和种植治疗中的并发症及治疗失误。
Periodontol 2000. 2023 Jun;92(1):9-12. doi: 10.1111/prd.12442. Epub 2022 Aug 2.
7
Clinical effects of conventional and underprepared drilling preparation of the implant site based on bone density: A systematic review and meta-regression.基于骨密度的种植位点传统钻孔制备与准备不足钻孔制备的临床效果：一项系统评价与Meta回归分析
J Prosthodont Res. 2023 Jan 6;67(1):23-34. doi: 10.2186/jpr.JPR_D_21_00275. Epub 2022 Mar 24.
8
Biomechanical finite element analysis of short-implant-supported, 3-unit, fixed CAD/CAM prostheses in the posterior mandible.下颌后牙区短种植体支持的三单位 CAD/CAM 固定修复体的生物力学有限元分析
Int J Implant Dent. 2022 Feb 11;8(1):8. doi: 10.1186/s40729-022-00404-8.
9
Etiology, occurrence, and consequences of implant loss.种植体失败的病因、发生及后果。
Periodontol 2000. 2022 Feb;88(1):13-35. doi: 10.1111/prd.12408.
10
Complications in bone-grafting procedures: Classification and management.骨移植手术中的并发症：分类与处理
Periodontol 2000. 2022 Feb;88(1):86-102. doi: 10.1111/prd.12413.