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上颌骨纤维骨性病变的同期植入:一例报告及文献综述

Simultaneous Implantation of Maxillary Fibroskeletal Lesions: A Case Report and Literature Review.

作者信息

Chen Duo, Shen Yufeng, Qian Yi, Chen Shiman, Li Luoxin, Zhou Zheng

机构信息

Department of Stomatology, The First Affiliated Hospital of Shihezi University, Shihezi, Xinjiang Uygur Autonomous Region, China.

出版信息

J Craniofac Surg. 2024 Nov 7;36(2):e115-8. doi: 10.1097/SCS.0000000000010817.

Abstract

OBJECTIVE

To investigate a clinical case of simultaneous implantation therapy for a patient with fibroskeletal disease of the jaw, and to provide a clinical basis for the treatment of such patients by clinical prosthetists.

METHODS

The clinical data of a patient with fibroskeletal disease of the jaw undergoing implant treatment were collected, and the clinical repair plan for this patient was discussed by reviewing the literature.

RESULTS

The patient, a female, 49 years old, right upper posterior tooth missing for 1 year, through the maxillofacial surgery consultation, according to the imaging data, the maxillary fibroskeletal lesions were considered. The tumor was removed, bone regeneration was guided, and microimplants were implanted at the same time. Cone Beam Computed Tomography was performed at 3, 9, and 20 months postoperatively, and according to clinical evaluation, the patient did not show any signs of recurrence. At the same time, a literature search was conducted to summarize the data on simultaneous implantation therapy for fibroskeletal lesions of the jaw.

CONCLUSION

The treatment plan of tumor removal → guided bone regeneration → simultaneous implantation of microimplants can effectively achieve implant repair and reduce the failure rate of implants in patients with jaw fibroskeletal lesions.

摘要

目的

探讨颌骨纤维-骨性疾病患者同期种植治疗的临床病例,为临床修复医师治疗此类患者提供临床依据。

方法

收集1例接受种植治疗的颌骨纤维-骨性疾病患者的临床资料,并通过文献复习讨论该患者的临床修复方案。

结果

患者为49岁女性,右上后牙缺失1年,经颌面外科会诊,根据影像学资料,考虑为上颌骨纤维-骨性病变。切除肿瘤,引导骨再生,并同期植入微型种植体。术后3个月、9个月和20个月进行锥形束计算机断层扫描,根据临床评估,患者未出现任何复发迹象。同时进行文献检索,总结颌骨纤维-骨性病变同期种植治疗的数据。

结论

肿瘤切除→引导骨再生→同期植入微型种植体的治疗方案可有效实现种植修复,降低颌骨纤维-骨性病变患者种植体的失败率。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e558/11845069/88bc97a1c1a5/scs-36-e115-g001.jpg

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