国际口腔医学杂志

国际口腔医学杂志 ›› 2017, Vol. 44 ›› Issue (6): 731-736.doi: 10.7518/gjkq.2017.06.021

• 综述 • 上一篇    下一篇

美学区即刻种植即刻修复的研究现状

马全诠, 蔡潇潇   

  1. 口腔疾病研究国家重点实验室 国家口腔疾病临床医学研究中心,四川大学华西口腔医院种植科 成都 610041
  • 收稿日期:2017-03-22 修回日期:2017-07-09 出版日期:2017-11-01 发布日期:2017-11-01
  • 通讯作者: 蔡潇潇,副教授,博士,Email：xcai@scu.edu.cn
  • 作者简介:马全诠,硕士,Email：dentsuzyma@qq.com
  • 基金资助:
    国家自然科学基金（81471803）

Current status of immediate implant placement and provisionalization in esthetics zone

Ma Quanquan, Cai Xiaoxiao.   

  1. State Key Laboratory of Oral Diseases & National Clinical Research Center for Oral Diseases & Dept. of Implantation, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, China
  • Received:2017-03-22 Revised:2017-07-09 Online:2017-11-01 Published:2017-11-01
  • Supported by:
    This study was supported by National Natural Science Foundation of China(81471803).

RichHTML

32

PDF (PC)

477

摘要： 目前,种植义齿已成为修复天然牙缺失的重要方法。传统的种植修复需要经历漫长的治疗过程。然而,随着生活节奏的加快,即刻种植即刻修复渐渐成为近几年学者们研究的热点,其具有缩短治疗周期,减少患者就诊次数,更好地保存维持软硬组织的优点。美学区指微笑时能够露出的所有区域,在患者的社交生活中扮演重要的角色,是目前研究的重点。本文就美学区即刻种植即刻修复的适应证与禁忌证、植体的选择和植入位置、微创拔牙技术、骨缺损的处理、临时冠的作用和制作方法以及未来发展的展望等作一综述。

关键词: 即刻种植, 即刻修复, 微创拔牙, 美学

Abstract: Nowadays, implant denture has become an important method to restore the loss of natural teeth. Traditional implant placement and restoration undergo a long process of treatment. However, with the accelerated pace of life, immediate implant has gradually become a hot spot in recent years. Immediate implant and immediate provisionalization has the advantages of shortening the treatment period, reducing patients’ visits and the maintenance of soft and hard tissues. Esthetics zone was defined as any dentoalveolar segment that is visible upon full smile, which plays an important role in patients’ social life. In this paper, we summarize the indications and contraindications of immediate implant, the choice of implant type, minimally invasive tooth extraction, the bone defect and its repair, the effects and production ways of temporary crown and prospect for the future development.

Key words: immediate implant placement, immediate restoration, minimally invasive tooth extraction, esthetics

中图分类号: 

  • R783.4
[1] Brånemark PI. Osseointegration and its experimental background[J]. J Prosthet Dent, 1983, 50(3):399-410.
[2] Bhola M, Neely AL, Kolhatkar S. Immediate implant placement: clinical decisions, advantages, and disa-dvantages[J]. J Prosthodont, 2008, 17(7):576-581.
[3] Schulte W, Heimke G. The Tübinger immediate im-plant[J]. Quintessenz, 1976, 27(6):17-23.
[4] Schulte W, Kleineikenscheidt H, Schareyka R, et al. Concept and testing of the Tübingen immediate im-plant[J]. Dtsch Zahnarztl Z, 1978, 33(5):319-325.
[5] Lazzara RJ. Immediate implant placement into extraction sites:surgical and restorative advantages [J]. Int J Periodontics Restorative Dent, 1989, 9(5): 332-343.
[6] Wohrle PS. Single-tooth replacement in the aesthetic zone with immediate provisionalization: fourteen con-secutive case reports[J]. Pract Periodontics Aesthet Dent, 1998, 10(9):1107-1114.
[7] Chen ST, Wilson TG Jr, Hämmerle CH. Immediate or early placement of implants following tooth extrac-tion: review of biologic basis, clinical procedures, and outcomes[J]. Int J Oral Maxillofac Implants, 2004, 19(Suppl):12-25.
[8] Atieh MA, Payne AG, Duncan WJ, et al. Immediate placement or immediate restoration/loading of single implants for molar tooth replacement: a systematic review and meta-analysis[J]. Int J Oral Maxillofac Implants, 2010, 25(2):401-415.
[9] Grandi T, Guazzi P, Samarani R, et al. Immediate provisionalisation of single post-extractive implants versus implants placed in healed sites in the anterior maxilla: 1-year results from a multicentre controlled cohort study[J]. Eur J Oral Implantol, 2013, 6(3): 285-295.
[10] Morton D, Chen ST, Martin WC, et al. Consensus statements and recommended clinical procedures regarding optimizing esthetic outcomes in implant dentistry[J]. Int J Oral Maxillofac Implants, 2013. doi:10.11607/jomi.2013.g3.
[11] Oyama K, Kan JY, Rungcharassaeng K, et al. Imme-diate provisionalization of 3.0-mm-diameter implants replacing single missing maxillary and mandibular incisors: 1-year prospective study[J]. Int J Oral Maxi-llofac Implants, 2012, 27(1):173-180.
[12] Khzam N, Arora H, Kim P, et al. Systematic review of soft tissue alterations and esthetic outcomes fol-lowing immediate implant placement and restoration of single implants in the anterior maxilla[J]. J Perio-dontol, 2015, 86(12):1321-1330.
[13] Rungcharassaeng K, Kan JY, Yoshino S, et al. Im-mediate implant placement and provisionalization with and without a connective tissue graft: an analy-sis of facial gingival tissue thickness[J]. Int J Perio-dontics Restorative Dent, 2012, 32(6):657-663.
[14] 贺刚, 张晓真, 赵毅, 等. 薄龈生物型患者前牙区的即刻种植即刻修复[J]. 口腔医学, 2014, 34(6):409- 413.
He G, Zhang XZ, Zhao Y, et al. Immediate implant/immediate restoration in the anterior teeth area of thin biotype patients[J]. Stomatology, 2014, 34(6):409- 413.
[15] Chrcanovic BR, Martins MD, Wennerberg A. Imme-diate placement of implants into infected sites: a sys-tematic review[J]. Clin Implant Dent Relat Res, 2015, 17(Suppl 1):e1-e16.
[16] Naves MM, Horbylon BZ, Gomes CF, et al. Imme-diate implants placed into infected sockets: a case report with 3-year follow-up[J]. Braz Dent J, 2009, 20(3):254-258.
[17] Hegde R, Krishna PD, Shetty DV, et al. Immediate placement and restoration of implant in periapical infected site in the maxillary esthetic zone: a case report[J]. J Indian Prosthodont Soc, 2014, 14(Suppl 1):299-302.
[18] Hall J, Miranda-Burgos P, Sennerby L. Stimulation of directed bone growth at oxidized titanium implants by macroscopic grooves: an in vivo study[J]. Clin Implant Dent Relat Res, 2005, 7(Suppl 1):S76-S82.
[19] Cochran DL, Buser D, ten Bruggenkate CM, et al. The use of reduced healing times on ITI implants with a sandblasted and acid-etched(SLA) surface: early results from clinical trials on ITI SLA implants[J]. Clin Oral Implants Res, 2002, 13(2):144-153.
[20] Chung S, Rungcharassaeng K, Kan JY, et al. Imme-diate single tooth replacement with subepithelial con-nective tissue graft using platform switching im-plants: a case series[J]. J Oral Implantol, 2011, 37(5):559-569.
[21] Iasella JM, Greenwell H, Miller RL, et al. Ridge pre-servation with freeze-dried bone allograft and a col-lagen membrane compared to extraction alone for im-plant site development: a clinical and histologic study in humans[J]. J Periodontol, 2003, 74(7):990-999.
[22] Araújo MG, Lindhe J. Dimensional ridge alterations following tooth extraction. An experimental study in the dog[J]. J Clin Periodontol, 2005, 32(2):212-218.
[23] Wang HL, Tsao YP. Mineralized bone allograft-plug socket augmentation: rationale and technique[J]. Im-plant Dent, 2007, 16(1):33-41.
[24] Yalcin S, Aktas I, Emes Y, et al. A technique for atraumatic extraction of teeth before immediate implant placement using implant drills[J]. Implant Dent, 2009, 18(6):464-472.
[25] Lee CY. Procurement of autogenous bone from ramus with simultaneous the mandibular third-molar remo-val for bone grafting using the Cr:YSGG laser: a pre-liminary report[J]. J Oral Implantol, 2005, 31(1):32-38.
[26] Babbush CA. A new atraumatic system for tooth re-moval and immediate implant restoration[J]. Implant Dent, 2007, 16(2):139-145.
[27] Paolantonio M, Dolci M, Scarano A, et al. Immediate implantation in fresh extraction sockets. A controlled clinical and histological study in man[J]. J Periodon-tol, 2001, 72(11):1560-1571.
[28] Botticelli D, Berglundh T, Lindhe J. Hard-tissue altera-tions following immediate implant placement in extra-ction sites[J]. J Clin Periodontol, 2004, 31(10):820-828.
[29] Araújo MG, Linder E, Lindhe J. Bio-Oss collagen in the buccal gap at immediate implants: a 6-month study in the dog[J]. Clin Oral Implants Res, 2011, 22(1):1-8.
[30] Chen ST, Darby IB, Reynolds EC. A prospective clinical study of non-submerged immediate implants: clinical outcomes and esthetic results[J]. Clin Oral Implants Res, 2007, 18(5):552-562.
[31] Block MS, Mercante DE, Lirette D, et al. Prospective evaluation of immediate and delayed provisional single tooth restorations[J]. J Oral Maxillofac Surg, 2009, 67(11 Suppl):89-107.
[32] 余玲梅, 施斌. 临时冠对美学区单颗种植修复体美学效果的影响[J]. 口腔医学研究, 2012, 28(6):550- 552, 555.
Yu LM, Shi B. The influence of provisional restora-tions on final aesthetics of single-tooth implant resto-rations in the asthetic zone[J]. J Oral Sci Res, 2012, 28(6):550-552, 555.
[33] Cabello G, Rioboo M, Fabrega JG. Immediate place-ment and restoration of implants in the aesthetic zone with a trimodal approach: soft tissue alterations and its relation to gingival biotype[J]. Clin Oral Implants Res, 2013, 24(10):1094-1100.
[34] Santosa RE. Provisional restoration options in implant dentistry[J]. Aust Dent J, 2007, 52(3):234-242.
[35] alZallal M, Morgano SM. The implant-supported, heat-processed provisional fixed partial denture[J]. Am J Dent, 1991, 4(6):260-264.
[36] Lin WS, Ercoli C. A technique for indirect fabrica-tion of an implant-supported, screw-retained, fixed provisional restoration in the esthetic zone[J]. J Pro-sthet Dent, 2009, 102(6):393-396.
[37] Bruno V, Badino M, Sacco R, et al. The use of a pro-sthetic template to maintain the papilla in the esthetic zone for immediate implant placement by means of a radiographic procedure[J]. J Prosthet Dent, 2012, 108 (6):394-397.
[38] Reis A, Loguercio AD, Kraul A, et al. Reattachment of fractured teeth: a review of literature regarding techniques and materials[J]. Oper Dent, 2004, 29(2): 226-233.
[39] Proussaefs P. A novel technique for immediate loa-ding single root form implants with an interim CAD/CAM milled screw-retained crown[J]. J Oral Impla-ntol, 2016, 42(4):327-332.
[40] Degidi M, Nardi D, Piattelli A. One abutment at one time: non-removal of an immediate abutment and its effect on bone healing around subcrestal tapered im-plants[J]. Clin Oral Implants Res, 2011, 22(11): 1303-1307.
[41] Grandi T, Guazzi P, Samarani R, et al. One abutment-one time versus a provisional abutment in immedia-tely loaded post-extractive single implants: a 1-year follow-up of a multicentre randomised con-trolled trial[J]. Eur J Oral Implantol, 2014, 7(2): 141-149.
[42] Degidi M, Nardi D, Daprile G, et al. Nonremoval of immediate abutments in cases involving subcrestally placed postextractive tapered single implants: a ran-domized controlled clinical study[J]. Clin Implant Dent Relat Res, 2014, 16(6):794-805.
[43] Pineyro A, Tucker LM. One abutment-one time: the negative effect of uncontrolled abutment margin depths and excess cement—a case report[J]. Com-pend Contin Educ Dent, 2013, 34(9):680-684.
[44] da Rosa JC, Rosa AC, da Rosa DM, et al. Immediate dentoalveolar restoration of compromised sockets: a novel technique[J]. Eur J Esthet Dent, 2013, 8(3):432-443.
[45] Proussaefs P. Immediate provisionalization with a CAD/CAM interim abutment and crown: a guided soft tissue healing technique[J]. J Prosthet Dent, 2015, 113(2):91-95.
[46] Tahmaseb A, De Clerck R, Aartman I, et al. Digital protocol for reference-based guided surgery and im-mediate loading: a prospective clinical study[J]. Int J Oral Maxillofac Implants, 2012, 27(5):1258-1270.
[1] 章婷婷,胡常红,彭燕,周文翘,张慧聪,刘蝶. 300例不同年龄段有牙颌人群上唇软组织侧貌的锥形束CT三维测量分析[J]. 国际口腔医学杂志, 2020, 47(2): 182-188.
[2] 王剑,张鑫. 种植盾构术修复前牙外伤1例[J]. 国际口腔医学杂志, 2020, 47(1): 10-16.
[3] 蔡潇潇. 美学区数字化种植策略与流程[J]. 国际口腔医学杂志, 2019, 46(6): 621-630.
[4] 王美洁,谭欣,赵雨薇,于海洋. 即刻种植和传统种植对术后疼痛影响的对比研究[J]. 国际口腔医学杂志, 2019, 46(3): 292-296.
[5] 杜雪,瞿方,刘伟才. 三维虚拟牙科患者的建立及其在美学修复中的应用[J]. 国际口腔医学杂志, 2018, 45(6): 695-702.
[6] 万乾炳. 氧化锆基台的研究现状和临床应用效果[J]. 国际口腔医学杂志, 2018, 45(1): 1-8.
[7] 谢乙加, 邹训明, 徐晓梅, 林富伟, 赵青. 颊间隙美学的研究进展[J]. 国际口腔医学杂志, 2018, 45(1): 106-111.
[8] 范盛梓, 谢志刚. 牙龈生物型对种植牙美学影响的研究进展[J]. 国际口腔医学杂志, 2017, 44(5): 580-582.
[9] 门庆林, 周宪华, 王伟. 改良美学卡环可摘局部义齿修复远中游离缺失的临床疗效观察[J]. 国际口腔医学杂志, 2017, 44(4): 426-429.
[10] 孟玉坤, 宗弋. 瓷贴面修复的研究现状及临床应用[J]. 国际口腔医学杂志, 2017, 44(1): 1-10.
[11] 陈丽娟1 孟庆飞2 万延俊1. 不同设计类型的IPS Empress铸瓷贴面前牙美学修复的疗效观察[J]. 国际口腔医学杂志, 2016, 43(5): 511-514.
[12] 周进茹,陈西文,李鑫,李紫嫣,朱智敏,陈文川. 美学教育在口腔修复研究生培养中的必要性探究[J]. 国际口腔医学杂志, 2016, 43(3): 263-267.
[13] 满毅 吴庆庆 龚婷 宫苹. 美学区种植外科修复治疗流程新方案[J]. 国际口腔医学杂志, 2015, 42(4): 373-383.
[14] 谭学莲，甯佳丽，陈河林，何林林，赵志河. 拔牙和非拔牙矫治对正面微笑和静态侧貌的美学影响[J]. 国际口腔医学杂志, 2015, 42(2): 147-151.
[15] 杨晓喻，刘长虹，刘伟进，周震. 1例前牙即刻种植的过程与思考——基于风险评估的术式选择与修复设计[J]. 国际口腔医学杂志, 2015, 42(2): 130-134.
Viewed
Full text


Abstract

Cited
  Shared   
  Discussed   
[1] 张新春. 桩冠修复与无髓牙的保护[J]. 国际口腔医学杂志, 1999, 26(06): .
[2] 王昆润. 长期单侧鼻呼吸对头颅发育有不利影响[J]. 国际口腔医学杂志, 1999, 26(05): .
[3] 彭国光. 颈淋巴清扫术中颈交感神经干的解剖变异[J]. 国际口腔医学杂志, 1999, 26(05): .
[4] 杨凯. 淋巴化疗的药物运载系统及其应用现状[J]. 国际口腔医学杂志, 1999, 26(05): .
[5] 康非吾. 种植义齿下部结构生物力学研究进展[J]. 国际口腔医学杂志, 1999, 26(05): .
[6] 柴枫. 可摘局部义齿用Co-Cr合金的激光焊接[J]. 国际口腔医学杂志, 1999, 26(04): .
[7] 孟姝,吴亚菲,杨禾. 伴放线放线杆菌产生的细胞致死膨胀毒素及其与牙周病的关系[J]. 国际口腔医学杂志, 2005, 32(06): 458 -460 .
[8] 费晓露,丁一,徐屹. 牙周可疑致病菌对口腔黏膜上皮的粘附和侵入[J]. 国际口腔医学杂志, 2005, 32(06): 452 -454 .
[9] 赵兴福,黄晓晶. 变形链球菌蛋白组学研究进展[J]. 国际口腔医学杂志, 2008, 35(S1): .
[10] 庞莉苹,姚江武. 抛光和上釉对陶瓷表面粗糙度、挠曲强度及磨损性能的影响[J]. 国际口腔医学杂志, 2008, 35(S1): .