应用结缔组织平台技术治疗美学区种植体周炎合并种植体下沉一例及文献回顾

doi:10.12337/zgkqzzxzz.2023.12.006

中国口腔种植学杂志 ›› 2023, Vol. 28 ›› Issue (6): 424-429.DOI: 10.12337/zgkqzzxzz.2023.12.006

应用结缔组织平台技术治疗美学区种植体周炎合并种植体下沉一例及文献回顾

林志辉¹, 王希², 满毅³

¹无锡市江阴市人民医院口腔科 214400;
²无锡市江阴口腔医院儿童口腔科 214400;
³四川大学口腔疾病研究国家重点实验室四川大学华西口腔医院种植科 610041

收稿日期:2023-11-07 出版日期:2023-12-30 发布日期:2024-01-04
通讯作者: 满毅,Email: manyi780203@126.com,电话:028-85503579
作者简介:林志辉, 主治医师、硕士研究生,研究方向：口腔种植相关研究; 满毅, 博士、主任医师、教授、博士研究生导师,研究方向：口腔种植相关研究
基金资助:
成都市重大科技应用示范项目（2022-YF09-000008-SN）

Application of platform technology in the treatment of peri-implantitis combined with implant infraposition in the aesthetic zone: a case report and literature review

Lin Zhihui¹, Wang Xi², Man Yi³

¹Department of Stomatology, Jiangyin People's Hospital, Wuxi 214400,Jiangsu Province, China;
²Department of Pediatric Dentistry, Jiangyin Stomatological Hospital, Wuxi 214400, China;
³State Key Laboratory of Oral Diseases and National Clinical Research Center for Oral Diseases, West China Hospital of Stomatology, Sichuan University, Department of Oral Implantology, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, China

Received:2023-11-07 Online:2023-12-30 Published:2024-01-04
Contact: Man Yi, Email: manyi780203@126.com, Tel:0086-28-85503579
Supported by:
The Major Science and Technology Application Demonstration Project of Chengdu (2022-YF09-000008-SN)

摘要/Abstract

摘要： 在种植义齿长期行使功能过程中,受到患者全身情况、手术操作、种植修复以及修复工艺等多方面因素的影响,种植体周生物学并发症的发生往往难以避免。此外,在美学区种植修复患者的临床长期随访过程中,常可发现种植修复体切缘较对侧同名天然牙切缘偏根方的情况,即种植体下沉。本文报告一例应用结缔组织平台技术治疗美学区种植体周炎合并种植体下沉的病例,该病例在术前通过非手术治疗对术区炎症进行控制,术中采用结缔组织平台技术进行种植体周软组织增量,术后3个月行临时修复,术后6个月完成最终修复。短期治疗结果显示,对于美学区种植体周炎合并种植体下沉的病例,采用结缔组织平台技术可良好的实现术区软组织重建,降低美学风险。

关键词: 种植体周炎, 美学区, 结缔组织移植, 种植体下沉, 结缔组织平台技术

Abstract: In the process of long-term functional use of implant-supported dentures, the occurrence of peri-implant biological complications is often difficult to avoid due to various factors such as the patient's overall health condition, surgical procedures, implant restorations, and prosthetic techniques. Additionally, during the long-term clinical follow-up of patients with aesthetic zone implant restorations, it is often observed that the incisal edge of implant restoration is positioned lower towards the root compared to the contralateral natural tooth, indicating implant infraposition. This article reports a case of aesthetic zone implant peri-implantitis combined with implant infraposition treated using platform techniques. In this case, non-surgical treatment was used to control inflammation in the surgical area before the surgery, and connective tissue platform techniques were employed during the surgery to increase soft tissue volume around the implant. Temporary restoration was performed after 3 months postoperatively, followed by the final restoration after 6 months. Short-term treatment results showed that for cases of aesthetic zone implant peri-implantitis combined with implant infraposition, the use of connective tissue platform techniques can effectively achieve soft tissue reconstruction in the surgical area and reduce aesthetic risks.

Key words: Peri-implantitis, Aesthetic zone, Connective tissue grafting, Implant infraposition, Connective tissue flatform technique

林志辉,等王希,等满毅. 应用结缔组织平台技术治疗美学区种植体周炎合并种植体下沉一例及文献回顾[J]. 中国口腔种植学杂志, 2023, 28(6): 424-429. DOI: 10.12337/zgkqzzxzz.2023.12.006

Lin Zhihui, Wang Xi, Man Yi. Application of platform technology in the treatment of peri-implantitis combined with implant infraposition in the aesthetic zone: a case report and literature review[J].Chinese Journal of Oral Implantology, 2023, 28(6): 424-429.DOI: 10.12337/zgkqzzxzz.2023.12.006.

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应用结缔组织平台技术治疗美学区种植体周炎合并种植体下沉一例及文献回顾

Application of platform technology in the treatment of peri-implantitis combined with implant infraposition in the aesthetic zone: a case report and literature review

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