重度牙周病患者美观与咬合功能协调的植牙治疗

K. Yokoi
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引用次数: 0

摘要

骨结合种植体是目前义齿修复的新形势。然而,临床医生在治疗种植体时,不仅在咀嚼运动中,而且在美观角度上,牙槽嵴吸收严重,存在各种问题。因此,对于由严重牙周病引起的严重萎缩颌骨,采用种植体修复一直是非常困难的。在这些问题的情况下。植骨重建、牵张成骨、引导骨再生(GBR)和亚结构(*)可以解决这一问题。这是一例严重萎缩无牙上颌用牙冠和牙龈分别制作的亚结构(*)进行重建的病例。*)亚结构(substructure)为固定种植体支撑修复体的上结构设计提供了新途径。
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A Dental Implant Treatment for Harmonized Esthetic and Occlusal Function of the Patient with Severe Periodontal Disease
It is well known fact that osseointegrated dental implants carry out the new situation for resent prosthetic restoration. However, it has had various problems when clinicians treated implant prosthesis during not only chewing movement but also esthetic viewpoint with severely alveolar ridge resorption. Therefore, in the severely atrophic jaw which caused by severe periodontal disease, prosthetic rehabilitation using dental implant has been very difficult. In the cases of thease problems. the reconstruction with bone grafting, distraction osteogenesis, GBR (Guided Bone regeneration) and the substructure (*) may resolve this problems. This is a case of Severely atrophic edentulous maxilla was reconstructed with substructure(*) which was made by tooth crown and gingiva individually. *) substructure new ways of designing suprastructures for fixed implant-supported prosthesis.4) Reconstruction with implementing suprastructure that has separating crown parts from gingival parts.
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