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下颌骨后部三维牙槽嵴增高的创新方法:病例报告。

An innovative approach to three-dimensional ridge augmentation in the posterior mandible: A case report.

作者信息

Sleman Nadim

机构信息

Oral and Maxillofacial Surgery, Oral and Maxillofacial Surgery Department, Tishreen University, Latakia, Syria.

出版信息

Int J Surg Case Rep. 2024 Sep;122:110146. doi: 10.1016/j.ijscr.2024.110146. Epub 2024 Aug 10.

Abstract

INTRODUCTION AND IMPORTANCE

Surgical intervention is necessary to address significant three-dimensional bone loss in the posterior mandibular alveolar ridge when implants are planned, and primary stability cannot be achieved due to anatomical limitations. The objective of this study is to elucidate the surgical procedures for reconstructing significant bone loss in the posterior mandibular region and to present the outcomes and insights gained from this clinical case.

CASE PRESENTATION

A 42-year-old woman exhibited first lower molar loss, significant movement of the second molar, and severe bone loss at the same site. Vertical and horizontal bone augmentation was performed to enable the restoration of teeth loss by inserting dental implants.

CLINICAL DISCUSSION

Significant bone loss poses a great limitation in replacing missing teeth, particularly in the posterior mandible, given anatomical constraints. Therefore, it is essential to establish an adequate amount of bone to ensure primary stability for the implants.

CONCLUSION

This clinical case demonstrates a restoration technique of severe bone loss in the posterior mandible to enable stable dental implant placement, highlighting the importance of combining vertical and horizontal augmentation to overcome anatomical limitations and ensure primary stability.

摘要

引言与重要性

当计划植入种植体时,若因解剖学限制无法实现初期稳定性,则需要进行手术干预以解决下颌后牙区明显的三维骨量缺失问题。本研究的目的是阐明下颌后牙区严重骨量缺失的重建手术步骤,并展示从该临床病例中获得的结果与见解。

病例介绍

一名42岁女性出现右下第一磨牙缺失、第二磨牙明显移位以及同一部位严重骨量缺失。通过垂直和水平骨增量术,以便能够通过植入牙种植体来修复牙齿缺失。

临床讨论

鉴于解剖学限制,严重骨量缺失对缺失牙的修复构成了极大限制,尤其是在下颌后牙区。因此,建立足够的骨量以确保种植体的初期稳定性至关重要。

结论

本临床病例展示了一种下颌后牙区严重骨量缺失的修复技术,以实现稳定的牙种植体植入,强调了结合垂直和水平骨增量以克服解剖学限制并确保初期稳定性的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c630/11375275/def25e47a91f/gr1.jpg

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