中国口腔种植学杂志 ›› 2025, Vol. 30 ›› Issue (1): 81-85.DOI: 10.12337/zgkqzzxzz.2025.02.014

• 病例报告 • 上一篇    下一篇

重度咽反射患者多牙种植手术经验分享1例

徐邢环宇, 杨艳兰, 徐普, 郁豆, 陆丽英   

  1. 中南大学湘雅医学院附属海口医院口腔医学中心 570100
  • 收稿日期:2024-04-26 出版日期:2025-02-28 发布日期:2025-02-24
  • 通讯作者: 徐普,Email:hnxupu@163.com,电话:0898-66189604
  • 作者简介:徐邢环宇,博士研究生、医师,研究方向:口腔外科;徐普,博士、主任医师、博士研究生导师,研究方向:口腔种植修复
  • 基金资助:
    海南省重点研发计划项目(ZDYF2022SHFZ119); 国家自然科学基金(82060194); 海南省卫生健康行业科研项目(20A200048)

A case report on dental implant surgery for a patient with severe gag reflex and multiple tooth loss

Xu Xinghuanyu, Yang Yanlan, Xu Pu, Yu Dou, Lu Liying   

  1. Center of Stomatology, Haikou Hospital, Xiangya Medical College, Central South University, Haikou 570100, China
  • Received:2024-04-26 Online:2025-02-28 Published:2025-02-24
  • Contact: Xu Pu, Email: hnxupu@163.com, Tel: 0086-898-66189604
  • Supported by:
    Key Research and Development Project of Hainan Province (ZDYF2022SHFZ119); National Natural Science Foundation of China (82060194); Hainan Province Health Industry Research Project (20A200048)

摘要: 探讨重度咽反射患者牙种植一期手术的治疗经验,为临床处理相应的患者提供参考。患者保持45°坐姿,药物含漱,种植位点麻醉及神经阻滞麻醉联合应用,选择操作便捷的种植系统进行手术。患者咽反射抑制成功,顺利完成牙种植一期手术,术后CBCT检查种植体就位良好,复诊显示伤口愈合良好。对于重度咽反射患者,采用药物含漱可以减少患者痛苦,并顺利完成牙种植手术。

关键词: 重度咽反射, 多牙种植, 利多卡因, 种植位点麻醉

Abstract: This study aims to share the clinical experience of performing dental implantation in patients with severe gag reflex, providing a reference for the treatment of similar patients. The patient was maintained in a 45° sitting position, and medicated rinsing, local anesthesia, and nerve block anesthesia were used in combination to facilitate the procedure. A user-friendly implant system was employed during the surgery. The severe gag reflex was successfully suppressed, and the dental implant placements were completed smoothly. Postoperative CBCT confirmed proper placement of the implants, and follow-up visits showed satisfactory wound healing. For patients with severe gag reflex, medicated rinsing can effectively reduce discomfort and facilitate successful dental implantation.

Key words: Severe gag reflex, Multiple dental implants, Lidocaine, Implant site anesthesia