美学区薄龈表型即刻种植即刻修复3年随访一例

doi:10.12337/zgkqzzxzz.2021.10.008

中国口腔种植学杂志 ›› 2021, Vol. 26 ›› Issue (5): 313-317.DOI: 10.12337/zgkqzzxzz.2021.10.008

美学区薄龈表型即刻种植即刻修复3年随访一例

姜佳杨, 李效宇, 何梦萧, 金卓华, 欧燕珍, 汪丹, 孟维艳

吉林大学口腔医院种植科,长春 130021

收稿日期:2021-09-14 出版日期:2021-10-30 发布日期:2021-11-12
通讯作者: 孟维艳,Email: mengwy@jlu.edu.cn, 电话：0431-88796025
作者简介:姜佳杨,在读硕士研究生,研究方向：口腔种植学相关研究;孟维艳,主任医师、教授,博士导师,研究方向：口腔种植学相关研究
基金资助:
吉林省科学技术厅科技发展计划项目(20200404108YY); 吉林省财政厅科技项目(JCSZ2019378-3); 吉林省财政厅科技项目 (JCSZ20200304-24)

Immediate implant placement and immediate restoration with a thin gingival biotype in the esthetic zone: 3 years of follow-up

Jiang Jiayang, Li Xiaoyu, He Mengxiao, Jin Zhuohua, Ou Yanzhen, Wang Dan, Meng Weiyan

Department of Dental Implantology, Hospital of Stomatology, Jilin University, Changchun 130021, China

Received:2021-09-14 Online:2021-10-30 Published:2021-11-12
Contact: Meng Weiyan, Email: mengwy@jlu.edu.cn, Tel: 0086-431- 88796025

摘要/Abstract

摘要： 为探讨美学区牙根折断且薄龈表型的单颗牙微创拔牙骨增量后,同期即刻种植即刻修复的临床效果,对1例美学区薄龈表型患者术前以修复为导向设计种植方案,微创拔牙后,植入骨水平种植体,骨增量后临时修复体即刻修复,11个月后完成最终永久修复。随访36个月后,发现种植体周形成良好骨结合,负荷后种植体边缘骨稳定,龈缘高度与对侧同名牙协调一致,获得了良好的红白美学效果,患者满意度高。因此得出美学区单颗牙缺失的薄龈表型患者微创下即刻种植、骨增量并即刻修复,短期内可以维持软硬组织稳定,获得良好的功能及美学效果。

关键词: 美学区, 单颗牙缺失, 即刻种植, 薄龈表型, 即刻修复

Abstract: To investigate the clinical effect of immediate implant placement and immediate restoration after minimally invasive extraction of single tooth root fracture with thin gingival biotype in the maxillary esthetic zone, a restoration-oriented implant scheme was designed for a patient with thin gingival biotype in the maxillary esthetic zone before operation. This study did the immediate implant surgery with bone augmentation in a minimally invasive way using a bone level implant. The temporary restoration was restored immediately, and the final permanent restoration was formed 11 months later. After a 36-month follow-up, the synosteosis was well-formed and the marginal bone was stable after loading. The gingival margin was consistent with the same level as that of the contralateral natural tooth, the periprosthetic soft tissue obtained healthy pink esthetics and proper white esthetics, and the patient's satisfaction was high. Therefore, an immediate implant restoration can maintain the stability of soft and hard tissue in a short time, and meet both functional and esthetic demands of patients with single tooth loss and thin gingival biotype in the esthetic zone.

Key words: Esthetic zone, Single tooth loss, Immediate implant placement, Thin gingival biotype, Immediate restoration

姜佳杨,李效宇,何梦萧,等. 美学区薄龈表型即刻种植即刻修复3年随访一例[J]. 中国口腔种植学杂志, 2021, 26(5): 313-317. DOI: 10.12337/zgkqzzxzz.2021.10.008

Jiang Jiayang, Li Xiaoyu, He Mengxiao, Jin Zhuohua, Ou Yanzhen, Wang Dan, Meng Weiyan. Immediate implant placement and immediate restoration with a thin gingival biotype in the esthetic zone: 3 years of follow-up[J].Chinese Journal of Oral Implantology, 2021, 26(5): 313-317.DOI: 10.12337/zgkqzzxzz.2021.10.008.

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美学区薄龈表型即刻种植即刻修复3年随访一例

Immediate implant placement and immediate restoration with a thin gingival biotype in the esthetic zone: 3 years of follow-up

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