无牙颌即刻负重种植义齿风险因素的研究进展

doi:10.13701/j.cnki.kqyxyj.2019.09.001

摘要/Abstract

摘要： 随着口腔种植义齿修复技术的广泛开展,人民生活水平的不断提高和人民口腔保健意识的增强,越来越多的牙列缺失患者把种植修复作为首选方案。All-on-4或All-on-X无牙颌全口即刻负重种植义齿修复技术不仅极大地缩短了患者的缺牙期,而且减少了手术次数,节省了修复时间,减轻了患者的痛苦,从而提高了患者的生活质量。All-on-4即刻负重种植义齿的原理,是在无牙颌患者的口腔中使用4个植入物来支持一个临时的、固定的和立即负重的假体。国内外很多学者对All-on-4即刻负重的患者进行临床随访,取得了值得肯定的临床效果,但也存在一定的失败风险和术后并发症。本文就All-on-4全口即刻负重种植义齿修复术中出现失败的风险及可能原因进行分析,希望能够为开展无牙颌全口即刻负重种植义齿修复的基层口腔医师们提供借鉴。

关键词: 无牙颌, All-on-4, 即刻负重, 风险因素

Abstract: With the improvement of dental implant restoration technique and people’ living level, as well as the enhancement of people's awareness of oral health care, more and more patients with dentition defects and loss take implant repair as the first choice. All-on-4 or All-on-X immediate loading technique of edentulous patients not only greatly shortens the period of tooth loss, but also reduces the number of operations and saves time and cost, thus improving the quality of life of patients. The principle of All-on-4 is to use four implants in the mouth of patients with edentulous jaws to support a temporary, fixed, and immediately weight-bearing prosthesis. Many scholars at home and abroad have made clinical follow-up for patients with All-on-4 immediately loading, and obtained positive clinical effects, but there are also certain failure rates and postoperative complications. In this paper, the possible causes and postoperative complications of failure in All-on-4 immediate weight-bearing prosthesis are analyzed, with aim to provide reference for basic level dentists who will develop All-on-4 or All-on-X immediate loading restorations for edentulous patients.

Key words: edentulous, all-on-four, immediate loading, risk factor

王稚英, 李瑞飘. 无牙颌即刻负重种植义齿风险因素的研究进展[J]. 口腔医学研究, 2019, 35(9): 821-826.

WANG Zhiying, LI Ruipiao. Research Progress of Risk Factors of Immediate Loading Dental Implant Restorations in Edentulous Patients[J]. Journal of Oral Science Research, 2019, 35(9): 821-826.

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