国际口腔医学杂志

国际口腔医学杂志 ›› 2021, Vol. 48 ›› Issue (1): 77-81.doi: 10.7518/gjkq.2021008

• 综述 • 上一篇    下一篇

缺牙区伴埋伏牙的种植修复策略

王佳,李文霞,殷丽华()   

  1. 兰州大学口腔医（学）院口腔种植科 兰州 730000
  • 收稿日期:2020-02-13 修回日期:2020-09-01 出版日期:2021-01-01 发布日期:2021-01-20
  • 通讯作者: 殷丽华
  • 作者简介:王佳,医师,硕士,Email： wangjia2018@lzu.edu.cn
  • 基金资助:
    甘肃省省级引导科技创新发展竞争性项目专项资金(2018-ZX-10);甘肃省科技计划国际合作专项项目(18YF1WA116);兰州市人才创新创业项目(2017-RC-31)

Restoration strategy of dental implant for impacted teeth in the edentulous area

Wang Jia,Li Wenxia,Yin Lihua()   

  1. Dept. of Oral Implant, School/Hospital of Stomatology, Lanzhou University, Lanzhou 730000, China
  • Received:2020-02-13 Revised:2020-09-01 Online:2021-01-01 Published:2021-01-20
  • Contact: Lihua Yin
  • Supported by:
    This study was supported by Competitive Projects for Science and Technology Innovation and Development of Gansu Province(2018-ZX-10);Gansu Key Technologies R&D Program, International S&T Cooperation and Exchanging(18YF1WA116);Lanzhou Talent Innovation and Venture Project(2017-RC-31)

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摘要：

埋伏牙是牙齿萌出期已过而仍存在于颌骨内未能萌出的牙齿。埋伏牙的存在会影响美观及功能,导致邻牙牙根吸收、颌骨囊肿等病变的发生。除此之外,受植区埋伏牙的存在还可能影响种植体的植入。在临床治疗中,埋伏牙的治疗策略通常是拔除或正畸牵引。近年来,保留受植区埋伏牙通过种植修复缺失牙受到医生的广泛关注。本文就埋伏牙的诊断、流行病学以及通过正畸及种植等对其治疗的方法等进行综述,为临床处理该类患者提供参考。

关键词: 埋伏牙, 种植牙, 骨结合

Abstract:

Impacted teeth are teeth that have passed the eruption stage but are still attached in the jaw bone. Impacted teeth cause aesthetic and functional problems and may lead to the root resorption of adjacent teeth and development of jaw cyst and other lesions. In addition, impacted teeth in implant area may affect implants. Impacted teeth can be treated by extraction or orthodontic traction. In recent years, the restoration of missing teeth through implanting has received considerable attention. In this paper, the epidemiology and diagnosis of impacted teeth, orthodontic treatment, and implantation were reviewed for the purpose of providing reference for the clinical treatment of impacted teeth.

Key words: impacted teeth, dental implant, osseointegration

中图分类号: 

  • R783.4
[1] Ericson S, Kurol J . Resorption of maxillary lateral incisors caused by ectopic eruption of the canines. A clinical and radiographic analysis of predisposing factors[J]. Am J Orthod Dentofacial Orthop, 1988,94(6):503-513.
[2] Liu DG, Zhang WL, Zhang ZY , et al. Localization of impacted maxillary canines and observation of adjacent incisor resorption with cone-beam compu-ted tomography[J]. Oral Surg Oral Med Oral Pathol Oral Radiol Endod, 2008,105(1):91-98.
pmid: 17507268
[3] 蒋备战, 王佐林 . 儿童上颌前牙区埋伏多生牙的临床分型与治疗[J]. 口腔颌面外科杂志, 2007,17(1):65-67.
Jiang BZ, Wang ZL . Clinical types and treatment of embedded supernumerary teeth in maxilla anterior region in children[J]. J Oral Maxillofac Surg, 2007,17(1):65-67.
[4] Kaczor-Urbanowicz K, Zadurska M, Czochrowska E . Impacted teeth: an interdisciplinary perspective[J]. Adv Clin Exp Med, 2016,25(3):575-585.
[5] Schroder AGD, Guariza-Filho O, de Araujo CM , et al. To what extent are impacted canines associated with root resorption of the adjacent tooth: a syste-matic review with meta-analysis[J]. J Am Dent Assoc, 2018, 149(9): 765-777.e8.
pmid: 30165975
[6] Sarica I, Derindag G, Kurtuldu E , et al. A retrospective study: do all impacted teeth cause pathology[J]. Niger J Clin Pract, 2019,22(4):527-533.
doi: 10.4103/njcp.njcp_563_18 pmid: 30975958
[7] Kaczor-Urbanowicz K, Zadurska M, Czochrowska E . Impacted teeth: an interdisciplinary perspective[J]. Adv Clin Exp Med, 2016,25(3):575-585.
pmid: 27629748
[8] Cooke J, Wang HL . Canine impactions: incidence and management[J]. Int J Periodontics Restorative Dent, 2006,26(5):483-491.
[9] Davarpanah M, Szmukler-Moncler S, Davarpanah K , et al. Unconventional transradicular implant pla-cement to avoid invasive surgeries: toward a potential paradigm shift[J]. Rev Stomatol Chir Maxillofac, 2012,113(4):335-349.
[10] Dalessandri D, Parrini S, Rubiano R , et al. Impacted and transmigrant mandibular canines incidence, aetio-logy, and treatment: a systematic review[J]. Eur J Orthod, 2017,39(2):161-169.
pmid: 27036134
[11] Oz AZ, Ciger S . Health of periodontal tissues and resorption status after orthodontic treatment of impacted maxillary canines[J]. Niger J Clin Pract, 2018,21(3):301-305.
[12] Silva AC, Capistrano A, Almeida-Pedrin RR , et al. Root length and alveolar bone level of impacted canines and adjacent teeth after orthodontic traction: a long-term evaluation[J]. J Appl Oral Sci, 2017,25(1):75-81.
[13] Becker A, Chaushu S . Success rate and duration of orthodontic treatment for adult patients with palatally impacted maxillary canines[J]. Am J Orthod Dentofacial Orthop, 2003,124(5):509-514.
[14] Felice P, Barausse C, Stefanini M , et al. A minimally invasive approach using a 4-mm implant without extraction of impacted maxillary canine: four-year postloading results[J]. Int J Periodontics Restorative Dent, 2017,37(6):819-824.
doi: 10.11607/prd.3334 pmid: 29023612
[15] Calvo-Guirado JL, López Torres JA, Dard M , et al. Evaluation of extrashort 4-mm implants in mandibular edentulous patients with reduced bone height in comparison with standard implants: a 12-month results[J]. Clin Oral Implants Res, 2016,27(7):867-874.
doi: 10.1111/clr.12704 pmid: 26431917
[16] Lu X, Yu F, Liu JJ , et al. The epidemiology of supernumerary teeth and the associated molecular mechanism[J]. Organogenesis, 2017,13(3):71-82.
[17] Gray JL, Vernino AR . The interface between retai-ned roots and dental implants: a histologic study in baboons[J]. J Periodontol, 2004,75(8):1102-1106.
doi: 10.1902/jop.2004.75.8.1102 pmid: 15455738
[18] Cruz RM. Orthodontic traction of impacted canines: concepts and clinical application[J]. Dental Press J Orthod, 2019,24(1):74-87.
pmid: 30916252
[19] 张君, 张文娟, 王旭霞 , 等. 不同年龄组上颌埋伏阻生尖牙正畸牵引的疗效比较[J]. 上海口腔医学, 2006,15(2):130-132.
Zhang J, Zhang WJ, Wang XX , et al. Orthodontic traction of impacted maxillary canine: a comparison of different ages[J]. Shanghai J Stomatol, 2006,15(2):130-132.
[20] Kim MS, Lee HS, Nam OH , et al. Autotransplantation: a reliable treatment modality for severely malpositioned teeth[J]. J Clin Pediatr Dent, 2017,41(5):388-391.
doi: 10.17796/1053-4628-41.5.388 pmid: 28872984
[21] Ong D, Itskovich Y, Dance G . Autotransplantation: a viable treatment option for adolescent patients with significantly compromised teeth[J]. Aust Dent J, 2016,61(4):396-407.
doi: 10.1111/adj.12420 pmid: 27029674
[22] Yu HJ, Qiu LX, Wang XZ . Long-term follow-up of autogenous canine transplants with application of guided bone regeneration[J]. Int J Oral Maxillofac Surg, 2014,43(3):355-361.
[23] Ahmed Asif J, Yusuf Noorani T, Khursheed Alam M . Tooth auto-transplantation: an alternative treatment[J]. Bull Tokyo Dent Coll, 2017,58(1):41-48.
doi: 10.2209/tdcpublication.2016-0011 pmid: 28381733
[24] Del Fabbro M, Ceresoli V, Taschieri S , et al. Immediate loading of postextraction implants in the esthetic area: systematic review of the literature[J]. Clin Implant Dent Relat Res, 2015,17(1):52-70.
doi: 10.1111/cid.12074 pmid: 23607327
[25] Mello CC, Lemos CAA, Verri FR , et al. Immediate implant placement into fresh extraction sockets versus delayed implants into healed sockets: a systema-tic review and meta-analysis[J]. Int J Oral Maxillofac Surg, 2017,46(9):1162-1177.
doi: 10.1016/j.ijom.2017.03.016 pmid: 28478869
[26] Moreno Vazquez JC, Gonzalez de Rivera AS, Gil HS, et al. Complication rate in 200 consecutive sinus lift procedures: guidelines for prevention and treatment[J]. J Oral Maxillofac Surg, 2014,72(5):892-901.
[27] Nisand D, Renouard F . Short implant in limited bone volume[J]. Periodontol 2000, 2014,66(1):72-96.
doi: 10.1111/prd.12053 pmid: 25123762
[28] Mazor Z, Segal P, Levin L . Computer-guided implant placement for rehabilitation of the edentulous maxilla with two impacted canines: an approach without extraction of the impacted teeth[J]. Int J Periodontics Restorative Dent, 2015,35(1):93-97.
doi: 10.11607/prd.2062 pmid: 25734711
[29] Davarpahah M, Szmukler-Moncler S . Unconventional implant placement. 2: placement of implants through impacted teeth. Three case reports[J]. Int J Periodontics Restorative Dent, 2009,29(4):405-413.
pmid: 19639061
[30] Mithridade D, Serge SM, Keyvan D , et al. Unconventional implant placement Ⅳ. Implant placement through impacted teeth to avoid invasive surgery. Long-term results of 3 cases[J]. Open Dent J, 2015,9:15-20.
[31] Haddad EE, Calcaterra R, Haddad GE , et al. Treatment of maxillary retained canine with implants: new perspectives[J]. Oral Implantol (Rome), 2017,10(3):343-348.
[32] Davarpanah M, Szmukler-Moncler S . Unconventio-nal implant treatment: Ⅰ. Implant placement in contact with ankylosed root fragments. A series of five case reports[J]. Clin Oral Implants Res, 2009,20(8):851-856.
[33] Cardaropoli D, Debernardi C, Cardaropoli G . Immediate placement of implant into impacted maxillary canine extraction socket[J]. Int J Periodontics Restorative Dent, 2007,27(1):71-77.
pmid: 17370664
[34] Warrer K, Karring T, Gotfredsen K . Periodontal ligament formation around different types of dental titanium implants. Ⅰ. The self-tapping screw type implant system[J]. J Periodontol, 1993,64(1):29-34.
doi: 10.1902/jop.1993.64.1.29 pmid: 8426287
[35] Margelos JT, Verdelis KG . Irreversible pulpal dama-ge of teeth adjacent to recently placed osseointegrated implants[J]. J Endod, 1995,21(9):479-482.
[36] Kim SG . Implant-related damage to an adjacent tooth: a case report[J]. Implant Dent, 2000,9(3):278-280.
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