口腔医学研究

口腔医学研究 ›› 2023, Vol. 39 ›› Issue (12): 1112-1115.DOI: 10.13701/j.cnki.kqyxyj.2023.12.016

• 研究生病例精粹——口腔修复系列(12) • 上一篇    

盾构术用于上颌美学区即刻种植1例

薛雨菲1,2,3, 祝雨茜1,2#, 周毅1,2*   

  1. 1.湖北省口腔基础医学重点实验室-省部共建国家重点实验室培训基地,口腔生物医学教育部重点实验室(武汉大学) 湖北 武汉 430079;
    2.武汉大学口腔医院修复科 湖北 武汉 430079;
    3.福建医科大学附属口腔医院仁德路门诊部 福建 福州 350004
  • 收稿日期:2023-11-13 出版日期:2023-12-28 发布日期:2023-12-25
  • 通讯作者: * 周毅,E-mail:dryizhou@163.com
  • 作者简介:薛雨菲(1996~ ),女,福建人,硕士,研究方向:口腔修复学。祝雨茜(1998~ ),女,武汉人,硕士,研究方向 口腔修复学。
    #为共同第一作者

A Case of Immediate Implantation in Maxillary Aesthetic Zone Using Socket-Shield Technique

XUE Yufei1,2,3, ZHU Yuxi1,2#, ZHOU Yi1,2*   

  1. 1. The State Key Laboratory Breeding Base of Basic Science of Stomatology (Hubei-MOST) and Key Laboratory of Oral Biomedicine Ministry of Education, School and Hospital of Stomatology, Wuhan University, Wuhan 430079, China;
    2. Department of Prosthodontics, Hospital of Stomatology, Wuhan University, Wuhan 430079, China;
    3. Rende Road Outpatient Department, Stomatology Hospital affiliated to Fujian Medical University, Fuzhou 350004, China
  • Received:2023-11-13 Online:2023-12-28 Published:2023-12-25

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摘要： 本文报道1例在前牙美学区使用盾构术进行即刻种植的病例。在传统即刻种植手术中,唇侧骨板可能会因为拔牙创伤或血运降低而发生软硬组织缺损的美学问题。而盾构术可以通过保留部分颊侧根片,继而保留颊侧牙周膜束状骨复合体,进而维持软硬组织轮廓,实现更为理想的美学效果。已有研究表明盾构术10年成功率为87.9%,但术前严格把握适应证和禁忌证对盾构术来说十分重要,该病例患者符合盾构术适应证,术后随访美学效果良好。

关键词: 盾构术, 即刻种植, 即刻修复

Abstract: This article reports a case of immediate implantation using socket-shield technique in the aesthetic zone. In traditional immediate implant surgery, the labial bone plate may suffer from aesthetic problems such as soft and hard tissue defects due to tooth extraction trauma or reduced blood supply. The shield technique can preserve part of the buccal root piece and the buccal periodontal ligament bundle-bone complex, thereby maintaining the contours of soft and hard tissue and achieving a more ideal aesthetic effect. Studies have shown that the 10-year success rate of shield technique is 87.9%. However, it is very important for shield technique to strictly grasp the indications and contraindications before surgery. The patient in this case meets the indications for shield technique, and the postoperative aesthetic results are good.

Key words: socket-shield technique, immediate implant placement, immediate restoration