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前牙区即刻种植22例临床观察
引用本文:黄征难,李宝勇,王娟,贾保军,雷鸣,杨海青,刘素阳,袁柳,宋慎琳.前牙区即刻种植22例临床观察[J].口腔颌面外科杂志,2011,21(5):341-345.
作者姓名:黄征难  李宝勇  王娟  贾保军  雷鸣  杨海青  刘素阳  袁柳  宋慎琳
作者单位:解放军第401医院口腔科,山东青岛,266071
摘    要:目的:探讨前牙区即刻种植永久修复后的牙龈美学效果。方法:22例前牙缺失病例,行不翻瓣拔牙同期植入28颗种植体,上颌前牙24颗采用非埋入式种植术,下颌前牙4颗采用埋入式种植术,种植体愈合3~4个月进行永久修复。随访12~30个月(平均18个月)。根据Miller牙龈边缘组织退缩分类及Jemt牙龈乳头指数,分别观察种植体永久修复12个月后的牙龈边缘退缩及牙龈乳头状况;根据Albrektsson种植体成功标准,观察所植入的种植体状况。结果:28颗种植体留存率100%。Miller分类,18颗种植体牙龈边缘无退缩;8颗种植体牙龈边缘Ⅰ类退缩;2颗种植体牙龈边缘Ⅱ类退缩。种植修复体近远中Jemt牙龈乳头指数均为Ⅱ级以上。结论:前牙区即刻种植,延期修复是一项较成熟的手术方法,但须严格掌握适应证,才能获得良好的修复效果。

关 键 词:拔牙  即刻种植  牙种植体  龈退缩  牙乳头

Optimum Esthetics of Immediate Implant in the Anterior Region of the Jaws
HUANG Zheng-nan,LI Bao-yong,WANG Juan,JIA Bao-jun,LEI Ming,YANG Hai-qing,LIU Su-yang,YUAN Liu,SONG Shen-lin.Optimum Esthetics of Immediate Implant in the Anterior Region of the Jaws[J].Chinese Journal of Oral and Maxillofacial Surgery,2011,21(5):341-345.
Authors:HUANG Zheng-nan  LI Bao-yong  WANG Juan  JIA Bao-jun  LEI Ming  YANG Hai-qing  LIU Su-yang  YUAN Liu  SONG Shen-lin
Institution:HUANG Zheng-nan,LI Bao-yong,WANG Juan,JIA Bao-jun,LEI Ming,YANG Hai-qing,LIU Su-yang,YUAN Liu,SONG Shen-lin(Department of Stomatology,PLA 401 Hospital,Qingdao 266071,Shandong Province,China)
Abstract:Objective: To discuss the esthetic outcomes of immediate implant placements in anterior jaw region.Methods: 28 single-tooth implants(twenty-two patients) were included in the study.These implants placed immediately while ten fractured teeth and eighteen residual roots in the anterior region were extracted without flap reflection.24 nonsubmergible implants were placed in the maxilla and 4 submergible implants were placed in the mandible.Final prostheses were restored after 3 to 4 months.The follow-up time wa...
Keywords:tooth extraction  immediate implant placement  dental implants  gingiva tissue recession  dental papilla  
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