中国口腔种植学杂志 ›› 2018, Vol. 23 ›› Issue (3): 119-123.DOI: 10.12337/zgkqzzxzz.2018.09.005

• 临床研究 • 上一篇    下一篇

自锁锥度连接种植体与天然牙联合固定修复的临床回顾性研究

王轶, 岑雯, 黄江琴, 魏洪武, 孟展, 郭水根, 张越   

  1. 330000 江西南昌南昌大学第四附属医院
  • 出版日期:2018-09-10 发布日期:2021-09-06
  • 通讯作者: 魏洪武
  • 基金资助:
    江西省教育厅科学技术研究项目; 项目编号:170109

Tooth-and locking taper implant-supported prostheses: a retrospective clinical study

WANG Yi, CEN Wen, HUANG Jiangqin, et al   

  1. The Fourth Affiliated Hospital of Nanchang University, Nanchang 330000, Jiangxi Province China
  • Online:2018-09-10 Published:2021-09-06

摘要: 目的: 评估自锁锥度连接种植体与天然牙联合固定修复的临床疗效,并分析相关影响因素。方法: 收集2013年1 月~2015年1月种植的11例患者,共植入19枚自锁锥度连接种植体,上颌17枚(89%),下颌2枚(11%)。自锁连接种植体与23颗天然牙相连,上颌20颗,下颌3颗。共44个牙冠,其中34个钴铬烤瓷冠,10个全瓷冠。观察期为1年到3年不等,观察并记录年均边缘骨吸收量、种植体周围软组织情况、机械并发症及患者满意度等指标,计算种植体累积存留率。结果: 种植体3年累积存留率为100%,年均骨吸收量为(0.10± 0.02)mm;观察期内1 例糖尿病伴有牙周炎的患者在戴牙负载后的3个月后出现的牙龈轻度充血水肿,无明显自发性出血,探诊出血,无疼痛;机械并发症除1例患者出现牙冠脱落,1例患者出现崩瓷外,其余患者未见明显异常,患者满意度较高。结论: 自锁锥度连接种植体与天然牙联合固定修复可以取得良好的的临床修复效果,但长期的临床效果有待于进一步观察。

关键词: 自锁锥度连接种植体, 天然牙, 联合固定修复

Abstract: Objective: The purpose of this study was to evaluate clinical treatment outcomes of fixed partial den-ture with combination of locking taper implant and natural teeth as abutments, and to analyze relevant fac-tors. Methods: Since January 2013-January 2015, a total of 19 implants were placed in 11patients, 17 (89%) in the maxilla and 2(11%) in the mandible. The implants were connected to 23 abutment teeth, 20 in the maxilla and 3 in the mandible of the prosthetic restorations, 34 were porcelain-fused-to-metal, 10 were all ceramic crown. The observation period ranged from 1 year to 3 years recording the average annu-al marginal bone resorption, soft tissue around the implant, technical complications and patient satisfac-tion, and calculating the implant survival rate. Results: The implant cumulative rate for 3 years was 100%, and the average marginal bone resorption was(0.10±0.02)mm. During the following observation pe-riod, 1 patient with diabetes and periodontitis after postloading in 3 month, occurrencing mild gingival swelling, no significant spontaneous bleeding, no pain. About technical complications, 1 patient appeared the crown fall off, 1 patient appeared the porcelain shipping-off, the remaining patients no obvious abnor-malities. The satisfaction is high. Conclusion: The results from the present study support the findings that treatment that combines natural teeth and locking taper implants in the support of rigid superstruc-tures has excellent follow-up results. Nonetheless, results on this clinical study should be validated with a longer evidence.

Key words: locking taper implant, natural teeth, fixed partial denture

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