上颌双侧第二磨牙不同拔牙位点保存及两种种植体系统修复效果观察（附1例6年随访报告）

doi:10.12337/zgkqzzxzz.2021.02.012

中国口腔种植学杂志 ›› 2021, Vol. 26 ›› Issue (1): 54-59.DOI: 10.12337/zgkqzzxzz.2021.02.012

上颌双侧第二磨牙不同拔牙位点保存及两种种植体系统修复效果观察（附1例6年随访报告）

韩子瑶¹, 赵丽萍^1,2, 徐涛^1,2, 胡文杰¹, 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:2020-11-03 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：010-82195211,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;刘云松,Email：kqliuyunsong@163.com,电话：010-82195384,主任医师、副教授、博士研究生导师,研究方向：口腔数字化诊断与美学修复及口腔骨组织再生研究
作者简介:韩子瑶,八年制本博连读生,研究方向：种植区软硬组织增量研究
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）

Evaluation of implants placed in ridge preserved bilateral maxillary second molars with flap versus flapless procedures: a case report with a 6-year post-loading follow-up

Han Ziyao¹, Zhao Liping^1,2, Xu Tao^1,2, Hu Wenjie¹, 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:2020-11-03 Online:2021-02-10 Published:2021-06-04
Contact: Hu Wenjie, Email: huwenjie@pkuss.bjmu.edu.cn Tel:0086-10-82195211;Liu Yunsong, Email: kqliuyunsong@163.com,Tel:0086-10-82195384
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： 磨牙是牙周炎的好发牙位,罹患重度牙周病变无保存价值的磨牙常存在广泛的牙槽骨破坏。拔牙位点保存可维持良好的牙槽嵴软硬组织轮廓,为种植治疗提供有利条件。本文完整展示了1例双侧上颌第二磨牙在拔牙同期分别采用不同方法行拔牙位点保存后进行种植修复,并完成为期最长6年随访的全过程,为存在严重牙槽骨破坏的上颌第二磨牙临床决策提供了一定参考。

Abstract: Molar sites with advanced periodontitis often caused severe bone loss. Maxillary second molar lies in the distal area of the maxillary arch, where oral hygiene is difficult to perform and implant treatments has higher risk. Ridge preservation is performed after tooth extraction to facilitate implant placement by maintaining hard and soft tissue contour. This article presents a case with bilateral maxillary second molars receiving different methods of ridge preservation prior to implant reconstruction at 6 years of function, which provides evidence and clinical experience for the treatment plan and management for such kind of cases.

韩子瑶,赵丽萍,徐涛,等. 上颌双侧第二磨牙不同拔牙位点保存及两种种植体系统修复效果观察（附1例6年随访报告）[J]. 中国口腔种植学杂志, 2021, 26(1): 54-59. DOI: 10.12337/zgkqzzxzz.2021.02.012

Han Ziyao, Zhao Liping, Xu Tao, Hu Wenjie, Liu Yunsong. Evaluation of implants placed in ridge preserved bilateral maxillary second molars with flap versus flapless procedures: a case report with a 6-year post-loading follow-up[J].Chinese Journal of Oral Implantology, 2021, 26(1): 54-59.DOI: 10.12337/zgkqzzxzz.2021.02.012.

参考文献

[1] Söder B, Johannsen A, Lagerlöf F.Percent of plaque on individual tooth surfaces and differences in plaque area between adjacent teeth in healthy adults[J]. Int J Dent Hyg, 2003,1(1):23-28. DOI: 10.1034/j.1601-5037.2003.00003.x.
[2] Zhang B, Wei Y, Cao J, et al.Association between the dimensions of the maxillary sinus membrane and molar periodontal status: A retrospective CBCT study[J]. J Periodontol, 2020,91(11):1429-1435. DOI: 10.1002/JPER.19-0391.
[3] Hämmerle CH, Araújo MG, Simion M. Evidence-based knowledge on the biology and treatment of extraction sockets[J]. Clin Oral Implants Res, 2012,23 Suppl 5:80-82. DOI: 10.1111/j.1600-0501.2011.02370.x.
[4] Araújo MG, Silva CO, Misawa M, et al.Alveolar socket healing: what can we learn?[J]. Periodontol 2000, 2015,68(1):122-134. DOI: 10.1111/prd.12082.
[5] 宿玉成. 口腔种植学 [M]. 第2版. 北京: 人民卫生出版社, 2014: 139.
[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] Vignoletti F, Matesanz P, Rodrigo D, et al. Surgical protocols for ridge preservation after tooth extraction. A systematic review[J]. Clin Oral Implants Res, 2012,23 Suppl 5:22-38. DOI: 10.1111/j.1600-0501.2011.02331.x.
[8] Araújo MG, Lindhe J.Ridge alterations following tooth extraction with and without flap elevation: an experimental study in the dog[J]. Clin Oral Implants Res, 2009,20(6):545-549. DOI: 10.1111/j.1600-0501.2008.01703.x.
[9] Blanco J, Mareque S, Liñares A, et al.Vertical and horizontal ridge alterations after tooth extraction in the dog: flap vs. flapless surgery[J]. Clin Oral Implants Res, 2011,22(11):1255-1258. DOI: 10.1111/j.1600-0501.2010.02097.x.
[10] Engler-Hamm D, Cheung WS, Yen A, et al.Ridge preservation using a composite bone graft and a bioabsorbable membrane with and without primary wound closure: a comparative clinical trial[J]. J Periodontol, 2011,82(3):377-387. DOI: 10.1902/jop.2010.090342.
[11] Kim DM, De Angelis N, Camelo M, et al.Ridge preservation with and without primary wound closure: a case series[J]. Int J Periodontics Restorative Dent, 2013,33(1):71-78. DOI: 10.11607/prd.1463.
[12] 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.
[13] 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.
[14] 张波, 甄敏, 杨刚, 等. 多学科联合治疗重度牙周炎导致的前牙连续缺失(附1例4年随访报告)[J].中国实用口腔科杂志, 2020, 13(9): 539-545. DOI: 10.19538/j.kq. 2020.09.004.
[15] 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.
[16] 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.
[17] 詹雅琳, 胡文杰, 徐涛, 等. 罹患重度牙周炎磨牙拔除后应用去蛋白牛骨基质与可吸收胶原膜进行位点保存的组织学研究[J].北京大学学报(医学版),2017,49(1):169-175. DOI: 10.3969/j.issn.1671-167X.2017.01.031.

上颌双侧第二磨牙不同拔牙位点保存及两种种植体系统修复效果观察（附1例6年随访报告）

Evaluation of implants placed in ridge preserved bilateral maxillary second molars with flap versus flapless procedures: a case report with a 6-year post-loading follow-up

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