目的 通过1例前牙区即刻种植病例,探讨相关因素对前牙美学区种植修复的影响.方法 患者前牙烤瓷桥松动脱落半年,要求种植修复.完善患者术前临床、影像检查、术前风险评估后,予以不翻瓣微创拔牙即刻种植延期修复,期间予以临时桥诱导牙龈成形,个性化印模杆进行最终印模,制作CAD/CAM钛支架,行螺丝固位烤塑桥修复.结果 在随访期间,种植修复获得了良好的美学效果及发音和咀嚼功能.结论 前牙美学区种植修复时,多因素可能影响到种植义齿成功率和修复的红白美学效果.严格掌握适应证,进行详细的术前评估,妥善选择治疗方案,才能获得理想的修复效果.%Objective To investigate the effects of the related factors on the aesthetic implant restoration of anterior maxilla with a typical case report.Methods A patient,who was failed with metal-ceramic bridge half year,required an implant restoration.Before treatment,a thorough clinical and radiological examination and a SAC classification were done.The teeth were extracted in mininal truama without flap reflection,and implants were inserted with delayed restoration.A provisional restoration supported by temporary abutment was placed to guide the development of the soft tissues.Then the final impression with the custom-made transcopings was made.And a screwretention metal-resin bridge was made with CAD/CAM titanium framework.Results During follow-up the dental implants and provisional restoration provided the patient with good esthetics,pronunciation and chewing function.Conclusion Many factors may affect the success rates and asethetic effect of anterior implant restorations.Indications,pre-surgical assessments,treatments are keys to aesthetic implant restoration.
展开▼
