数字化辅助美学区穿埋伏牙即刻种植一例

doi:10.12337/zgkqzzxzz.2024.06.012

中国口腔种植学杂志 ›› 2024, Vol. 29 ›› Issue (3): 266-271.DOI: 10.12337/zgkqzzxzz.2024.06.012

数字化辅助美学区穿埋伏牙即刻种植一例

赵宁^1,2,3, 李晓杰^1,2, 寇霓^1,2, 马国武^1,2

¹大连医科大学口腔医学院116044;
²大连医科大学口腔医学院附属口腔医院口腔种植中心 116023;
³大连医科大学中山学院 116085

收稿日期:2023-07-29 出版日期:2024-06-30 发布日期:2024-06-28
通讯作者: 马国武,Email：mgw640242000@aliyun.com.cn,电话：0411-86110398
作者简介:赵宁住院医师、口腔医学硕士,研究方向：口腔种植、口腔修复;马国武博士、主任医师、教授、博士研究生导师,研究方向：数字化种植及种植修复

A case of digitally assisted immediate implant placement through impacted teeth in the aesthetic area

Zhao Ning^1,2,3, Li Xiaojie^1,2, Kou Ni^1,2, Ma Guowu^1,2

¹School and Hospital of Stomatology, Dalian Medical University, Dalian 116044, China;
²Center of Oral Implantology, School and Hospital of Stomatology, Dalian Medical University, Dalian 116023, China;
³Zhongshan College of Dalian Medical University, Dalian 116085, China

Received:2023-07-29 Online:2024-06-30 Published:2024-06-28
Contact: Ma Guowu, Email: mgw640242000@aliyun.com.cn, Tel:0086-411-86110398

摘要/Abstract

摘要： 本文介绍一例数字化辅助美学区穿埋伏牙即刻种植的病例。患者因上前牙外伤致根折,来诊发现患牙根方骨内存在1颗阻生尖牙和2颗埋伏多生牙。治疗中在数字化外科导板引导及Er:YAG激光辅助下,实现穿埋伏牙即刻种植,同期自体牙骨移植材料与富血小板纤维蛋白混合行双区骨增量。一期手术后5个月和8个月分别利用数字化技术完成临时修复和永久修复。术后CBCT示种植体分别穿埋伏牙冠部及根尖部牙骨质、牙本质及牙髓。复诊随访未见疼痛及其他任何并发症。18个月复诊无任何临床症状,CBCT影像示种植体周围骨密度增高,骨白线已形成。本病例在数字化辅助下实现了美学区穿埋伏牙即刻种植,为埋伏牙治疗方案的选择提供了新的临床思路,为种植体除骨结合外其他愈合形式增添了临床数据,但此类术式的临床效果仍需长期随访观察。

关键词: 即刻种植, 埋伏牙, 激光, 数字化

Abstract: This paper presents a case of digitally assisted immediate implantation through impacted teeth in the aesthetic area. The patient had a root fracture caused by an upper anterior teeth trauma. One impacted canine and two impacted supernumerary teeth were found in the bone on the root side of the affected teeth. During treatment, under the guidance of the digital surgical guide plate and assistance by Er : YAG laser, immediate implantation through the impacted teeth was achieved. At the same time, autologous bone grafting material and platelet-rich fibrin were mixed for bone grafting at the two implant sites. Provisional and permanent restorations were completed with digital technology at 5 months and 8 months after the first stage of surgery, respectively. Postoperative CBCT showed that the implants penetrated through the crown, apical cementum, dentin, and pulp of the impacted teeth. No pain or other complications were found during the follow-up visit. There were no clinical symptoms at the 18-month follow-up visit. CBCT images showed that the bone density around the implants had increased and the lamina dura had formed. In this case, immediate implantation through the impacted teeth in the aesthetic area was realized with the digital assistance, providing a new clinical idea for the selection of treatment options for impacted teeth and increased clinical data for other healing forms of implants besides osseointegration. However, the clinical effect of this kind of operation still needs long-term follow-up observation.

Key words: Immediate implant placement, Impacted teeth, Laser, Digitalization

赵宁,李晓杰,寇霓,等. 数字化辅助美学区穿埋伏牙即刻种植一例[J]. 中国口腔种植学杂志, 2024, 29(3): 266-271. DOI: 10.12337/zgkqzzxzz.2024.06.012

Zhao Ning, Li Xiaojie, Kou Ni, Ma Guowu. A case of digitally assisted immediate implant placement through impacted teeth in the aesthetic area[J].Chinese Journal of Oral Implantology, 2024, 29(3): 266-271.DOI: 10.12337/zgkqzzxzz.2024.06.012.

参考文献

[1] Frank CA.Treatment options for impacted teeth[J]. J Am Dent Assoc, 2000,131(5):623-632.DOI: 10.14219/jada.archive.2000.0236.
[2] Amato F, Macca U, Amato G, et al.Immediate loading of implants inserted through im-pacted teeth in the esthetic area: a series of 10 cases with up to 7 years of follow-up[J]. Int J Periodontics Restorative Dent, 2019,39(3):325-332. DOI: 10.11607/prd.3978.
[3] Pérez-González F, Sánchez-Labrador L, Mo-linero-Mourelle P, et al. Dental implant placement through impacted teeth or residu-al roots as an alternative to invasive extrac-tion surgeries: a systematic literature re-view[J]. Br J Oral Maxillofac Surg, 2021,59(10):1120-1129. DOI: 10.1016/j.bjoms.2020.12.018.
[4] Mithridade D, Serge SM, Keyvan D, et al.Unconventional implant placement IV. Im-plant placement through impacted teeth to avoid invasive surgery. Long-term results of 3 cases[J]. Open Dent J, 2015,9:15-20. DOI: 10.2174/1874210601509010015.
[5] Szmukler-Moncler S, Davarpanah M, Davar-panah K, et al. Unconventional implant placement part III: Implant placement en-croaching upon residual roots - a report of six cases[J]. Clin Implant Dent Relat Res, 2015,17(Suppl 2):e396-e405. DOI: 10.1111/cid.12256.
[6] Davarpahah M, Szmukler-Moncler S.Unconventional implant placement. 2: place-ment of implants through impacted teeth. Three case reports[J]. Int J Periodontics Re-storative Dent, 2009, 29(4):405-413.
[7] Davarpanah M, Szmukler-Moncler S, Rajzbaum P, et al.Unconventional implant placement. V: Implant placement through impacted teeth; re-sults from 10 cases with an 8- to 1-year follow-up[J]. Int Orthod, 2015,13(2):164-180. DOI: 10.1016/j.ortho.2015.03.015.
[8] Davarpanah M, Szmukler-Moncler S.Uncon-ventional implant treatment: I. Implant place-ment in contact with ankylosed root frag-ments. A series of five case reports[J]. Clin Oral Implants Res, 2009,20(8):851-856. DOI: 10.1111/j.1600-0501.2008.01653.x.
[9] Bourguignon C, Cohenca N, Lauridsen E, et al.International Association of Dental Traumatol-ogy Guidelines for the management of traumat-ic dental injuries: 1. Fractures and luxations[J]. Dent Traumatol, 2020,36(4):314-330. DOI: 10.1111/edt.12578.
[10] Buser D, Warrer K, Karring T.Formation of a periodontal ligament around titanium im-plants[J]. J Periodontol, 1990,61(9):597-601. DOI: 10.1902/jop.1990.61.9.597.
[11] Warrer K, Karring T, Gotfredsen K.Periodontal ligament formation around different types of dental titanium implants. I. The self-tapping screw type implant system[J]. J Periodontol, 1993, 64(1):29-34. DOI: 10.1902/jop.1993.64.1.29.
[12] Hürzeler MB, Zuhr O, Schupbach P, et al.The socket-shield technique: a proof-of-principle report[J]. J Clin Periodontol, 2010,37(9):855-862. DOI: 10.1111/j.1600-051X.2010.01595.x.
[13] Schwarz F, Mihatovic I, Golubovic V, et al.Dentointegration of a titanium implant: a case report[J]. Oral Maxillofac Surg, 2013,17(3):235-241. DOI: 10.1007/s10006-012-0378-x.
[14] Smojver I, Katalinić I, Vuletić M, et al.Guid-ed bilateral transcanine implant placement and implant-supported oral rehabilitation in a patient with progressive systemic sclero-derma[J]. Case Rep Dent, 2021,2021:5576595. DOI: 10.1155/2021/5576595.
[15] Chu SJ, Salama MA, Salama H, et al.The dual-zone therapeutic concept of managing immediate implant placement and provi-sional restoration in anterior extraction sockets[J]. Compend Contin Educ Dent, 2012,33(7):524-532, 534.
[16] Zhang S, Li X, Qi Y, et al.Comparison of autogenous tooth materials and other bone grafts[J]. Tissue Eng Regen Med, 2021,18(3):327-341. DOI: 10.1007/s13770-021-00333-4.
[17] Gual-Vaqués P, Polis-Yanes C, Estrugo-Devesa A, et al.Autogenous teeth used for bone grafting: a systematic review[J]. Med Oral Patol Oral Cir Bucal, 2018,23(1):e112-e119. DOI: 10.4317/medoral.22197.
[18] Lee Y-K, Wadhwa P, Cai H, et al.Micro-CT and histomorphometric study of bone re-generation effect with autogenous tooth bi-omaterial enriched with platelet-rich fibrin in an animal model[J]. Scanning, 2021,2021:1-7. DOI: 10.1155/2021/6656791.
[19] Kizildağ A, Taşdemir U, Arabaci T, et al.Evalu-ation of new bone formation using autogenous tooth bone graft combined with platelet-rich fibrin in calvarial defects[J]. J Craniofac Surg, 2019, 30(6):1662-1666. DOI: 10.1097/SCS.0000000000005413.
[20] Zhou Y, Sun F, Zhang Z, et al.Influence of Er:YAG laser irradiation on the outcomes of alveolar ridge preservation at the infected molar sites: a randomized controlled trial[J]. BMC Oral Health, 2023,23(1):317. DOI: 10.1186/s12903-023-02996-y.
[21] Sculean A, Schwarz F, Becker J.Anti-infective therapy with an Er:YAG laser: in-fluence on peri-implant healing[J]. Expert Rev Med Devices, 2005,2(3):267-276. DOI: 10.1586/17434440.2.3.267.
[22] Kriechbaumer LK, Happak W, Distelmaier K, et al.Disinfection of contaminated metal implants with an Er:YAG laser[J]. J Orthop Res, 2020,38(11):2464-2473. DOI: 10.1002/jor.24662.
[23] Aoki A, Mizutani K, Schwarz F, et al.Perio-dontal and peri-implant wound healing fol-lowing laser therapy[J]. Periodontol 2000, 2015,68(1):217-269. DOI: 10.1111/prd.12080.
[24] Knutsson K, Lysell L, Rohlin M.Postopera-tive status after partial removal of the man-dibular third molar[J]. Swed Dent J, 1989,13(1-2):15-22.
[25] Langer L, Langer B, Salem D.Unintentional root fragment retention in proximity to den-tal implants: a series of six human case re-ports[J]. Int J Periodontics Restorative Dent, 2015,35(3):305-313. DOI: 10.11607/prd.2410.
[26] Nevins ML, Langer L, Schupbach P.Late dental implant failures associated with retained root fragments: case reports with histologic and SEM analysis[J]. Int J Periodontics Restorative Dent, 2018,38(1):9-15. DOI: 10.11607/prd.3463.

数字化辅助美学区穿埋伏牙即刻种植一例

A case of digitally assisted immediate implant placement through impacted teeth in the aesthetic area

PDF (PC)

可视化

摘要/Abstract

引用本文

使用本文

参考文献

相关文章 15

编辑推荐

Metrics

[1]	满毅, 蓝冬萍. 数字化颌位关系记录与转移方法的研究进展[J]. 中国口腔种植学杂志, 2024, 29(3): 212-217.
[2]	陈江, 丘雨蓓. 数字化技术在口腔种植骨增量中的应用及研究进展[J]. 中国口腔种植学杂志, 2024, 29(3): 252-257.
[3]	赵文博, 李昕茹, 苏航, 滕微微, 蔡雯昱, 周立波. 人工智能在下颌磨牙区即刻种植测量分析中的可行性研究[J]. 中国口腔种植学杂志, 2024, 29(2): 178-183.
[4]	陈江, 何凯讯. 口腔咬合临床应用的现状与进展[J]. 中国口腔种植学杂志, 2024, 29(1): 3-8.
[5]	叶颖, 刘伟才. 数字化设计全牙列种植固定修复中𬌗平面的确定[J]. 中国口腔种植学杂志, 2024, 29(1): 9-15.
[6]	严宇巍, 林潇, 马蕊, 梁超, 耿威. 数字化技术辅助牙列缺损患者的种植修复与咬合重建——基本修复程序[J]. 中国口腔种植学杂志, 2024, 29(1): 30-35.
[7]	徐欣馨, 王心彧, 韩泽奎, 张亮, 高士军. 种植修复基台穿龈锥度变化对牙龈附着的影响[J]. 中国口腔种植学杂志, 2024, 29(1): 36-41.
[8]	刘鲁鹏, 赵歌, 杨云东, 肖慧娟. 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.
[9]	孙菲, 王翠, 胡文杰. Er,Cr：YSGG激光治疗种植体周炎的临床效果评价[J]. 中国口腔种植学杂志, 2023, 28(6): 417-423.
[10]	李永丽, 齐远征, 焦俊杰, 韩笑, 王俊艳, 师瑞宁, 周延民, 赵静辉. 富血小板纤维蛋白在美学区即刻种植中的应用研究[J]. 中国口腔种植学杂志, 2023, 28(5): 310-314.
[11]	蒋忠伟, 周红丽, 杨贝宁. 数字化种植导板在美学区即刻种植中的精度研究[J]. 中国口腔种植学杂志, 2023, 28(5): 377-382.
[12]	孙为, 施斌. 数字化技术在无牙颌患者种植治疗中的应用探索[J]. 中国口腔种植学杂志, 2023, 28(4): 217-222.
[13]	骆泯润, 白雪莹, 祝雨茜, 吴涛, 周毅. 无牙颌金属种植导板精度分析的病例系列[J]. 中国口腔种植学杂志, 2023, 28(4): 223-228.
[14]	马博文, 林潇, 耿威. 三维扫描结合CBCT配准技术实现无牙颌全程数字化即刻种植修复的效果评估[J]. 中国口腔种植学杂志, 2023, 28(4): 233-238.
[15]	姜雨汐, 孙仕晨, 万林子, 刘文锋, 杨志康, 吴熙凤, 孙海鹏, 李树春, 高永波. 口腔种植机器人在即刻种植中的精度研究[J]. 中国口腔种植学杂志, 2023, 28(3): 165-171.