左上中切牙种植修复后低咬合1例

doi:10.12337/zgkqzzxzz.2024.02.013

中国口腔种植学杂志 ›› 2024, Vol. 29 ›› Issue (1): 77-81.DOI: 10.12337/zgkqzzxzz.2024.02.013

左上中切牙种植修复后低咬合1例

刘鲁鹏¹, 赵歌¹, 杨云东², 肖慧娟¹

¹滨州医学院附属烟台口腔医院修复科,烟台 264001;
²滨州医学院附属烟台口腔医院开发区分院,烟台 265599

收稿日期:2023-10-20 出版日期:2024-02-29 发布日期:2024-03-07
通讯作者: 肖慧娟,Email：xiao_hui_juan@163.com,电话：0535-6215735
作者简介:刘鲁鹏硕士研究生,研究方向：口腔种植与修复;肖慧娟副主任医师、硕士,研究方向：口腔修复与种植

A case of infraocclusion after implant placement and restoration of upper left central incisor

Liu Lupeng¹, Zhao Ge¹, Yang Yundong², Xiao Huijuan¹

¹Department of Prosthodontic Dentistry, Yantai Stomatological Hospital Affiliated to Binzhou Medical University, Yantai 264001, China;
²Yantai Stomatological Hospital Development Zone Branch, Yantai 265599, China

Received:2023-10-20 Online:2024-02-29 Published:2024-03-07
Contact: Xiao Huijuan, Email:xiao_hui_juan@163.com, Tel: 0086-535-6215735

摘要/Abstract

摘要： 讨论上前牙缺失患者种植修复后出现低咬合（infraocclusion）现象,分析和讨论此类并发症的原因及临床处理方法。患者左上中切牙外伤致冠根折断至龈下而无法保留,微创拔除患牙后进行不翻瓣即刻种植即刻修复。术后7个月后完成氧化锆饰瓷冠修复,CBCT和根尖X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。术后5年随访发现21种植体下沉,呈现低咬合情况。

关键词: 牙种植, 即刻种植, 即刻修复, 低咬合, 种植体下沉

Abstract: The objective is to discuss the occurrence of infraocclusion after implant restoration in patients with missing upper anterior teeth,analyze and discuss the causes and clinical management methods of such complications. The patient's upper left central incisor was injured, and the crown and root were fractured subgingivally and could not be preserved. The affected tooth was extracted in a minimally invasive surgery and replaced by flapless immediate implant placement and immediate restoration. After 7 months, the zirconia ceramic crown restoration was delivered. CBCT and periapical radiographs with paralleling technique showed good osseointegration, sufficient thickness of the labial bone plate, and stabilization of marginal bone level. During the 5-year follow-up after implant placement, it was found that the implant settled and presented an infraocclusal situation.

Key words: Dental implant, Immediate implant placement, Immediate restoration, Infraocclusion, Implant settling

刘鲁鹏,赵歌,杨云东,等. 左上中切牙种植修复后低咬合1例[J]. 中国口腔种植学杂志, 2024, 29(1): 77-81. DOI: 10.12337/zgkqzzxzz.2024.02.013

Liu Lupeng, Zhao Ge, Yang Yundong, Xiao Huijuan. A case of infraocclusion after implant placement and restoration of upper left central incisor[J].Chinese Journal of Oral Implantology, 2024, 29(1): 77-81.DOI: 10.12337/zgkqzzxzz.2024.02.013.

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左上中切牙种植修复后低咬合1例

A case of infraocclusion after implant placement and restoration of upper left central incisor

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