牙片屏障即刻种植技术的临床程序与技巧——附1例7年随访报告

doi:10.12337/zgkqzzxzz.2021.08.007

中国口腔种植学杂志 ›› 2021, Vol. 26 ›› Issue (4): 242-247.DOI: 10.12337/zgkqzzxzz.2021.08.007

牙片屏障即刻种植技术的临床程序与技巧——附1例7年随访报告

王鹃, 陈硌, 高明, 朱一博, 邱立新

北京大学口腔医学院·口腔医院第四门诊部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 100025

收稿日期:2021-08-09 出版日期:2021-08-10 发布日期:2021-09-08
通讯作者: 邱立新,Email：kqqiulixin@163.com,电话：010-85715965
作者简介:王鹃主治医师、博士,研究方向：种植修复体设计,种植治疗数字化相关研究;邱立新主任医师、博士,研究方向：骨量不足情况下的多种植骨技术,复杂病例的软硬组织美学重建与美学修复

Clinical application procedures and skills of immediate implant with socket-shield technique

Wang Juan, Chen Luo, Gao Ming, Zhu Yibo, Qiu Lixin

Fourth Clinical Division, Peking University School and Hospital of Stomatology & National Clinical Research Center for Oral Diseases & National Engineering Laboratory for Digital and Material Technology of Stomatology & Beijing Key Laboratory of Digital Stomatology, Beijing 100025, China

Received:2021-08-09 Online:2021-08-10 Published:2021-09-08
Contact: Qiu Lixin, Email: kqqiulixin@163.com, Tel: 0086-10-85715965

摘要/Abstract

摘要： 美学区即刻种植时保留天然牙唇侧部分牙片,有利于保存牙片处的牙周膜和束状骨,防止拔牙后束状骨前期改建吸收造成的牙槽骨高度及宽度变化,避免大量的软硬组织增量。保留唇侧牙片即刻种植技术,2010年由德国学者Hürzeler首先报道,经过10年的病例随访观察,使用该技术可以很好地维持种植修复后的龈缘位置、唇侧软组织丰满度,保持牙龈组织颜色、质地的稳定。作者团队自2013年开始此技术的临床研究,处理牙根及牙片的外科技术手段与Hürzeler团队的方法略有不同。本文通过一个有7年随访结果的完整病例介绍这一不同的牙片外科处理技术,探讨这一技术特点及临床操作细节。

关键词: 牙片屏障, 即刻种植, 即刻修复

Abstract: Immediate implant with the socket-shield technique was first proposed by Hürzeler in the year of 2010. It has been confirmed that this technique can preserve labial bone plate and periodontal ligament better than conventional immediate implant placement. It is more conducive to the maintenance of gingival margin position, soft tissue contour, gingival color, and character after implantation. This technique has been applied to clinics by many scholars for more than 10 years. But its operation process is not completely unified, which makes it difficult to popularize this technology in the clinic. The author's team has first started the clinical research of this technology in China in 2013. In this paper, a new dental shield management method different from Hürzeler's is proposed. The clinical treatment process and 7-year follow-up result of one case of the immediate implant with socket-shield technique in the aesthetic area are illustrated, in order to provide evidence and clinical experience for the clinical application of this technology.

Key words: Socket-shield technique, Immediate implant, Immediate restoration

王鹃,陈硌,高明,等. 牙片屏障即刻种植技术的临床程序与技巧——附1例7年随访报告[J]. 中国口腔种植学杂志, 2021, 26(4): 242-247. DOI: 10.12337/zgkqzzxzz.2021.08.007

Wang Juan, Chen Luo, Gao Ming, Zhu Yibo, Qiu Lixin. Clinical application procedures and skills of immediate implant with socket-shield technique[J].Chinese Journal of Oral Implantology, 2021, 26(4): 242-247.DOI: 10.12337/zgkqzzxzz.2021.08.007.

参考文献

[1] Araújo MG, Lindhe J.Dimensional ridge alterations following tooth extraction. An experimental study in the dog[J]. J Clin Periodontol, 2005,32(2):212-218. DOI: 10.1111/j.1600-051X.2005.00642.x.
[2] Morton D, Chen ST, Martin WC, et al. Consensus statements and recommended clinical procedures regarding optimizing esthetic outcomes in implant dentistry[J]. Int J Oral Maxillofac Implants, 2014,29 Suppl:216-220. DOI: 10.11607/jomi.2013.g3.
[3] Cosyn J, Eghbali A, Hermans A, et al.A 5-year prospective study on single immediate implants in the aesthetic zone[J]. J Clin Periodontol, 2016,43(8):702-709. DOI: 10.1111/jcpe.12571.
[4] Cosyn J, De Lat L, Seyssens L, et al. The effectiveness of immediate implant placement for single tooth replacement compared to delayed implant placement: A systematic review and meta-analysis[J]. J Clin Periodontol, 2019,46 Suppl 21:224-241. DOI: 10.1111/jcpe.13054.
[5] Seyssens L, Eghbali A, Cosyn J.A 10-year prospective study on single immediate implants[J]. J Clin Periodontol, 2020,47(10):1248-1258. DOI: 10.1111/jcpe.13352.
[6] Seyssens L, De Lat L, Cosyn J.Immediate implant placement with or without connective tissue graft: A systematic review and meta-analysis[J]. J Clin Periodontol, 2021,48(2):284-301. DOI: 10.1111/jcpe.13397.
[7] Tavelli L, Ravidà A, Lin GH, et al.Comparison between subepithelial connective tissue graft and de-epithelialized gingival graft: a systematic review and a meta-analysis[J]. J Int acad periodontol, 2019,21(2):82-96.
[8] Hürzeler MB, Zuhr O, Schupbach P, et al.The socket-shield technique: a proof-of-principle report[J]. J Clin Periodontol, 2010,37(9):855-862. DOI: 10.1111/j.1600-051X.2010.01595.x.
[9] 朱一博,邱立新, 陈硌, 等. 上前牙区牙片屏障即刻种植术临床效果的初步研究[J].中华口腔医学杂志, 2018,53(10):665-668. DOI: 10.3760/cma.j.issn.1002-0098.2018.10.004.
[10] Hinze M, Janousch R, Goldhahn S, et al.Volumetric alterations around single-tooth implants using the socket-shield technique: preliminary results of a prospective case series[J]. Int J Esthet Dent, 2018,13(2):146-170.
[11] Petsch M, Spies B, Kohal RJ.Socket shield technique for implant placement in the esthetic zone: a case report[J].Int J periodontics restorative dent, 2017,37(6):853-860. DOI: 10.11607/prd.2729.
[12] Zhang Z, Dong Y, Yang J, et al.Effect of socket-shield technique on alveolar ridge soft and hard tissue in dogs[J]. J Clin Periodontol, 2019,46(2):256-263. DOI: 10.1111/jcpe.13073.
[13] Mourya A, Mishra SK, Gaddale R, et al.Socket-shield technique for implant placement to stabilize the facial gingival and osseous architecture: A systematic review[J]. J Investig Clin Dent, 2019,10(4):e12449. DOI: 10.1111/jicd.12449.
[14] Staehler P, Abraha SM, Bastos J, et al.The socket-shield technique: a step-by-step protocol after 12 years of experience[J]. Int J Esthet Dent, 2020,15(3):288-305.
[15] Gluckman H, Salama M, Du Toit J.A retrospective evaluation of 128 socket-shield cases in the esthetic zone and posterior sites: Partial extraction therapy with up to 4 years follow-up[J]. Clin Implant Dent Relat Res, 2018,20(2):122-129. DOI: 10.1111/cid.12554.
[16] Gluckman H, Du Toit J, Salama M, et al.A decade of the socket-shield technique: a step-by-step partial extraction therapy protocol[J]. Int J Esthet Dent, 2020,15(2):212-225.
[17] 许亚梅, 黄弘, 王黎, 等. 改良盾构术与传统即刻种植术的临床效果对比研究[J].华西口腔医学杂志,2019,37(5):490-495. DOI: 10.7518/hxkq.2019.05.007.
[18] 谭震, 付刚, 文俊儒, 等. 牙根屏障技术的临床应用与评估[J].中华口腔医学杂志,2020,55(11):851-856. DOI: 10.3760/cma.j.cn112144-20200613-00342.
[19] Gandhi Y, Bhatavadekar N.Inappropriate socket shield protocol as a probable cause of peri-implant bone resorption: a case report[J]. J Maxillofac Oral Surg, 2020,19(3):359-363. DOI: 10.1007/s12663-019-01301-1.
[20] Calvo-Guirado JL, Troiano M, López-López PJ, et al.Different configuration of socket shield technique in peri-implant bone preservation: An experimental study in dog mandible[J]. Ann Anat, 2016,208:109-115. DOI: 10.1016/j.aanat.2016.06.008.
[21] Calvo-Guirado JL, Benítez-García JA, Maté Sánchez de Val JE, et al. Socket-shield technique: the influence of the length of the remaining buccal segment of healthy tooth structure on peri-implant bone and socket preservation. A study in dogs[J]. Ann Anat, 2019,221:84-92. DOI: 10.1016/j.aanat.2018.09.003.
[22] Tan Z, Kang J, Liu W, et al.The effect of the heights and thicknesses of the remaining root segments on buccal bone resorption in the socket-shield technique: An experimental study in dogs[J]. Clin Implant Dent Relat Res, 2018,20(3):352-359. DOI: 10.1111/cid.12588.
[23] Carnevale G, Sterrantino SF, Di Febo G.Soft and hard tissue wound healing following tooth preparation to the alveolar crest[J]. Int J Periodontics Restorative Dent, 1983,3(6):36-53.
[24] Botticelli D, Berglundh T, Buser D, et al.The jumping distance revisited: An experimental study in the dog[J]. Clin Oral Implants Res, 2003,14(1):35-42. DOI: 10.1034/j.1600-0501.2003.140105.x.
[25] Guo T, Nie R, Xin X, et al.Tissue preservation through socket-shield technique and platelet-rich fibrin in immediate implant placement: A case report[J]. Medicine (Baltimore), 2018,97(50):e13175. DOI: 10.1097/MD.0000000000013175.

牙片屏障即刻种植技术的临床程序与技巧——附1例7年随访报告

Clinical application procedures and skills of immediate implant with socket-shield technique

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