骨劈开术联合角化龈根向复位瓣术在下颌后牙区种植一例

doi:10.12337/zgkqzzxzz.2019.12.010

摘要/Abstract

摘要： 目的: 探讨下颌后牙区应用骨劈开术的临床意义。方法: 针对下颌牙槽骨宽度不足(4mm)且伴随角化龈不足的患者,进行骨劈开术并角化龈根向复位瓣术,同期植入种植体。结果: 水平骨量增加4.0-7.0mm,后期取得了理想的美学效果,满足了患者减少手术次数的要求,同时减少了术区和手术时间,缩短了手术周期。结论: 骨劈开术对于下颌狭窄牙槽嵴患者是一种有效的手术方式。

关键词: 骨劈开, 牙种植, 根向复位瓣

Abstract: Objective: To investigate the clinical significance of bone splitting technique of implants. Methods: In order to decrease the volume of bone transplantation, bone splitting technique in the patient with serious bone width decrease was taken to solve the requirements of patients with less bone graft and shorten the treatment time. Results: The average bone width increase was 4.0-7.0mm, ideal aesthetic effect was harvested. Which meets the requirements of patients to decrease surgical incisions and times as much as possible, and at the same time reduces the operation ares and operation time, and shortens the operation cycle. Conclusion: Bone splitting technique is a effective and reliable bone transplantation method to these narrow alveolar.

Key words: bone splitting, tooth implant, apically positioned flap

中图分类号:

R782.1

熊航,等牛涛,等谢亮焜. 骨劈开术联合角化龈根向复位瓣术在下颌后牙区种植一例[J]. 中国口腔种植学杂志, 2019, 24(4): 187-190. DOI: 10.12337/zgkqzzxzz.2019.12.010

XIONG Hang, NIU Tao, XIE Liangkun. A case report about bone splitting technique combined with apically positioned flap in a narrow mandibular alveolar bone[J].Chinese Journal of Oral Implantology, 2019, 24(4): 187-190.DOI: 10.12337/zgkqzzxzz.2019.12.010.

参考文献

[1] L. Schropp A.Wenzel L, Kostopoulos, et al. Bone healing and sof tissue contour changes following single-tooth extraction: a clinical and radiographic 12-month prospective study[J]. International Journal of Periodontics and Restorative Dentistry, 2003, 24(4) : 313-323
[2] M. G.Araujo F S, J. L. Wennstr 'Om, J. Lindhe. Tissue modeling following implant placement in fresh extractionsockets[J]. Clinical Oral Implants Research, 2006, 17(6) : 615-624
[3] K. M.Reich C D H, W. R. Lippnig, C. Ulm, G. Watzek,S. Tangl. Atrophy of the residual alveolar ridge following tooth loss in an historical population[J]. Oral Diseases, 2011, 17(1) : 33-44
[4] M. A.Bassetti R G B D D B. Te alveolar ridge splitting/ expansion technique: a systematic review[J]. Clinical Oral Implants Research, 2016, 27(3) : 310-324
[5] Reich Km H C, Lippnig Wr, Ulm C, et al. Atrophy ofresidual alveolar ridge following tooth loss in an historical population[J]. Oral Dis, 2011, 17(1) : 33-44
[6] Moncler C B a S S. Split-crest and immediate implant placement with ultra-sonic bone surgery: a 3-year lifetable analysis with 230 treated sites[J]. Clinical Oral Implants Research, 2006, 17(6) : 700-707
[7] M. Chiapasco S A, E. Romeo, and G. Vogel. Clinical outcome of autogenous bone blocks or guided bone regeneration with e-PTFE membranes for the reconstruction of narrow edentulous ridges[J]. Clinical Oral Implants Research, 1999, 10(4) : 278-288
[8] 谢志刚, 肖旭辉. 骨劈开技术在增加上颌狭窄牙槽嵴骨宽度中的应用[J]. 国际口腔医学杂志, 2014, 41(04) : 373-377
[9] Simion M B M, Zaffe D. Jawbone enlargement using immediate implant placement associate with a split crest technique and guide tissue regeneration[J]. Int J Periodontics Restorative Den, 1992, 12 : 462-473
[10] D.-S. Sohn H-J L, J.-U. Heo, J.-W. Moon, I.-S. Park, G. E. Romanos. Immediate and delayed lateral ridge expansion technique in the atrophic posterior mandibular ridge[J]. Journal of Oral and Maxillofacial Surgery, 2010, 68(9) : 2283-2290
[11] 郭泽鸿, 徐淑兰, 赵春萍, 等. 超声骨刀在下颌后牙区改良式骨劈开术中的应用[J]. 实用医学杂志, 2018, 34(05) : 765-768
[12] 曹国庆, 王博, 孙蕾. 下颌后牙区二次骨劈开后种植修复一例病例报道[J]. 中国口腔种植学杂志, 2015, 20(03) : 133-135
[13] 陈旭锋, 陈铁, 赖仁发. 超声骨刀在种植外科中的应用进展[J]. 中华老年口腔医学杂志, 2015, 13(01) : 44-46
[14] Stübinger S, Stricker A, Berg B-I.Piezosurgery in implant dentistry[J]. Clinical, cosmetic and investigational dentistry, 2015, 7: 115-124
[15] 杨荃荃, 李志勇, 苟颖. 附着龈重建在口腔种植修复中的应用探索[J]. 中外医疗, 2015, 34(11) : 40-41
[16] 彭文军, 张海燕, 郝蕊, 等. 根向复位瓣技术重建种植牙颊侧角化龈的临床探讨[J]. 口腔疾病防治, 2017, 25(03) : 176-179
[17] Schrott Ar J M, Hwang Jw, Fiorellini J, et al. Fiveyear evaluation of the influence of keratinized mucosa on periimplant soft-tissue health and stability around implants supporting full-arch mandibular fixed prostheses[J]. Clin Oral Implants Res, 2009, 20 : 1170-1177
[18] Warrer K B D, Lang Np, Karring T. Plaque-induced peri-implantitis in the presence or absence of keratinized mucosa. An experimental study in monkeys[J]. Clin Oral Implants Res, 1995 : 131-8
[19] Martins Tm F L, Mestrener Sr, Saito Ct, et al. Apically positioned flap: Reestablishment of esthetics and integrity of the dentogingival unit[J]. Perspect Oral, 2010, 2 : 2175-5124
[20] Reddy V K, Parthasarathy H, Lochana P.Evaluating the clinical and esthetic outcome of apically positioned flap technique in augmentation of keratinized gingiva around dental implants[J]. Contemporary clinical dentistry, 2013, 4(3) : 319-324