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种植支抗压低对伸长牙同期种植修复缺失后牙的临床研究

Clinical evaluation of simultaneously restoration for the missing posterior teeth by dental implants after suppressing the opposite elongated teeth with micro-implant anchorage

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【作者】 吴王喜陈筑苏孟波张君孝汤慧怡

【Author】 WU Wang-xi1,CHEN Zhu-su,MENG Bo,ZHANG Jun-xiao,TANG Hui-yi.1Department of Implantology,Guangdong Provincial Stomatological Hospital & the Affiliated Stomatological Hospital of Southern Medical University,Guangzhou 510280,China

【机构】 广东省口腔医院南方医科大学附属口腔医院种植中心南方医科大学附属口腔医院颌面外科南方医科大学附属口腔医院正畸科

【摘要】 目的研究种植支抗压低对伸长牙同期种植修复缺失后牙的临床效果。方法 8例后牙缺失伴对牙伸长的成年患者,利用支抗种植钉作为骨支抗,对16颗对伸长牙进行正畸压低矫治,矫治结束前8~12周植入种植体,矫治结束时即刻进行上部结构修复。随访1年,观察临床效果。结果 8例患者16颗伸长对牙压低矫治成功,平均压低疗程为7个月,缺失牙种植义齿修复后咀嚼功能正常;1年后随访,压低后的天然牙与种植义齿咬合稳定,X线片显示矫治压低的对牙和种植义齿均未出现明显的骨吸收。结论种植支抗压低对伸长牙同期种植修复缺失后牙,缩短了疗程,有利于早期建立稳定的咬合关系,是一种可行的临床治疗选择。

【Abstract】 Objective To study the effects of simultaneously restoration for the missing posterior teeth by dental implants after suppressing the opposite elongated teeth with micro-implant anchorage.Methods Eight Adult partial edentulous patients needing restoration with elongated opposite teeth were included in this study.16 teeth were suppressed by micro-implant anchorage,8 to 12 weeks to insert the dental implants before the end of orthodontics,implants restoration at the time of the end of suppressing,follow-up of 1 year.Results 8 cases had been suppressed successfully after treatment,with the average suppressing treatment of 7 months.The missing teeth were replaced by the regular prosthetic and re-gained the normal mastication function.Within the 1 year revisit period,the occlusion relationship between the orthodontic teeth and the prosthetic was stability and the bone level around the implants and the orthodontic teeth were stable under the X-ray.Conclusion Simultaneously restoration after suppressing elongated teeth by micro-implant anchorage could shorten the course of treatment,and keep the re-buiding occlusion stability,so it is suitable for promotion in clinical practice.

  • 【文献出处】 广东牙病防治 ,Journal of Dental Prevention and Treatment , 编辑部邮箱 ,2012年12期
  • 【分类号】R783.3
  • 【被引频次】2
  • 【下载频次】152
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