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題名 | 殘餘黏合劑引起之植體周圍炎 : 病例報告=The Residual Cement Induced peri-implantitis: A Case Report |
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作者 | 謝秉諺; 黃國精; 林承俊; 張瑞忠; 曾春祺; 毛念平; 陳俊榮; | 書刊名 | 臺灣牙周病醫學會雜誌 |
卷期 | 15:2 2010.06[民99.06] |
頁次 | 頁99-108 |
分類號 | 416.94 |
關鍵詞 | 殘餘黏合劑; 黏合型植體固位贋復物; 植體周圍炎; Residual cement; Cement-retained implant restoration; Peri-implantitis; |
語文 | 中文(Chinese) |
中文摘要 | 由於人工植牙的可預測性及高成功率,已使其成爲現代牙科治療的常規選項之一。但人工植牙並非全無風險,仍可能有併發症產生,例如植體周圍炎、螺絲鬆脫、陶瓷破損等等。本病例報告爲一位34歲男性患者,右側下顎第二小臼齒多年前因慢性牙周炎而遭到拔除,與患者討論後決定以人工植牙來重建缺牙區。除植入人工植體外,亦使用脫鈣冷凍乾燥同種異質移植骨 (DFDBA; OraGRAFT®) 來填補骨缺損,並於術後三個月完成贋復體之製作及裝戴,患者在回診追蹤時並無任何不適或症狀。但在二年後的定期追蹤時發現,植體的近心及頰側處有較深之牙周探測深度,並伴隨有化膿性滲出物。經謹慎評估後,決定進行翻瓣清創手術,結果在植體頸部附近發現未完全移除之黏合劑,將其徹底清除乾淨後,搭配異體移植骨 (SinboneHT®) 及可吸收性膠原蛋白再生膜 (PeriAid®) 來進行引導骨再生術,以修補此骨缺損。術後二年追蹤時狀況良好,特此提出報告並探討殘餘黏合劑與造成植體周圍炎間之關聯性。 |
英文摘要 | Implant dentistry has been established as a predictable treatment modality with high clinical success rates. Dental implants have been widely used in clinical practice and have become an option in comprehensive periodontal treatment plans. However, implant treatments are not entirely risk free and may result in a range of complications. This clinical report presents a 34-year-old male patient who developed peri-implantitis associated with residual cement. After removal of the subgingivally retained cement by surgical intervention, the signs of peri-implantitis are resolved. When the patient was recalled at 2-year, he was asymptomatic. According to this finding, the need for care in the use of cement-retained implant restorations needs to be emphasized. It seems that removal of excess cement from around implant is important for retaining clinical health and for the resolution of pen-implant disease. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。