中国口腔种植学杂志 ›› 2023, Vol. 28 ›› Issue (4): 290-294.DOI: 10.12337/zgkqzzxzz.2023.08.014

• 综述 • 上一篇    下一篇

减少种植粘接固位全冠修复粘接剂残留的研究进展

唐礼, 陈利益   

  1. 广西医科大学口腔医学院·附属口腔医院 广西口腔颌面修复与重建研究重点实验室 广西颅颌面畸形临床医学研究中心,南宁 530021
  • 收稿日期:2023-04-11 出版日期:2023-08-30 发布日期:2023-09-05
  • 通讯作者: 唐礼,Email:gxtangli@foxmail.com,电话:0771-5311960
  • 作者简介:唐礼,口腔医学博士,研究方向:口腔种植临床研究和基础研究

Research progress in reducing the residual excess cement in implant-supported cement-retained crown restorations

Tang Li, Chen Liyi   

  1. College of Stomatology, Hospital of Stomatology, Guangxi Medical University, Guangxi Key Laboratory of Oral and Maxillofacial Rehabilitation and Reconstruction, Guangxi Clinical Research Center for Craniofacial Deformity, Nanning 530021, Guangxi, China
  • Received:2023-04-11 Online:2023-08-30 Published:2023-09-05
  • Contact: Tang Li, Email: gxtangli@foxmail.com, Tel: 0086-771-5311960

摘要: 粘接固位是种植固定义齿修复的主要固位方式,广泛应用于临床,相比种植义齿的螺钉固位,其美学效果优越,技工室制作成本和临床费用较低,易于获得被动就位。但粘接固位的粘接剂残留问题是临床上很严重的隐患,是种植体周炎的主要致病因素,甚至可导致种植失败。如何减少粘接固位的粘接剂残留是种植医生必须要注意的问题,本文将从牙冠和基台的处理、屏障材料的应用、粘接剂和粘接代型5方面对减少粘接剂残留进行综述,以期为临床提供指导,预防和减少粘接剂相关的并发症。

关键词: 粘接固位, 粘接剂残留, 种植修复, 种植体周炎

Abstract: Cement-retained method is the main retention method of fixed implant-supported denture and is widely used in clinics. Compared with screw-retained implant-supported restorations, cement-retained method offers superior aesthetics and lower production costs in the lab. Cement-retained method is easy to obtain passive fit. However, residual excess cement is a serious potential trouble in clinical practice, which is the main pathogenic factor of peri-implantitis and may even lead to implant failure. How to reduce residual excess cement is a problem that implantologists must pay attention to. In this review, five aspects of reducing residual excess cement are summarized from the management of dental crown and abutment, application of barrier materials, cements, and abutment dies, in order to provide clinical guidance for preventing and reducing cement-related complications.

Key words: Cement-retained, Residual excess cement, Implant restoration, Peri-implantitis