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題名 | All-on-4立即負荷植牙於輕度牙關緊閉病患植體追蹤短期報告=All-on-4 Concept Immediate Functional Prostheses for Light Trismus Patient--A Short Term Report |
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作者姓名(中文) | 姚宜仁; 吳郁苓; 黃健瑜; 吳友仁; | 書刊名 | 臺灣口腔顎面外科學會雜誌 |
卷期 | 30:3 2019.09[民108.09] |
頁次 | 頁161-170 |
分類號 | 416.96 |
關鍵詞 | 牙關緊閉; 立即負荷; 邊緣骨喪失量; All-on-4; Trismus; Immediate loading; Marginal bone loss; |
語文 | 中文(Chinese) |
中文摘要 | 引言:牙關緊閉的病患常因為維持口腔清潔的困難及不易進行牙科治療,造成缺牙的情形。也因為張口度不足導致贋復物的製作與使用上的不便,而影響日常的生活品質。本篇研究目的為追蹤輕度牙關緊閉的病患以All-on-4概念植牙重建後追蹤十六個月植體與贋復物存活率,邊緣骨喪失量與贋復物之臨床表現。方法:於高雄長庚醫院牙科接受單顎或雙顎All-on-4立即負荷植牙之輕度牙關緊閉病患,其張口度小於35公釐,經由手術過程中修磨齒槽骨及軟組織以獲得更多的上下顎弓間距離,在5牙弓中共植入22顆植體。其中包含10顆傾斜植體,12顆標準植體,共計3位男性患者(平均年齡55歲)。平均追蹤期間為16個月(範圍從15個月至16個月)。記錄並分析植體存活率、贋復物存活率、植體的邊緣骨喪失量和病患滿意度。結果:平均16個月追蹤之植體存活率及贋復物存活率均為100%,植體的邊緣骨喪失量在可接受之範圍,病患對於發音咬字、美觀及咀嚼功能普遍滿意。結論:根據本篇研究統計於All-on-4立即負荷植牙於輕度牙關緊閉病患之治療成果,在16個月追蹤報告顯示植體存活率為100%、贋復物存活率為100%,病患的口腔清潔狀況和植體的邊緣骨喪失量在在可接受之範圍。 |
英文摘要 | Introduction: Patients with trismus often have difficulty in regular food intake and oral hygiene maintenance. Limited oral opening presents a clinical challenge to prosthodontic management. This study was to evaluate short-term result of marginal bone loss and survival rate of All-on-4 immediate functional implant prostheses for light trismus patients. Patients and Methods: Twenty-two immediate implants which were placed on the basis of the All-on-4 treatment concept in the 5 edentulous arches at the Dental Department of Kaohsiung CGMH were included in the study. The average follow-up duration was 16 months (range from 15 months to 16 months). The implant survival rate, prosthesis survival rate and marginal bone loss were evaluated. Results: The margin bone loss of implants was within normal limit in average. Implant and prostheses survival rate were both 100% for 16 months follow up in average. The patients were satisfied the phonetic and chewing functions generally. Conclusion: This study showed marginal bone loss of implants was within normal limit for All-on-4 functional prostheses in trismus patients. Survival rate of implant and prostheses were both 100% for 16 months follow up in average. |
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