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題名 | 以帳篷支柱骨移植重建嚴重吸收之顎骨缺損--病例報告=Reconstruction with "Tent Pole" Grafts for Severely Resorbed Jaws--A Case Report |
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作者 | 羅文甫; 陳遠謙; | 書刊名 | 臺灣口腔顎面外科學會雜誌 |
卷期 | 27:4 2016.12[民105.12] |
頁次 | 頁270-278 |
分類號 | 416.96 |
關鍵詞 | 帳篷支柱; 軟組織基質擴張; 顎骨之嚴重骨缺損; 人工植牙手術; 自體腸骨移植; Tent pole; Soft tissue matrix expansion; Severely resorbed jaws; Implant surgery; Autogenous iliac bone graft; |
語文 | 中文(Chinese) |
中文摘要 | 本病例報告一56歲已婚女性,其主訴爲想以植牙方式進行全口重建,臨床以及影像檢查發現病人之上下顎嚴重吸收無牙脊。與贋復專科醫師共同會診後,治療計劃爲上下顎無牙脊人工植牙支持之全口覆蓋活動義齒方式重建手術則以上述兩個概念爲原則,上顎無牙脊骨缺損施以自體腸骨J型骨塊移植術,而下顎無牙脊骨缺損使用下頦切線的方式,同時完成第一階段植牙以及自體腸骨移植手術,術後傷口癒合良好。並於術後5個月接續完成上顎第一階段人工植牙手術及下顎第二階段人工植牙手術。 |
英文摘要 | In the past, numerous efforts or treatment modalities have been offered to reconstruct severely resorbed mandibular ridge only to result in rapid resorption of bone graft associated with soft tissue contraction and they might even be complicated by jaw fracture, wound dehiscence, fistulas formation, and neurosensory disturbance. With the "Soft Tissue Matrix Expansion" & "Tent Pole" grafting concepts advocated by Prof. Robert E. Marx, simultaneous implantation and bone grafting as 1-stage procedure through submental approach can be achieved with well consolidation & volume maintenance of grafted bone and predictable long-term implant success. We would like to present a patient of 56 years old female referred from local dental clinic asking for oral rehabilitation using implant restorations. Clinical examination and Cone beam computed tomography revealed severe atrophy of both maxilla and mandible. After consultation with prosthodontist, implant supported over dentures was planned for her including autogenous iliac J-bone blocks grafting for maxillary arch and simultaneous implant placement with "tent pole" grafts for mandibular arch through submental approach. Surgical wound on both arches healed uneventfully and subsequent placement (stage-I implantation) of regular sized dental implants on maxilla and uncover (stage-II implantation) of the 4 mandibular implants was performed at 5 months after surgery. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。