[用金属螺钉结合根段植入下颌无牙部分]。

Chirurgia maxillofacialis & plastica Pub Date : 1989-01-01
B Ermenc
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引用次数: 0

摘要

作者提出了一种特殊的方法放置种植体到颌骨无牙区。它涉及到使用金属螺钉结合人类牙根变性段。根段构成种植体的跨粘膜部分。迄今为止,用于人类的其他类型的植入物未能在牙龈上皮区域实现生物组织附着。脱细胞变性骨水泥包被的根段与牙龈上皮组织具有最佳的生化相容性。该研究包括22名年龄在20-60岁之间的患者,他们接受了植入物的测试。种植体被植入无牙颌的健康区域。所有病例均实现骨整合。12个种植体植入后6年,牙周健康状况良好,其中4个在根段近端表面出现牙龈袋,深度达3mm。其余16个植入物在植入一年后进行检查。在3例患者中发现了近端表面的口袋。7例龈袋患者均行刮除术;其中4例患者的根段与牙龈上皮组织重新附着。根据这些结果计算,手术的成功率为90.6%。该系列产品的失败是由于口腔卫生不足。
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[Implantation using a metal screw combined with the root segment into the edentulous part of the jaw].

The authors proposes a special method for the placement of implants into edentulous areas of the jaw. It involves the use of a metal screw combined with a denaturated segment of human dental root. The root segment constitutes the transmucosal part of the implant. Other types of implants used on humans so far have failed to achieve biological tissue attachment in the gingivo-epithelial region. The root segment coated with acellular denaturated cement possesses optimal biochemical compatibility with gingivo-epithelial tissue. The study included 22 patients aged from 20-60 years whom the implants were tested in. The implants were inserted into healthy regions of edentulous jaws. Osseointegrati on was attained in all the cases. Tho years after the insertion healthy periodontal status was found in 12 implants, while four showed gingival pockets measuring up to 3 mm in depth on the proximal surfaces of the root segment. The remaining 16 implants were checked one year after placement. Pockets involving the proximal surfaces were found in three patients. Curettage was performed in all the seven patients with gingival pockets; re-attachment between in the root segment and gingivo-epithelial tissues was achieved in four of them. The success rate of the procedure, calculated from these results, is 90.6%. The failures in the series are attributed to inadequate oral hygiene.

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