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題 名 | Surgical Management of Peri-implantitis: A Case Report=植體周圍炎之手術處理:病例報告 |
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作 者 | 柯俞靖; 袁國; | 書刊名 | 中華民國家庭牙醫學雜誌 |
卷 期 | 11:3 2016.12[民105.12] |
頁 次 | 頁42-48 |
分類號 | 416.96 |
關鍵詞 | 植體周圍炎; 手術; 手術處理; Peri-implantitis; Surgery; Surgical management; |
語 文 | 英文(English) |
中文摘要 | 隨著植牙手術的普及,植體周圍炎發生數量也隨之增加。植體周圍炎是常見的植體生物性併發症之一。然而,目前植體周圍炎治療的預後仍是不可預測的,本病例報告提出一個以手術處理的植體周圍炎的病例。本病例報告提出一位61歲男性,右下第一大臼齒因根管治療失敗而於十六年前接受植牙手術,並以植體支持單顆牙冠恢復功能。患者於去年初感覺植牙處黏膜紅腫、流血,經檢查後發覺除軟組織發炎外,亦有植體周圍支持骨破壞,故診斷為植體周圍炎。該植體經翻瓣手術,徹底清創移除肉芽組織,將植體表面去毒化,並以骨粉填補於骨缺損處,術後傷口恢復良好。術後一年再進行軟組織增補手術,以顎側游離結締組織移植合併冠向移位皮瓣固定於植體頰側。術後病人無臨床症狀,並且X光片上沒有發現任何持續性骨破壞。植體周圍炎的治療目前仍無定論,陸續有多位學者針對植體周圍炎提出不同的治療方式與材料選擇。在本病例報告中,右下第一大臼齒植體經過手術與植體表面去毒性後,合併再生手術,臨床上已無症狀且X光片上可觀察到逐漸有骨生成。日後,針對植體周圍炎類似的骨缺損區域可考慮以相同方式處理,期望可達到臨床症狀的解除,並改善植體周圍骨高度。 |
英文摘要 | Peri-implantitis is one of the most common complications of dental implants. However, the prognosis of treated peri-implantitis remains unpredictable. This case report describes a surgical approach to manage periimplantitis in regenerative approach first and followed by a secondary soft tissue augmentation surgery. A patient received implant surgery 16 years ago, presented with peri-implant soft tissue inflammation and peri-implant bone loss. A diagnosis of peri-implantitis was established. The implant was treated with surgeries. During first surgery, a regenerative approach was chosen after implant surface decontamination due to the defects morphology. Secondary soft tissue augmentation surgery was performed 1 year later consisting of split connective tissue graft and coronally advancement flap. The implant showed no clinical sign of inflammation and no further radiographic bone loss after surgery. The technique described in this case report could be considered in peri-implant defects with supporting walls, as a method to relieve clinical symptoms and gain in peri-implant bone level. |
本系統中英文摘要資訊取自各篇刊載內容。