上颌后牙区骨量不足应用短种植体的临床疗效观察

中国口腔颌面外科杂志 ›› 2014, Vol. 12 ›› Issue (3): 253-256.

上颌后牙区骨量不足应用短种植体的临床疗效观察

童庆春,张兴文

上海市嘉定区中心医院口腔科,上海 201800

收稿日期:2013-10-23 出版日期:2014-05-10 发布日期:2014-07-15
通讯作者: 张兴文,E-mail:zxw168141@126.com E-mail:tqcyx@126.com
作者简介:童庆春(1971-),男,硕士,副主任医师
基金资助:
上海市嘉定区科学技术委员会资助课题(201111)

Clinical effect of short implants in posterior maxilla with insufficient bone mass

TONG Qing-chun, ZHANG Xing-wen

Department of Stomatology, Central Hospital of Jiading Distinct. Shanghai 200011, China

Received:2013-10-23 Online:2014-05-10 Published:2014-07-15

摘要/Abstract

摘要： 目的:观察上颌后牙区失牙后骨量不足时应用短种植体修复的临床疗效。方法:31例上颌后牙区缺牙患者,采用34颗ITI短种植体修复。随访5 a,对种植体效果进行评价。结果:种植体修复负重后,定期门诊复诊,将临床测量及患者使用感知情况作为标准,根据Albreksson等提出的种植体成功标准,5年累计成功率为100%。1例患者失访,另外30例患者均对种植修复效果满意。结论:短种植体作为解决上颌后牙区骨量不足的方法之一,易于医师掌握,易被患者接受,临床疗效确切。

关键词: 短种植体, 骨量不足, 种植修复

Abstract: PURPOSE: To observe the clinical effect of short implants in posterior maxilla with insufficient bone mass .METHODS: Thirty-one patients restored with 34 short implants in posterior maxilla region were followed up for 5 years. The final restorative outcomes were evaluated. RESULTS: The clinical measurement and patients' questionnaire showed satisfactory outcomes when the implants were loaded after restoration. According to Albreksson's implant success criteria, 5-year cumulative success rate was 100%, one patient was lost to follow-up, and 30 patients were satisfied with the results of implant prosthesis. CONCLUSIONS: Short implant can be used as one of the methods to solve insufficient posterior maxilla bone mass. It is easy to operate by doctor and accepted by patients, and has exact effectiveness. Supported by Research Found of Science and Technology Bureau of Jiading District Shanghai Municipality (201111).

Key words: Short implant, Insufficient bone mass, implant restoration

中图分类号:

R782.1

童庆春,张兴文. 上颌后牙区骨量不足应用短种植体的临床疗效观察[J]. 中国口腔颌面外科杂志, 2014, 12(3): 253-256.

TONG Qing-chun, ZHANG Xing-wen. Clinical effect of short implants in posterior maxilla with insufficient bone mass[J]. China J Oral Maxillofac Surg, 2014, 12(3): 253-256.

参考文献

【1】Griffin TJ, Cheung WS. The use of short, wide implants in posterior areas with reduced bone height: a retrospective investigation . J Prosthet Dent, 2004, 92(2): 139-144.
【2】Andemson B,Odman P,Lindvall AM,et al. Five-year prospective study of prosthodontic and surgical single-tooth implant treatment in general practices and at a specialist clinic . Int J Prosthodont, 1998, 11(4): 351-355.
【3】Joos U, Kleinhein J. Reconstruction of the severely resorbed (Class Ⅵ) jaws: routine or exception?. J Craniomaxillofac Surg, 2000, 28(1): 1-4.
【4】黄建生. 上颌后牙区骨量不足种植的风险与对策 . 华西口腔医学杂志, 2012, 30(1): 1-9.
【5】Renouard F, Nisand D. Impact of implant length and diameter on survival rates . Clin Oral Implants Res, 2006, 17 (Suppl 2): 35-51.
【6】Maló P, de Araújo Nobre M, Rangert B. Short implants placed one-stage in maxillae and mandibles:a retrospective clinical study with 1 to 9 years of follow-up . Clin Implant Dent Relat Res, 2007, 9(1): l5-21.
【7】Jones TO, Sasser WE Jr. Why satisfied customers defect .Harward Business Review, 1995, 73(6): 88-99.
【8】Pierrisnard L, Renouard F, Renault P, et al. Influence of implant length and bicortical anchorage on implant stress distribution . Clin Implant Dent Relat Res, 2003, 5(4): 254-262.
【9】Wiskott HW, Belser UC. Lack of integration of smooth titanium surfaces: a working hypothesis based on strains generated in the surrounding bone . Clin Oral Implants Res, 1999, 10(6): 429-444.
【10】Ash M. Anatomy of premolars and molars//Ash M Jr. Wheeler’s dental anatomy, physiology and occlusion. 7th ed. Philadelphia: Saunders, 1993: 195-291.
【11】Schillingburg HT, Hobo S, Whitsett LD, et a1. Fundamentals of fixed prosthodontics. 3rd ed. Chicago: Quintessence, 1997: 89-90.
【12】Rokni S, Todescan R, Watson P, et a1. An assessment of crown-to-root ratios with short sintered porous-surfaced implants supporting prostheses in partially edentulous patients. Int J Oral Maxillofac Implants, 2005, 20(1): 69-76.
【13】Chang SH, Lin CL, Hsue SS, et al. Biomechanical analysis of the effects of implant diameter and bone quality in short implants placed in the atrophic posterior maxilla . Med Eng Phys, 2012, 34(2): 153-160.
【14】周仲豪,莫嘉骥,姒蜜思,等.上前牙区单个种植牙牙龈生物学类型对龈乳头重建的影响.上海口腔医学,2012,21(5):541-545.
【15】Grant BT, Pancko FX, Kraut RA, Outcomes of placing short dental implants in the posterior mandible: a retrospective study of 124 cases . J Oral Maxillofac Surg, 2009, 67(4): 713-717.

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