重度牙周炎患者磨牙的两种拔牙位点保存术后种植修复6年随访报告

doi:10.12337/zgkqzzxzz.2021.02.011

中国口腔种植学杂志 ›› 2021, Vol. 26 ›› Issue (1): 47-53.DOI: 10.12337/zgkqzzxzz.2021.02.011

重度牙周炎患者磨牙的两种拔牙位点保存术后种植修复6年随访报告

张浩筠¹, 危伊萍¹, 胡文杰¹, 徐涛^1,2, 刘云松³

¹北京大学口腔医学院·口腔医院牙周科国家口腔疾病临床医学研究中心口腔数字化医疗技术和材料国家工程实验室口腔数字医学北京市重点实验室 100081;
²北京大学口腔医学院·口腔医院急诊科国家口腔疾病临床医学研究中心口腔数字化医疗技术和材料国家工程实验室口腔数字医学北京市重点实验室 100081;
³北京大学口腔医学院·口腔医院修复科国家口腔疾病临床医学研究中心口腔数字化医疗技术和材料国家工程实验室口腔数字医学北京市重点实验室 100081

收稿日期:2020-11-02 出版日期:2021-02-10 发布日期:2021-06-04
通讯作者: 胡文杰,Email：huwenjie@pkuss.bjmu.edu.cn 电话：010-82195368,主任医师、教授、博士研究生导师,研究方向：牙周病多学科综合诊治、牙周病种植及口腔美学等相关临床基础研究
作者简介:张浩筠,八年制本博连读生,研究方向：牙周病种植治疗
基金资助:
北京大学临床科学家计划专项（BMU2019LCKXJ010）,北京市科学技术委员会首都临床特色应用研究基金(Z161100000516042),首都卫生发展科研专项基金（2011-4025-04）

Effect of implant restoration following two procedures of alveolar ridge preservation of upper and lower molars with advanced periodontitis (with a 6-year follow-up case analysis)

Zhang Haoyun¹, Wei Yiping¹, Hu Wenjie¹, XuTao^1,2, Liu Yunsong³

¹Department of Periodontology，Peking University School and Hospital of Stomatology & National Engineering Laboratory for Digital and Material Technology of Stomatology & Beijing Key Laboratory of Digital Stomatology，Beijing 100081，China;
²Department of Emergency, Peking University School and Hospital of Stomatology & National Engineering Laboratory for Digital and Material Technology of Stomatology & Beijing Key Laboratory of Digital Stomatology, Beijing 100081, China;
³Department of Prosthodontics，Peking University School and Hospital of Stomatology & National Engineering Laboratory for Digital and Material Technology of Stomatology & Beijing Key Laboratory of Digital Stomatology，Beijing 100081，China

Received:2020-11-02 Online:2021-02-10 Published:2021-06-04
Contact: Hu Wenjie,Email：huwenjie@pkuss.bjmu.edu.cn, Tel: 0086-10-82195368
Supported by:
Peking University Clinical Scientist Program (BMU2019LCKXJ010);Capital foundation for Clinical Characteristics and Application Research (Z161100000516042);the Capital Medical Development and Research Fund, PRC (2011-4025-04)

摘要/Abstract

摘要： 种植修复已成为牙周炎患者牙列缺损的常规修复方法。拔牙位点保存可以为种植治疗提供良好的软硬组织条件,在临床中应用日益广泛。本文展示1例重度牙周炎的上下颌磨牙拔牙后,采用两种不同方法行拔牙位点保存及种植修复后的长期观察,讨论了两种拔牙位点保存方法的选择及其治疗效果比较,并探讨了拔牙位点保存效果的评价方法,为罹患重度牙周病变磨牙的临床处置提供了经验。

Abstract: Implant therapy has become a routine restoration method for partial edentulous arch in patients with periodontitis. Since alveolar ridge preservation can provide superior hard and soft tissue conditions for implant therapy, it has been increasingly used in clinical practice. This article illustrates a case of long-term obersvation of alveolar ridge preservation in upper and lower molars with advanced periodontitis via two different techniques. In this paper, we discussed the rationale of the selection of two procedures of alveolar ridge preservation, and the imaging methods available for the evaluation of the results. This article provided experience for clinical management of molars with advanced periodontitis.

张浩筠,危伊萍,胡文杰,等. 重度牙周炎患者磨牙的两种拔牙位点保存术后种植修复6年随访报告[J]. 中国口腔种植学杂志, 2021, 26(1): 47-53. DOI: 10.12337/zgkqzzxzz.2021.02.011

Zhang Haoyun, Wei Yiping, Hu Wenjie, XuTao, Liu Yunsong. Effect of implant restoration following two procedures of alveolar ridge preservation of upper and lower molars with advanced periodontitis (with a 6-year follow-up case analysis)[J].Chinese Journal of Oral Implantology, 2021, 26(1): 47-53.DOI: 10.12337/zgkqzzxzz.2021.02.011.

参考文献

[1] Zhao L, Wei Y, Xu T, et al.Changes in alveolar process dimensions following extraction of molars with advanced periodontal disease: A clinical pilot study[J]. Clin Oral Implants Res, 2019,30(4):324-335. DOI: 10.1111/clr.13418.
[2] MacBeth N, Trullenque-Eriksson A, Donos N, et al. Hard and soft tissue changes following alveolar ridge preservation: a systematic review[J]. Clin Oral Implants Res, 2017,28(8):982-1004. DOI: 10.1111/clr.12911.
[3] 孟焕新. 2018年牙周病和植体周病国际新分类简介[J].中华口腔医学杂志,2019,54(2):73-78. DOI: 10.3760/cma.j.issn.1002-0098.2019.02.001.2018 world new classification of periodontal and peri-implant diseases and conditions[J].Chin J Stomatol,2019,54(2):73-78. DOI10.3760/cma.j.issn.1002-0098.2019.02.001.
[4] 赵丽萍, 胡文杰, 徐涛, 等. 罹患重度牙周病变磨牙拔牙后两种牙槽嵴保存方法的比较[J].北京大学学报(医学版),2019,51(3):579-585. DOI: 10.19723/j.issn.1671-167X. 2019.03.030.
[5] 徐涛, 胡文杰, 毕小成, 等. 针对罹患重度牙周病变磨牙实施微创拔牙和位点保存术的初步探索(附1例报告)[J].中国实用口腔科杂志,2018,11(1):37-43. DOI: 10.19538/j.kq.2018.01.008.
[6] Zhao L, Xu T, Hu W, et al.Preservation and augmentation of molar extraction sites affected by severe bone defect due to advanced periodontitis: A prospective clinical trial[J]. Clin Implant Dent Relat Res, 2018,20(3):333-344. DOI: 10.1111/cid.12585.
[7] 毕小成, 危伊萍, 胡文杰, 等. 罹患重度牙周病变磨牙拔牙后位点保存与自然愈合后种植治疗效果对比研究[J].中国实用口腔科杂志,2017,10(10):598-604. DOI: 10.19538/j.kq.2017.10.006.
[8] Lim HC, Shin HS, Cho IW, et al.Ridge preservation in molar extraction sites with an open-healing approach: A randomized controlled clinical trial[J]. J Clin Periodontol, 2019,46(11):1144-1154. DOI: 10.1111/jcpe.13184.
[9] Darby I, Chen ST, Buser D. Ridge preservation techniques for implant therapy[J]. Int J Oral Maxillofac Implants, 2009,24 Suppl:260-271.
[10] Lee J, Lee JB, Koo KT, et al.Flap Management in Alveolar Ridge Preservation: A Systematic Review and Meta-Analysis[J]. Int J Oral Maxillofac Implants, 2018,33(3):613-621. DOI: 10.11607/jomi.6368.
[11] Barone A, Toti P, Piattelli A, et al.Extraction socket healing in humans after ridge preservation techniques: comparison between flapless and flapped procedures in a randomized clinical trial[J]. J Periodontol, 2014,85(1):14-23. DOI: 10.1902/jop.2013.120711.
[12] Scheyer ET, Sanz M, Dibart S, et al.Periodontal soft tissue non-root coverage procedures: a consensus report from the AAP Regeneration Workshop[J]. J Periodontol, 2015,86(2 Suppl):S73-76. DOI: 10.1902/jop.2015.140377.
[13] 赵丽萍, 詹雅琳, 胡文杰, 等. 不同测量方法评价磨牙拔牙位点保存术后牙槽骨的变化[J].北京大学学报(医学版), 2016,48(1):126-132. DOI: 10.3969/j.issn.1671-167X. 2016.01.023.
[14] Monaco C, Evangelisti E, Scotti R, et al.A fully digital approach to replicate peri-implant soft tissue contours and emergence profile in the esthetic zone[J]. Clin Oral Implants Res, 2016,27(12):1511-1514. DOI: 10.1111/clr.12599.
[15] Wei D, Di P, Tian J, et al.Evaluation of intraoral digital impressions for obtaining gingival contour in the esthetic zone: accuracy outcomes[J]. Clin Oral Investig, 2020,24(4):1401-1410. DOI: 10.1007/s00784-019-03105-6.
[16] Wei Y, Xu T, Hu W, et al.Socket Preservation Following Extraction of Molars with Severe Periodontitis[J]. Int J Periodontics Restorative Dent, 2021, 41(2): 269-75.DOI: 10.11607/prd.4444.

重度牙周炎患者磨牙的两种拔牙位点保存术后种植修复6年随访报告

Effect of implant restoration following two procedures of alveolar ridge preservation of upper and lower molars with advanced periodontitis (with a 6-year follow-up case analysis)

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