中国口腔种植学杂志 ›› 2025, Vol. 30 ›› Issue (3): 234-242.DOI: 10.12337/zgkqzzxzz.2025.06.006

• 颧种植与牙种植论坛 • 上一篇    下一篇

倾斜种植在无牙上颌修复中的临床应用

郭厚佐, 邸萍   

  1. 北京大学口腔医学院口腔种植科 100081
  • 收稿日期:2025-03-09 出版日期:2025-06-30 发布日期:2025-06-27
  • 通讯作者: 邸萍,Email:diping2008@163.com,电话:010-82195344
  • 作者简介:郭厚佐,博士、主治医师,研究方向:口腔种植学。
    邸萍,教授、主任医师、博士研究生导师,研究方向:口腔种植学、种植修复材料学、种植修复数字化技术

Application of tilted implants in rehabilitation of the edentulous maxilla

Guo Houzuo, Di Ping   

  1. Department of Oral Implantology, Peking University School and Hospital of Stomatology, Beijing 100081, China
  • Received:2025-03-09 Online:2025-06-30 Published:2025-06-27
  • Contact: Di Ping, Email: diping2008@163.com, Tel: 0086-10-82195344

摘要: 无牙上颌患者在种植修复过程中往往面临剩余骨量不足的临床挑战。倾斜种植通过优化种植体的三维位置,最大限度地利用患者剩余骨组织解剖结构,在规避骨增量手术风险的同时,可实现种植体良好的初始稳定性。倾斜种植相较于传统的骨增量后种植技术,不仅可显著降低手术创伤,而且支持即刻修复,有效缩短了患者整体的治疗周期。随着口腔种植技术的发展,倾斜种植在无牙上颌种植修复领域展现出显著的临床优势。本文将从临床适应证、手术操作要点及临床预后等方面系统评述倾斜种植在无牙上颌修复中的应用进展。

关键词: 牙列缺失, 倾斜种植, 颧种植, 翼种植

Abstract: Edentulous maxillary patients often face the clinical challenge of insufficient residual bone volume during implant rehabilitation. By optimizing the three-dimensional positioning of implants, the tilted implantation technique maximizes the utilization of existing anatomical bone structures while avoiding the risks associated with bone augmentation procedures, thereby achieving favorable primary stability. Compared to traditional bone grafting protocols, this approach significantly reduces surgical trauma and supports immediate loading, effectively shortening the overall treatment duration. With advancements in oral implantology, tilted implantation has demonstrated significant clinical advantages in the rehabilitation of the edentulous maxilla. This article systematically reviewed the application progress of the tilted implantation technique in maxillary edentulous rehabilitation from the perspectives of clinical indications, surgical protocols, and clinical prognosis.

Key words: Edentulism, Tilted implant, Zygomatic implant, Pterygoid implant