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題 名 | 利用顴骨植體合併立即負載重建嚴重萎縮上顎骨--病例報告與文獻回顧=Rehabilitation of the Severely Atrophic Maxilla Using the Zygomatic Implant with Immediate Loading Protocol--A Case Report and Literature Review |
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作 者 | 黃健瑜; 歐陽玲; 龍萱; 蘇偉嘉; 吳友仁; | 書刊名 | 臺灣口腔顎面外科學會雜誌 |
卷 期 | 27:2 2016.06[民105.06] |
頁 次 | 頁111-126 |
分類號 | 416.96 |
關鍵詞 | 萎縮上顎骨; 顴骨植體; 立即負載; Atrophic maxilla; Zygomatic implant; Immediate loading; |
語 文 | 中文(Chinese) |
中文摘要 | 利用植體重建嚴重萎縮上顎骨非常有挑戰性。運用顴骨植體的幫助對於極度吸收的上顎骨已被建議是-有效的贋復方式。利用顴骨植體可以免除補骨步驟,並可以提供患者一個立即的、高品質、美觀具功能的全顎固定式贋復物。本文針對颧骨植體的運用做病例報告與文獻回顧。在這病例報告中,患者因爲長年配戴不合適的全口活動假牙造成上顎骨嚴重吸收,利用一支顴骨植體和四支傾斜植體支持固定式臨時全壓克力樹脂義齒且立即負載。經過四個月骨整合,印模製作正式鈦金屬基底固定式義齒。術後每兩個月回診維護清潔植體周圍;目前追蹤一年半,植體周圍軟組織健康穩定,無明顯植體周圍骨喪失;患者自述在美觀和咀嚼功能有很大的改善。 |
英文摘要 | Oral rehabilitation with dental implants in the severely atrophic maxilla is very challenging. Zygomatic implantation has been recommended as an approach for the prosthetic rehabilitation of the severely deficient maxilla. This approach provides the patient with an immediate, high-quality, esthetic, and functional complete fixed prosthesis and eliminates the need for bone augmentation procedures. In this case report, and literature review a patient with a severely deficient maxilla caused by wearing an ill-fitted complete denture was rehabilitated by placement of one zygomatic and four tilting implants, which were immediately loaded with a complete fixed all-acrylic resin interim prosthesis. After a four-month period to achieve osseointegration, impressions were taken for fabricating the final metal-based prostheses. The patient was recalled every 2 months for maintenance. At the 1.5-year follow-up examination, the periimplant mucosal soft tissues remained in good condition, and no obvious periimplant bone loss was noted. The patient reported significant improvement in oral function and esthetics. |
本系統中英文摘要資訊取自各篇刊載內容。