成人单侧后牙锁牙合的种植治疗

doi:10.12337/zgkqzzxzz.2022.04.010

中国口腔种植学杂志 ›› 2022, Vol. 27 ›› Issue (2): 105-111.DOI: 10.12337/zgkqzzxzz.2022.04.010

成人单侧后牙锁牙合的种植治疗

俞维君, 胡淑澄, 姜滨, 曹逸枫, 陆尔奕

上海交通大学医学院附属仁济医院口腔科 200127

收稿日期:2021-12-22 出版日期:2022-04-30 发布日期:2022-05-07
通讯作者: 陆尔奕,Email：lueryi222@outlook.com,电话：021-68383204
作者简介:俞维君,住院医师、硕士,研究方向：口腔修复学的临床与基础研究;陆尔奕,博士、主任医师、教授、博士研究生导师,研究方向：口腔种植与修复的临床和基础研究
基金资助:
上海市科学技术委员会“科技创新行动计划”项目（201409006300）

Implant therapy for adult unilateral posterior scissors-bite

Yu Weijun, Hu Shucheng, Jiang Bin, Cao Yifeng, Lu Eryi

Department of Stomatology, Renji Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200127, China

Received:2021-12-22 Online:2022-04-30 Published:2022-05-07
Contact: Lu Eryi, Email: lueryi222@outlook.com, Tel: 0086-21-68383204
Supported by:
Program of Science and Technology Commission of Shanghai Municipality（201409006300）

摘要/Abstract

摘要： 锁牙合会降低咀嚼效能,影响容貌外观。伴有牙周炎症与牙槽骨吸收的锁牙合病例会增加临床治疗难度。为了探讨复杂的成人单侧后牙锁牙合患者的种植治疗方法,在牙周治疗与拔牙位点保存的基础上行种植手术,采用种植体表面成形术、GBR和角化龈增量手术处理种植体周炎,最终实现种植体支持的固定修复。种植修复半年后复查,T-scan显示咬合能力恢复,修复效果稳定。对于成人单侧后牙锁牙合患者行种植固定修复是一种有效的治疗手段,需要充分考虑软硬组织风险,定期维护种植体周组织健康。

关键词: 锁牙合, 种植体支持的固定义齿, T-scan, 种植体周炎, 牙周炎

Abstract: Scissors-bite will reduce chewing efficiency and affect appearance. Scissors-bite accompanied with periodontitis and alveolar bone loss is a clinical challenge. To investigate implant restoration of complex adult unilateral posterior scissors-bite, interdisciplinary approaches, including periodontal initial therapy and alveolar ridge preservation, were conducted before implant-supported fixed restoration. Peri-implantitis was treated with implantoplasty, GBR and keratinized gingival augmentation. The result was stable at 6 months follow-up, and occlusion was ideal in T-scan analysis. Fixed implant restoration for the adult unilateral posterior scissors-bite patient after hard and soft tissue augmentation and sufficient maintenance care was effective.

Key words: Scissors-bite, Implant-supported fixed restoration, T-scan, Peri-implantitis, Periodontitis

俞维君,胡淑澄,姜滨,等. 成人单侧后牙锁牙合的种植治疗[J]. 中国口腔种植学杂志, 2022, 27(2): 105-111. DOI: 10.12337/zgkqzzxzz.2022.04.010

Yu Weijun, Hu Shucheng, Jiang Bin, Cao Yifeng, Lu Eryi. Implant therapy for adult unilateral posterior scissors-bite[J].Chinese Journal of Oral Implantology, 2022, 27(2): 105-111.DOI: 10.12337/zgkqzzxzz.2022.04.010.

参考文献

[1] Tomonari H, Kubota T, Yagi T, et al.Posterior scissors-bite: masticatory jaw movement and muscle activity[J]. J Oral Rehabil, 2014,41(4):257-265. DOI: 10.1111/joor.12148.
[2] Silvola AS, Närhi L, Tolvanen M, et al.Gender-specific associations of malocclusion traits with oral health-related quality of life in a Finnish adult population[J]. Eur J Orthod. 2020,42(3):242-249. DOI: 10.1093/ejo/cjz026.
[3] Sanders NL.Evidence-based care in orthodontics and periodontics: a review of the literature[J]. J Am Dent Assoc. 1999,130(4):521-527. DOI: 10.14219/jada.archive.1999.0246.
[4] Sharma K, Mangat S, Kichorchandra MS, et al.Correlation of orthodontic treatment by fixed or myofunctional appliances and periodontitis: a retrospective study[J]. J Contemp Dent Pract. 2017,18(4):322-325. DOI: 10.5005/jp-journals-10024-2039.
[5] Donos N.The periodontal pocket[J]. Periodontol 2000. 2018,76(1):7-15. DOI: 10.1111/prd.12203.
[6] 许砚耕,王翠,胡文杰,等. 牙周-正畸-种植综合治疗改善重度牙周炎伴错牙合畸形的临床效果(附1例8年随访报告)[J]. 中国实用口腔科杂志, 2021,14(4):405-412. DOI: 10.19538/j.kq.2021.04.004.
[7] Bostancıoğlu SE, Toğay A, Tamam E.Comparison of two different digital occlusal analysis methods[J]. Clin Oral Investig. 2022,26(2):2095-2109. DOI: 10.1007/s00784-021-04191-1.
[8] Hämmerle CHF, Tarnow D. The etiology of hard- and soft-tissue deficiencies at dental implants: a narrative review[J]. J Periodontol.2018,89 Suppl 1:S291-S303. DOI: 10.1002/JPER.16-0810.
[9] Avila-Ortiz G, Gubler M, Romero-Bustillos M, et al.Efficacy of alveolar ridge preservation: a randomized controlled trial[J]. J Dent Res. 2020,99(4):402-409. DOI: 10.1177/0022034520905660.
[10] 张浩筠, 危伊萍, 胡文杰, 等. 重度牙周炎患者磨牙的两种拔牙位点保存术后种植修复6年随访报告[J]. 中国口腔种植学杂志, 2021,26(1):47-63. DOI: 10.12337/zgkqzzxzz. 2021.02.011.
[11] 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.
[12] 邱立新. 拔牙窝植骨-拔牙位点保存技术要点[J]. 中国口腔种植学杂志, 2021, 26(1):2-6. DOI: 10.12337/zgkqzzxzz.2021.02.002.
[13] Aludden H, Mordenfeld A, Dahlin C, et al.Histological and histomorphometrical outcome after lateral guided bone regeneration augmentation of the mandible with different ratios of deproteinized bovine bone mineral and autogenous bone. a preclinical in vivo study[J]. Clin Oral Implants Res. 2020,31(10):1025-1036. DOI: 10.1111/clr.13649.
[14] Thoma DS, Naenni N, Figuero E, et al. Effects of soft tissue augmentation procedures on peri-implant health or disease: a systematic review and meta-analysis[J]. Clin Oral Implants Res.2018,29 Suppl 15:32-49. DOI: 10.1111/clr.13114.
[15] Klinge B, Klinge A, Bertl K, et al. Peri-implant diseases[J]. Eur J Oral Sci.2018,126 Suppl 1:88-94. DOI: 10.1111/eos.12529.
[16] Schwarz F, Derks J, Monje A, et al. Peri-implantitis[J]. J Periodontol.2018,89 Suppl 1:S267-S290. DOI: 10.1002/JPER.16-0350.
[17] Berglundh T, Armitage G, Araujo MG, et al. Peri-implant diseases and conditions: consensus report of workgroup 4 of the2017 world workshop on the classification of periodontal and peri-implant diseases and conditions. J Clin Periodontol. 2018,45 Suppl 20:S286-S291. DOI: 10.1111/jcpe.12957.
[18] Lin GH, Chan HL, Wang HL.The significance of keratinized mucosa on implant health: a systematic review[J]. J Periodontol. 2013,84(12):1755-1767. DOI: 10.1902/jop.2013.120688.
[19] Giovanni Z, Praveen S, Ilham M.Esthetics in periodontics and implantology[J]. Periodontol 2000. 2018,77(1):7-18. DOI: 10.1111/prd.12207.
[20] Monje A, Pons R, Amerio E, et al.Resolution of peri-implantitis by means of implantoplasty as adjunct to surgical therapy: a retrospective study[J]. J Periodontol. 2022,93(1):110-122. DOI: 10.1002/JPER.21-0103.on
[21] Esteves Lima RP, Abreu LG, Belém FV, et al.Is implantoplasty efficacious at treating peri-implantitis? a systematic review and meta-analysis[J]. J Oral Maxillofac Surg. 2021,79(11):2270-2279. DOI: 10.1016/j.joms.2021.06.015.
[22] Schwarz F, Sahm N, Becker J.Combined surgical therapy of advanced peri-implantitis lesions with concomitant soft tissue volume augmentation. a case series[J]. Clin Oral Implants Res. 2014,25(1):132-136. DOI: 10.1111/clr.12103.

成人单侧后牙锁牙合的种植治疗

Implant therapy for adult unilateral posterior scissors-bite

PDF (PC)

可视化

摘要/Abstract

引用本文

使用本文

参考文献

相关文章 10

编辑推荐

Metrics

[1]	中华口腔医学会口腔种植专业委员会. 上颌窦底提升并发症的专家共识：种植体周病（第一版）[J]. 中国口腔种植学杂志, 2022, 27(3): 135-139.
[2]	龚佳明, 赵瑞敏, 王佳, 戴志明, 余占海, 殷丽华. 种植体周囊肿的系统性文献综述[J]. 中国口腔种植学杂志, 2022, 27(3): 181-187.
[3]	李媛媛, 崔晓艺, 何宝杰. 种植体周菌斑控制不同情况下牙周炎与种植体周黏膜炎的相关性研究[J]. 中国口腔种植学杂志, 2022, 27(2): 87-92.
[4]	党如意, 季平. 种植体周炎大鼠模型的研究进展[J]. 中国口腔种植学杂志, 2022, 27(1): 50-53.
[5]	刘珍辉, 胡文杰. 拔牙位点保存创口封闭方式的临床进展[J]. 中国口腔种植学杂志, 2021, 26(5): 322-327.
[6]	杨艳, 周文娟. 角化黏膜宽度对种植体周组织健康的临床意义及研究进展[J]. 中国口腔种植学杂志, 2021, 26(4): 253-257.
[7]	施斌, 晏奇, 赵耀宇. 抗菌光动力疗法在种植体周围疾病中的应用[J]. 中国口腔种植学杂志, 2021, 26(3): 152-158.
[8]	李德华. 以生物学为导向种植治疗理念——从种植体周炎预防入手浅谈种植治疗范式转变之必然[J]. 中国口腔种植学杂志, 2021, 26(2): 79-84.
[9]	王志强, 庄文捷. 慢性牙周炎患者的种植修复疗效观察[J]. 中国口腔种植学杂志, 2019, 24(4): 174-177.
[10]	黄蓓, 唐曹敏, 凌雄健, 刘果生. 牙周炎患者牙周系统治疗后即刻和延时应用组合式种植体的对比研究[J]. 中国口腔种植学杂志, 2019, 24(2): 63-66.