中国口腔种植学杂志 ›› 2021, Vol. 26 ›› Issue (1): 35-39.DOI: 10.12337/zgkqzzxzz.2021.02.008

• 论著·典型病例分析 • 上一篇    下一篇

种植体植入术后双膦酸盐相关性颌骨坏死病例报告及文献回顾

王璐1,2, 林海燕3, 刘倩1,2, 4, 王倩1,2, 宿玉成2, 4   

  1. 1北京瑞城口腔医院 100032;
    2北京口腔种植培训中心 100032;
    3杭州医学院存济口腔医学院 310053;
    4中国医学科学院北京协和医院口腔种植中心 100032
  • 收稿日期:2020-10-04 出版日期:2021-02-10 发布日期:2021-06-04
  • 通讯作者: 宿玉成, Email: yuchengsu@163.com,电话:010-66212299,主任医师、教授、博士研究生导师,研究方向:口腔种植外科和正颌外科相关研究
  • 作者简介:王璐,硕士、主治医师,研究方向:牙周病学和口腔种植学研究
  • 基金资助:
    国家重点研发计划资助(2016YFC1102602)

Bisphosphonate-related osteonecrosis of the jaw after implant placement: a case report and literature review

Wang Lu1,2, Lin Haiyan3, Liu Qian1,2, 4, Wang Qian1,2, Su Yucheng2, 4   

  1. 1Beijing Citident Hospital of Stomatology, Beijing 100032, China;
    2Beijing Implant Training College(BITC), Beijing 100032, China;
    3Savaid Stomatology School, Hangzhou Medical College, Hangzhou 310053,China;
    4Dental lmplant Center, Peking Union Medical College Hospital, Chinese Academy Of Medical Sciences, Beijing 100032, China
  • Received:2020-10-04 Online:2021-02-10 Published:2021-06-04
  • Contact: Su Yucheng, Email: yuchengsu@163.com, Tel: 0086-10-66212299
  • Supported by:
    National Key R&D Program of China(2016YFC1102602)

摘要: 本文报道一例双膦酸盐相关性颌骨坏死病例的临床表现及治疗过程。患者因前列腺癌应用双膦酸盐治疗,用药期间行下颌左侧后牙区的种植体植入手术,发生术区颌骨坏死。予以手术治疗,术中辅助使用内镜。术后愈合良好。同时本文对双膦酸盐相关性颌骨坏死的发病机制、相关因素、治疗及预防等方面的文献进行了综述和讨论。

Abstract: This article reports a case of bisphosphonate-related osteonecrosis of the jaw. The patient was treated with bisphosphonates due to prostate cancer. Implant placement was performed in the left posterior mandible during the intake of bisphosphonate, which resulted in osteonecrosis in the operation area. Surgical treatment was performed, and the affected area was observed by endoscope during the operation. The patient healed well after operation. Furthermore, this article reviews the literature on the pathogenesis, related factors, treatment and prevention of bisphosphonate-related osteonecrosis of the jaw.