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牙外伤后即刻种植的套筒冠技术:病例报告

Socket shield technique for immediate implant placement after dental trauma: a case report.

作者信息

Tang Hai-Yang, Li Xin, Song Hong-Jie

机构信息

Department of Stomatology, Chengdu Second People's Hospital, Sichuan University, No. 10, Qingyun South Street, Jinjiang Zone, Chengdu 610021, Sichuan Province, China.

North Sichuan Medical College, No. 55 Dongshun Road, Gao Ping District, Nanchong, 637000, Sichuan Province, China.

出版信息

J Surg Case Rep. 2025 May 7;2025(5):rjaf277. doi: 10.1093/jscr/rjaf277. eCollection 2025 May.

DOI:10.1093/jscr/rjaf277
PMID:40337539
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12056502/
Abstract

Anterior teeth are often extracted due to dental trauma, periodontal disease, and other factors. During the healing period of sockets, the loose bundle bone in the buccal side of the anterior teeth usually produces vertical and horizontal bone absorption. How to remain and reconstruct alveolar crest contour in the esthetic zone is a challenge to dentists. In this case, a 26-year-old man reported with the chief complaint of a traumatic fracture in upper front teeth region, accompanied by pain. After examination, he was diagnosed with tooth fracture (11,12 crown-root fracture). The socket shield technique was planned for treatment of tooth 11. Meanwhile, we converted the broken tooth as a temporary crown. After 6 months healing period, a porcelain crown was placed on the custom abutment. Through a 1-year follow-up, the alveolar crest contour was still stable. Consequently, socket shield technique can effectively maintain alveolar crest contour.

摘要

前牙常因牙外伤、牙周病等因素而被拔除。在前牙牙槽窝愈合期,前牙颊侧的疏松束状骨通常会产生垂直和水平向的骨吸收。如何在美学区域保留并重建牙槽嵴轮廓是牙医面临的一项挑战。在本病例中,一名26岁男性因上前牙区外伤骨折并伴有疼痛前来就诊。经检查,诊断为牙折(11、12冠根折)。计划采用牙槽窝屏障技术治疗11号牙。同时,将折断的牙齿改造成临时冠。经过6个月的愈合期后,在定制基台上安装了烤瓷冠。经过1年的随访,牙槽嵴轮廓仍保持稳定。因此,牙槽窝屏障技术可有效维持牙槽嵴轮廓。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2527/12056502/5951590d9754/rjaf277f6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2527/12056502/fdced25e2bad/rjaf277f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2527/12056502/fe628b39d7f6/rjaf277f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2527/12056502/6a678513839c/rjaf277f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2527/12056502/ba4c1fc296d1/rjaf277f4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2527/12056502/f1bb131b8d70/rjaf277f5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2527/12056502/5951590d9754/rjaf277f6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2527/12056502/fdced25e2bad/rjaf277f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2527/12056502/fe628b39d7f6/rjaf277f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2527/12056502/6a678513839c/rjaf277f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2527/12056502/ba4c1fc296d1/rjaf277f4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2527/12056502/f1bb131b8d70/rjaf277f5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2527/12056502/5951590d9754/rjaf277f6.jpg

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本文引用的文献

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Clin Oral Implants Res. 2023 Sep;34 Suppl 26:304-348. doi: 10.1111/clr.14109.
2
Effectiveness of the socket shield technique in dental implant: A systematic review.Socket shield 技术在种植牙中的有效性:系统评价。
J Prosthodont Res. 2022 Jan 11;66(1):12-18. doi: 10.2186/jpr.JPR_D_20_00054. Epub 2021 Mar 9.
3
The socket-shield technique: a critical literature review.
套接字屏蔽技术:一篇批判性文献综述。
Int J Implant Dent. 2020 Sep 7;6(1):52. doi: 10.1186/s40729-020-00246-2.
4
Complication Management of a Socket Shield Case After 6 Years of Function.6年功能期后种植体唇侧骨板保留病例的并发症处理
Int J Periodontics Restorative Dent. 2020 May/Jun;40(3):409-415. doi: 10.11607/prd.4648.
5
Socket Shield Technique Used in Conjunction With Immediate Implant Placement in the Anterior Maxilla: A Case Series.在上颌前部即刻种植术中联合应用牙槽嵴保存技术:病例系列报告
Clin Adv Periodontics. 2020 Jun;10(2):64-68. doi: 10.1002/cap.10087. Epub 2020 Jan 13.
6
Comparing conventional flap-less immediate implantation and socket-shield technique for esthetic and clinical outcomes: A randomized clinical study.比较无瓣即刻种植与牙槽窝保护技术在美学和临床效果方面的差异:一项随机临床研究。
Clin Oral Implants Res. 2020 Feb;31(2):181-191. doi: 10.1111/clr.13554. Epub 2019 Dec 13.
7
Effect of socket-shield technique on alveolar ridge soft and hard tissue in dogs.Socket-shield 技术对犬牙槽嵴软硬组织的影响。
J Clin Periodontol. 2019 Feb;46(2):256-263. doi: 10.1111/jcpe.13073.
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Tissue preservation through socket-shield technique and platelet-rich fibrin in immediate implant placement: A case report.通过牙槽窝屏障技术和富血小板纤维蛋白进行组织保存用于即刻种植:一例报告。
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