重度牙周患者临时种植体与颗粒牙本质种植体保护传统种植体1例报告

J. Calvo-Guirado
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引用次数: 4

摘要

临时植入物(PI)可以在标准植入物的集成过程中为患者的审美舒适和咀嚼做出全面贡献。尽管临时植入物不用于骨整合,必须在那时或4个月时退出,但大多数植入物在这个过程中开始移动,并且大多数植入物都在标准植入物整合之前退出。与可移除假体相比,附着在临时植入物基牙上的树脂固定假体为患者提供了稳定性、美观性,并为传统植入物提供了保护,而可移除假体会更快地导致这些临时植入物的松动和丢失。根据患者的咬合、磨牙症或紧咬情况,临时植入物可以与胶合或螺纹树脂假体或钛框架一起使用。所有PI都是一体式的,5级钛,具有V形螺纹和生物蚀刻表面(粗糙表面),以增加软骨和硬骨中的插入扭矩和骨与植入物的接触。用树脂换衬的临时上部固定义齿是保护和降低一些标准植入物失败风险的最简单解决方案。在这种情况下,可能的解决方案是使用临时植入物作为固定结构的支撑,作为传统植入物和骨移植物的保护。我们的临床病例使用了六个直径2.7 mm、长度13 mm的临时植入物TR®,使用智能牙本质研磨机研磨提取的牙齿,并固定临时义齿3个月。在4个月时,将一个完整的锆义齿拧入标准植入物中。
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Temporary implants and particulate dentin graft protecting traditional implants in severe periodontal patient: A case report
Provisional implants (PIs) can offer a total contribution to a patient's esthetic comfort and chew during the integration of standard implants. Although temporary implants are not intended for osseointegration and have to withdraw at there or 4 months, most of them begin to move during this process, and most of them had extracted before standard implants integration. Resin fixed prosthesis attached to temporary implant abutments gives the patient stability, gives esthetics, and gives protection to traditional implants, compared to removable prostheses, which more quickly leads to the loosening and loss of these temporary implants. Temporary implants could be used with cemented or screwed resin prosthesis or with titanium framework, depending on the patient's bite, bruxism, or clenching. All PIs are made in one piece, titanium grade 5, with V threads and a Bioetched surface (rough surface) to increase the insertion torque and bone to implant contact in soft and hard bone. Temporary upper fixed denture, relined with resin, is the easiest solution for protecting and reducing the risk of failure of some of the standard implants. The possible solution in such cases is the use of temporary implants as support for the fixed structure, acting as protection of traditional implants and bone grafts. Our clinical case was made with six temporary implants TR® 2.7 mm diameter by 13 mm length, grinding extracted teeth using smart dentin grinder, and fixed temporary denture for 3 months. At 4 months, a complete zirconium denture was screwed in standard implants.
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