用Replace种植修复体修复上颌前牙缺失

目的：本文报告单独用Replace种植体、或联合邻牙支持和固位的、用粘固剂固定的金属陶瓷单冠修复上颌前牙缺失患者的基本情况、临床修复程序,评价了种植修复体的临床应用效果.方法：用Replace种植体支持的种植单冠为25例患者缺失的31颗上颌前牙进行了修复治疗.22位患者（26枚种植牙）按期复查,其中,10位患者在种植体植入的同期接受了自体组织移植或人工骨植入手术.根据对种植体周围软组织健康情况、附丽高度、外形和色泽的临床观察,结合医、患双方对种植修复体的美观效果、功能状况满意度评价来确定修复效果.结果：种植牙修复后咀嚼功能恢复良好,面容和语音功能有显著改观,种植体周围软组织健康.种植单冠和修复基台的接缝位于龈下,种植牙给人以从龈下长出来的视觉效果,美观.20例按期复查的患者和修复医生对修复体、及其临床应用效果都评价为满意.2例患者对3个种植牙评价为可接受.结论：用Replace种植体支持的、暂时性粘固剂固定的种植上颌前牙能够获得医、患双方都满意或可接受的临床应用效果.

The Clinical Application of Metal Ceramic Crowns Supported by Replace Implants Used in Anterior Area of Maxilla

Objective:The indication scale of partial edentulous maxillae and clinical procedure of prosthodontics of metal ceramic crowns supported by Replace implant assembly and retained with temporary cement were introduced in this article. The restorative effects of implant teeth were evaluated. Methods: The total of 25 patients of partial edentulous maxillae were restored with metal ceramic crowns supported by Replace implant assembly and retained with temporary cement.22 patients recalled on schedule were evaluated in this article. Among them, 10 patients were received autograft or artificial bone implantation simultaneously. The restorative effects of this kind of restorations were evaluated according to the evaluations of contour, the adaptation of margins, mastication of and satisfaction to the restorations. Result: The mastication, appearance and phonetics were approved well of most dental implant restorations. The soft tissue surrounded implants was healthy. All of the evaluated aspects were classified as excellent by patients and dentists. Conclusion: The satisfactory results of clinical application were achieved to restore the lost maxillary anterior teeth using metal ceramic crowns supported by Replace implant assembly.