国际口腔医学杂志

国际口腔医学杂志 ›› 2019, Vol. 46 ›› Issue (3): 356-360.doi: 10.7518/gjkq.2019015

• 综述 • 上一篇    下一篇

种植固定修复后邻接关系不良的研究进展

陈祈月1,宋光保2()   

  1. 1.南方医科大学口腔医院口腔内科 广州 510000
    2.南方医科大学口腔医院特诊中心 广州 510000
  • 收稿日期:2018-04-21 修回日期:2018-11-20 出版日期:2019-05-01 发布日期:2019-06-05
  • 通讯作者: 宋光保
  • 作者简介:陈祈月,医师,硕士,Email：CHENQIYUE@21cn.com

Research progress on proximal contact loss between implant-supported fixed prostheses and adjacent natural teeth

Qiyue Chen1,Guangbao Song2()   

  1. 1.Dept. of Oral Medicine, Hospital of Stomatology, Southern Medical University, Guang-zhou 510000, China
    2.Dept. of VIP, Hospital of Stomatology, Southern Medical University, Guangzhou 510000, China
  • Received:2018-04-21 Revised:2018-11-20 Online:2019-05-01 Published:2019-06-05
  • Contact: Guangbao Song

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摘要：

随着种植修复技术的普及,种植修复后并发症的处理也越来越受到临床医生的关注。以前的研究热点主要在种植生物并发症和机械并发症上,但邻接关系不良也是种植固定修复常见的并发症,是导致食物嵌塞、影响咀嚼功能的主要原因,严重降低患者的义齿使用舒适度。近年来,多篇文献报道了邻接关系不良的高发生率,种植修复体邻接关系不良导致的食物嵌塞问题,已成为新的研究热点。本文就种植固定修复后出现邻接关系不良的原因、临床特点及对策进行综述。

关键词: 邻接关系不良, 食物嵌塞, 种植

Abstract:

With the popularization of implant restoration technology, the treatment of complications is increasingly becoming a concern of clinicians. Previous studies mainly involved implant biological and mechanical complications. However, approximal contact loss is also a common complication of implant fixed restoration, which is the main cause of food impaction and affects chewing function, thereby significantly decreasing the patient’s denture comfort. Many studies have reported high approximal contact loss incidence, and the problem of food impaction caused by approximal contact loss of implant restoration has become a new topic receiving considerable research attention. This article reviews the causes, clinical features, and countermeasures of approximal contact loss after implant fixation.

Key words: approximal contact loss, food impaction, dental implant

中图分类号: 

  • R783.4

表 1

引用研究总结"

参考文献 出现邻接关系不良的比例 近中邻接关系不良的比例 远中邻接关系不良的比例 测量方法 观察时间
[4] 34.0%（65/191） 38.1%（51/134） 24.6%（14/57） 牙线 3~156个月
[5] 43%（80/186） 52%（73/141） 16%（7/45） 50 μm铝条 1~123个月
[14] 65%（43/66） 65%（43/66） 未评估 38 μm的Tofflemire条带 0.5~12年
[20] 59.9%（179/299） 66.2%（155/234） 36.9%（24/65） 50 μm铝条 1.5~7.5年
[22] 52.8%* 78.2%* 21.8* 牙线 3个月~11年
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