左上外伤中切牙不翻瓣即刻种植即刻修复病例分析

doi:10.12337/zgkqzzxzz.2021.08.006

中国口腔种植学杂志 ›› 2021, Vol. 26 ›› Issue (4): 236-241.DOI: 10.12337/zgkqzzxzz.2021.08.006

左上外伤中切牙不翻瓣即刻种植即刻修复病例分析

肖慧娟¹, 柳忠豪², 王美娟², 杨云东³

¹烟台市口腔医院修复科 264000;
²烟台市口腔医院种植科 264000;
³烟台市口腔医院开发区分院 265599

收稿日期:2020-10-20 出版日期:2021-08-10 发布日期:2021-09-08
通讯作者: 杨云东,Email: dentyyd@163.com,电话：0535-6108826
作者简介:肖慧娟副主任医师、硕士,研究方向：口腔种植修复学;杨云东副主任医师、硕士,研究方向：口腔修复学

Case analysis of flapless immediate implantation combined with immediate restoration in repairing left maxillary traumatic central incisor

Xiao Huijuan¹, Liu Zhonghao², Wang Meijuan², Yang Yundong³

¹Department of Reconstructive Dentistry, Yantai Stomatological Hospital, Yantai 264000, China;
²Department of Implant Dentistry, Yantai Stomatological Hospital, Yantai 264000, China;
³Yantai Stomatological Hospital Development Zone Branch, Yantai 265599, China

Received:2020-10-20 Online:2021-08-10 Published:2021-09-08
Contact: Yang Yundong, Email: dentyyd@163.com, Tel: 0086-535-6108826

摘要/Abstract

摘要： 评估单颗上颌前牙区外伤牙行不翻瓣即刻种植即刻修复的临床效果,探讨影响前牙美学区种植修复效果的临床因素。患者左上中切牙外伤致冠根折,微创拔除患牙,进行不翻瓣即刻种植,术后当天完成即刻临时修复,术后7个月行3 Shape口扫制取数字化印模,完成一体化螺钉固位钛基底（Vario-Base）-氧化锆冠修复。在25个月的随访观察期内,本病例获得了理想的软硬组织美学效果。CBCT及平行投照根尖放射线片检查显示种植体骨结合良好,唇侧骨板厚度充足,边缘骨水平稳定。通过正确的临床操作实施,不翻瓣即刻种植即刻修复技术在美学区种植可获得良好的美学修复效果。

关键词: 即刻种植, 即刻修复, 不翻瓣, 数字化印模

Abstract: The objective is to evaluate the clinical effect of flapless immediate implantation combined with immediate restoration in repairing a single traumatic tooth in the maxillary anterior region and explore the clinical factors that influence the effect of implant restoration in the aesthetic area of anterior teeth. A 20-year-old female patient with post-traumatic crown and root fracture of the left maxillary central incisor. The affected tooth was extracted with minimally invasive surgery and replaced with flapless immediate implantation. The temporary restoration was completed on the same day. Seven months later, the digital impression was taken using a 3-Shape oral scanner, and the integrated screw-retained titanium base (Vario-base)-zirconia crown repair was completed. During the follow-up period of 25 months, ideally soft and hard tissue aesthetic effect was achieved in this patient. CBCT and periapical radiographs with paralleling technique showed good osseointegration, sufficient thickness of labial bone plate, and stable level of marginal bones. This case shows that through appropriate clinical operations, the flapless immediate implantation in combination with immediate restoration in the aesthetic area can obtain a good aesthetic restoration effect.

Key words: Immediate implantation, Immediate restoration, Flapless, Digital impression

肖慧娟,柳忠豪,王美娟,等. 左上外伤中切牙不翻瓣即刻种植即刻修复病例分析[J]. 中国口腔种植学杂志, 2021, 26(4): 236-241. DOI: 10.12337/zgkqzzxzz.2021.08.006

Xiao Huijuan, Liu Zhonghao, Wang Meijuan, Yang Yundong. Case analysis of flapless immediate implantation combined with immediate restoration in repairing left maxillary traumatic central incisor[J].Chinese Journal of Oral Implantology, 2021, 26(4): 236-241.DOI: 10.12337/zgkqzzxzz.2021.08.006.

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左上外伤中切牙不翻瓣即刻种植即刻修复病例分析

Case analysis of flapless immediate implantation combined with immediate restoration in repairing left maxillary traumatic central incisor

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