下颌骨纤维骨性病变致种植失败一例及文献回顾

doi:10.12337/zgkqzzxzz.2022.12.004

中国口腔种植学杂志 ›› 2022, Vol. 27 ›› Issue (6): 346-351.DOI: 10.12337/zgkqzzxzz.2022.12.004

下颌骨纤维骨性病变致种植失败一例及文献回顾

赵满¹, 郑亚琪¹, 闫征斌¹, 李晓敏², 杨晓喻³

1 深圳市龙华区人民医院口腔科 518109;
2 南方医科大学口腔医院放射科 510280;
3 南方医科大学口腔医院种植中心 510280

收稿日期:2022-08-10 出版日期:2022-12-30 发布日期:2023-01-03
通讯作者: 杨晓喻,Email：twindoctor@sina.com,电话：020-84408890
作者简介:赵满, 主治医师、硕士研究生,研究方向：口腔种植相关研究; 杨晓喻, 博士、主任医师、教授、研究生导师,研究方向：口腔种植相关研究
基金资助:
深圳市龙华区医疗卫生机构区级科研项目（2021112）

Implant failure caused by mandible fibro-osseous lesions: a case report and the literature review

Zhao Man¹, Zheng Yaqi¹, Yan Zhengbin¹, Li Xiaomin², Yang Xiaoyu³

1 Department of Stomatology, the People's Hospital of Longhua Shenzhen 518109, China;
2 Department of Radiology, The Affiliated Stomatological Hospital of Southern Medical University, Shenzhen 510280, China;
3 Department of Implantology, The Affiliated Stomatological Hospital of Southern Medical University, Shenzhen 510280, China.

Received:2022-08-10 Online:2022-12-30 Published:2023-01-03
Contact: Yang Xiaoyu, Email: twindoctor@sina.com, Tel: 0086-20-84408890
Supported by:
Scientific Research Projects of Medical and Health Institutions of Longhua District, Shenzhen（2021112）

摘要/Abstract

摘要： 本文报道一例同期于患者双侧下颌后牙区各植入一颗种植体,6个月后右侧种植体骨结合失败、松动取出,左侧种植体骨结合良好,常规修复并负荷。术后回顾分析发现该病例右侧下颌后牙区骨内存在影像学表现不明显的纤维骨性病变,并最终通过组织病理学检查确诊。颌骨纤维骨性病变主要是指一类在组织形态学上表现为纤维和骨化的混合性病变,这类病变临床及影像学表现往往不明显,难以发现;或者与其他疾病表现相似,鉴别困难。本文通过对该病例失败原因进行分析,对颌骨纤维骨性病变临床、影像学及组织病理学的特征等进行相关文献回顾和讨论,以期为临床提供纤维骨性病变种植风险评估预警。

关键词: 纤维骨性病变, 种植, 骨结合, 骨化纤维瘤, 纤维性结构不良

Abstract: A case of implanting in the bilateral mandibular posterior area simultaneously with different prognosis was reported. Finally, the implant on the right side was loose and removed after six months, which was failed without osseointegration. Otherwise, a good osseointegration was formed on the left side, and the implant was loaded routinely. In the right mandibular posterior area, there were fibro-osseous lesions with unremarkable imaging findings, which were finally diagnosed by histopathology. Mandible fibro-osseous lesions mainly refer to a mixture of pathological changes of fibrosis and ossification in technology. The performance of such lesions is not obvious or present with similar symptoms and radiographic appearances, which lead to difficulties in diagnosis. In this article, the causes of failure in this case were analyzed. Furthermore, the features of ossifying fibroma and fibrous dysplasia in clinical manifestation, radiology, histopathology and so on were reviewed in this article, in order to provide a risk assessment and early warning of implants with fibro-osseous lesions for clinic.

Key words: Fibro-osseous lesions, Implant, Osseointegration, Ossifying fibroma, Fibrous dysplasia

赵满,郑亚琪,闫征斌,等. 下颌骨纤维骨性病变致种植失败一例及文献回顾[J]. 中国口腔种植学杂志, 2022, 27(6): 346-351. DOI: 10.12337/zgkqzzxzz.2022.12.004

Zhao Man, Zheng Yaqi, Yan Zhengbin, Li Xiaomin, Yang Xiaoyu. Implant failure caused by mandible fibro-osseous lesions: a case report and the literature review[J].Chinese Journal of Oral Implantology, 2022, 27(6): 346-351.DOI: 10.12337/zgkqzzxzz.2022.12.004.

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下颌骨纤维骨性病变致种植失败一例及文献回顾

Implant failure caused by mandible fibro-osseous lesions: a case report and the literature review

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