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通过骨处理技术改善前牙美学区种植体植入:病例系列

Enhancing Anterior Esthetic Zone Implant Placement Through Bone Manipulation Techniques: A Case Series.

作者信息

Raj Indu, A Harinee, Raj Anjana S, Uikey Arvind K, Syed Femitha

机构信息

Prosthodontics, Government Dental College, Kottayam, Kottayam, IND.

Prosthodontics, Chettinad Dental College and Research Institute, Chennai, IND.

出版信息

Cureus. 2024 Jul 28;16(7):e65559. doi: 10.7759/cureus.65559. eCollection 2024 Jul.

Abstract

Replacement of missing teeth using dental implants has become the most frequently performed procedure. Following tooth loss, buccolingual bone width decreases significantly compromising the successful placement of dental implants. Various treatment modalities have been advocated in scenarios with insufficient buccolingual bone width like narrow diameter implant placement, horizontal guided bone regeneration, ridge splitting technique, and osseodensification. Maxillary anterior tooth loss is of prime esthetic concern, which needs immediate attention. Guided bone regeneration is the gold standard for patients presenting for rehabilitation in the anterior maxilla with inadequate buccolingual bone width. However, bone grafting techniques require longer treatment time; hence, various other techniques like lateral bone expansion, osseodensification, or socket shield technique are sought. This case series presents successful rehabilitation of the maxillary anterior esthetic zone with dental implants using various bone manipulation techniques, including lateral bone condensation, socket shield technique, and osseodensification.

摘要

使用牙种植体替代缺失牙已成为最常施行的手术。牙齿缺失后,颊舌向骨宽度显著减小,这会影响牙种植体的成功植入。在颊舌向骨宽度不足的情况下,人们提倡采用多种治疗方式,如窄直径种植体植入、水平引导骨再生、牙槽嵴劈开技术和骨致密化。上颌前牙缺失是首要的美学问题,需要立即关注。引导骨再生是上颌前部颊舌向骨宽度不足的患者进行修复时的金标准。然而,骨移植技术需要更长的治疗时间;因此,人们在寻求其他各种技术,如侧向骨扩张、骨致密化或牙槽窝屏障技术。本病例系列展示了使用包括侧向骨挤压、牙槽窝屏障技术和骨致密化在内的多种骨处理技术,通过牙种植体对上颌前部美学区进行成功修复的案例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4dda/11348646/0ec8cb48f892/cureus-0016-00000065559-i01.jpg

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[Implant placement in the aesthetic zone: the socket-shield-technique].
Ned Tijdschr Tandheelkd. 2015 Jan;122(1):33-6. doi: 10.5177/ntvt.2015.01.14180.
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The alveolar ridge splitting/expansion technique: a systematic review.牙槽嵴劈开/扩展技术:一项系统评价
Clin Oral Implants Res. 2016 Mar;27(3):310-24. doi: 10.1111/clr.12537. Epub 2015 Jan 14.

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