口腔医学研究 ›› 2016, Vol. 32 ›› Issue (10): 1092-1095.DOI: 10.13701/j.cnki.kqyxyj.2016.10.023

• 临床研究论著 • 上一篇    下一篇

平台转换种植体基台折断病例回顾性分析

陈宇寰, 张智勇*, 张晓, 孟甜, 陈全, 高巍, 刘文曙, 周团锋, 张锋   

  1. 北京大学口腔医院门诊部口腔外科 北京 100034
  • 收稿日期:2016-04-07 出版日期:2016-10-26 发布日期:2016-10-26
  • 通讯作者: 张智勇,E-mail:zhangzhyo2000@163.com
  • 作者简介:陈宇寰(1986~ ),女,博士,主要从事口腔外科及种植修复研究。

A Retrospective Analysis of Platform-switching Implants with Abutment Fracture.

CHEN Yu-huan, ZHANG Zhi-yong*, ZHANG Xiao, MENG Tian, CHEN Quan, GAO Wei, LIU Wen-shu, ZHOU Tuan-feng, ZHANG Feng.   

  1. Department of Oral and Maxillofacial Surgery, Outpatient Department of School and Hospital of Stomatology, Peking University, Beijing 100034, China
  • Received:2016-04-07 Online:2016-10-26 Published:2016-10-26

摘要: 目的:收集完成修复后发生基台折断的平台转换种植病例,分析基台折断相关因素及处理方式,为临床提供参考。方法:病例来源为2007~2014年北大口腔医院门诊部完成种植修复的临床病例,纳入标准为:采用Ankylos平台转换种植体;病例以及影像学资料齐全;影像学及临床检查确诊基台折断。结果:基台折断率为0.82%,共有16例,17颗种植体发生18次基台折断,1615颗位于第一磨牙区。患者平均年龄(47.69±9.56)岁,修复体平均负荷时间为(3.89±1.68)年。17颗基台折断种植体均未发现种植体颈部骨质吸收。结论:咬合力较大的第一磨牙区和尖牙区平台转换基台折断好发部位。平台转换种植体在稳定边缘骨方面效果显著,但当第一磨牙区的近远中缺隙过大时,植入平台转换种植体应慎重考虑。

关键词: 基台折断, 种植修复, 平台转换

Abstract: Objective: To collect the cases of platform-switching implants with abutment fracture and analyze the reasons for clinical treatment. Methods: We collect platform-switching implants with abutment fracture from 2007 to 2014 in the Outpatient Department of Peking University School of Stomatology. Inclusion criteria: using Ankylos implants; patients with complete data; imaging and clinical examination confirmed abutment fracture. Results: Abutment fracture occurred in 16 patients, 17 implants and 18 abutments, including 9 males and 7 females. The average age was 47.69±9.56 years old. The average functional loading time was 3.89±1.68 years. No bone resorption was observed. Conclusion: Abutment fracture was likely to occur in the first molar and canine regions where the mastication force is great. Platform-switching implants showed the stability of the marginal bone. It should be taken serious consideration to choose platform-switching implant when the space of the tooth is large in the first molar region.

Key words: Abutment fracture, Oral implantology, Platform switching

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