Huband M L
Department of General Dentistry at Lousiana State University School of Dentistry, USA.
J Dent Technol. 1998 Apr;15(3):12-6.
This case report describes the clinical and laboratory procedures used in the rehabilitation of a patient treated for oral cancer with surgery and radiation therapy. During surgery, a large portion of the mandible was removed and reconstructed with a bone graft. Following therapy, the patient was left with poor esthetics and difficulties with mastication and speech. The goal of prosthodontic treatment was to improve esthetics and restore function. This was successfully achieved through the placement of dental implants and the construction of an implant retained overdenture. A bar was employed to split the implants together and an O-ring system was chosen for retention. The decision to use this type of prosthesis and attachment selection was based on the patient's dental history, esthetic demands, and the need for stress distribution.
本病例报告描述了一名接受口腔癌手术和放射治疗患者康复过程中所采用的临床和实验室程序。手术期间,下颌骨的大部分被切除并用骨移植进行重建。治疗后,患者的美观度较差,咀嚼和言语功能也存在困难。修复治疗的目标是改善美观度并恢复功能。通过植入牙种植体和制作种植体固位覆盖义齿成功实现了这一目标。采用了一根杆将种植体连接在一起,并选择了O形环系统进行固位。选择这种类型的修复体和固位方式是基于患者的牙科病史、美观需求以及应力分布的需要。