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牙周炎患者使用短夹板种植体修复萎缩上颌骨:一例六年随访病例报告

Rehabilitation of Atrophied Maxillary Bones With Short-Splinted Implants in a Periodontitis Patient: A Six-Year Follow-Up Case Report.

作者信息

AlHazmi Bann

机构信息

Department of Periodontics and Community Dentistry, King Saud University, Riyadh, SAU.

出版信息

Cureus. 2024 Nov 12;16(11):e73514. doi: 10.7759/cureus.73514. eCollection 2024 Nov.

Abstract

This case report aims to report the successful use of a short-splinted implant in a patient with a history of periodontal disease. Two implants were used to rehabilitate severe atrophied alveolar ridge with fixed prosthesis. Despite the left posterior ridge being weakened by maxillary sinus pneumatization and bone remodeling after tooth extraction, no bone grafts nor sinus osteotomy procedures were needed for the rehabilitation surgery. The report examines the use of Roxolid® SLActive® surface implants (Straumann Group, Basel, Switzerland) for the restoration of missing posterior teeth in the atrophied alveolar ridge. These implants offer improved mechanical properties that enhance their durability and dependability, which increase their survival rate. This case report demonstrates that the use of short-splinted implants can effectively reduce morbidity rates and the risk of implant failure. Additionally, the simplified rehabilitation surgery involving a short implant, when combined with proper surgical and prosthetic management, appears to be a viable treatment option that is both cost-effective and less time-consuming for rehabilitating atrophied maxillary ridges. It is important to emphasize that rigorous periodontal maintenance, which includes regular professional follow-ups and effective oral hygiene practices, is essential for achieving optimal health of both soft and hard oral tissues around dental implants.

摘要

本病例报告旨在报道短夹板式种植体在一名有牙周病病史患者中的成功应用。使用两颗种植体通过固定修复体修复严重萎缩的牙槽嵴。尽管左后牙槽嵴因上颌窦气化和拔牙后的骨重塑而变弱,但修复手术无需植骨或鼻窦截骨手术。该报告探讨了Roxolid® SLActive®表面种植体(瑞士巴塞尔士卓曼集团)用于萎缩牙槽嵴后牙缺失修复的情况。这些种植体具有改善的机械性能,可提高其耐用性和可靠性,从而提高其存活率。本病例报告表明,使用短夹板式种植体可有效降低发病率和种植体失败风险。此外,涉及短种植体的简化修复手术,结合适当的手术和修复管理,似乎是一种可行的治疗选择,对于修复萎缩的上颌牙槽嵴既经济又省时。必须强调的是,严格的牙周维护,包括定期专业随访和有效的口腔卫生措施,对于实现牙种植体周围软硬口腔组织的最佳健康至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1bae/11636027/8adb83a76043/cureus-0016-00000073514-i01.jpg

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