即刻种植与即刻修复的临床应用.pdfVIP

1·44 · 中华口腔医学杂志 2006年 3 月第 4 1卷第 3 期 　Ch in J Stom atol,M arch 2006 , Vol 4 1, No. 3 · · 口腔种植学研究 即刻种植与即刻修复的临床应用 欧国敏 　宫苹 　陈文川 　刘福祥 　汪永跃 　谭震 　　【摘要 】　目的　探讨即刻种植与即刻修复的临床运用原则 ,并初步评价临床疗效 。方法 　14 例 患者共 37个牙位在拔牙同时植入了种植体 ,其中 6例共 14个牙位即刻种植后又行即刻修复 。平均 4 个月后进行 Ⅱ期手术和最终修复 。修复后平均追踪观察时间为 22 个月 。结果 　除 1例 2 枚种植体 于即刻种植并即刻修复后 3周松脱外 ,其余病例 自修复完成至最后一次复查 , 临床效果 良好 , 4 年累 积存活率达到 94 6% 。结论 　在适当选择病例的情况下 , 即刻种植与即刻修复可成功应用于临床 , 并获得较高的存活率 。 【关键词 】　牙种植 ; 　即刻种植 ; 　即刻修复 A clin ic study of imm ed ia te den ta l im plan t and imm ed ia te restora tion 　　OU Guom in, GON G P ing, CHEN W en chuan, L IU F ux iang, WAN G Yong y ue, TAN Z hen Cen ter of D en ta l Imp lan ta tion, W es t Ch ina S chool of S tom a tology, S ichuan Un ivers ity, Cheng du 610041, Ch ina Corresp ond ing au thor: OU Guom in, Em a il: g uom inou66@y ahoocom , Tel: 028 855035 71 【A b stract 】　O bjective 　 To evaluate the clin ical re su lts of imm ediate imp lan t and imm ediate re storation and to discu ss the app lying p rincip le s of the se techn iquesM ethods　Fou rteen ca se s underwent imm ediate imp lan t su rgery for 37 dental imp lants imm ediately after the teeth or roots were extracted Among them , 6 ca se s ( 14 imp lants) received imm ediate restoration after imp lan t p lacem ent The second stage op eration and final re storation were p erform ed 4 month s on average po stop eratively, and the m ean fo llowup tim e wa s 22 mon th sResults　Two imp lants from 1 ca se were lo st at 3 week s after imm ediate imp lant and imm ediate re storation The re st ca ses ach ieved good clin ical re su lts A ccumu lative 4 year su rvival rate wa s 94 6% Conclu sion s　The re su lt of imm ediate imp lant and imm ediate restoration is p redic