国际口腔医学杂志

国际口腔医学杂志 ›› 2019, Vol. 46 ›› Issue (5): 571-577.doi: 10.7518/gjkq.2019072

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种植固定修复中基台机械并发症的研究进展

付栩楠,谢志刚()   

  1. 昆明医科大学附属口腔医院口腔种植科 昆明 650106
  • 收稿日期:2018-12-17 修回日期:2019-05-06 出版日期:2019-09-01 发布日期:2019-09-10
  • 通讯作者: 谢志刚
  • 作者简介:付栩楠,硕士,Email： fuxunan@126.com

Research progress on abutment technical complications in fixed implant-supported prostheses

Fu Xunan,Xie Zhigang()   

  1. Dept. of Implantology, The Affiliated Stomatological Hospital of Kunming Medical University, Kunming 650106, China
  • Received:2018-12-17 Revised:2019-05-06 Online:2019-09-01 Published:2019-09-10
  • Contact: Zhigang Xie

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摘要：

近年来种植体存留率明显提高,但种植修复中的并发症仍不容忽视,尤其是种植义齿各个组成部分的机械并发症。基台作为种植修复中的重要组成部分,起到连接种植体,支持、固定种植体上部结构的关键作用,但基台-种植体,基台-上部修复结构的连接界面是种植系统中容易产生应力集中的薄弱环节,也是机械并发症的好发部位,常见的基台机械并发症有基台松动或折断和螺丝松动或折断,基台的失败不仅影响上部修复的效果,严重者可导致种植修复的失败。本文就种植固定修复基台机械并发症的原因、预防、治疗进行阐述。

关键词: 种植固定修复, 基台, 基台螺丝, 机械并发症

Abstract:

The implant survival rate has significantly increased. However, the complications of implant prostheses cannot be ignored, especially technical complications. As an important part of implant-supported prostheses, abutments are used to connect the implants and support the superstructures. However, the interfaces between abutment and implant, abutment and superstructures are easy to produce stress concentration that are also the predilection sites for technical complications. Common technical complications of abutments include loose or fractured abutments and screws. The technical complications of abutments affect the success of fixed implant-supported prostheses. This paper aims to discuss the predisposing factors, prevention, and treatment options of the technical complications of abutments in fixed implant-supported prostheses.

Key words: fixed implant-supported prostheses, abutment, abutment screw, technical complication

中图分类号: 

  • R783.1

Tab 1

Technical complications for abutments"

并发症 SC FPP FAFDP
螺丝固位（95%CI） 粘接固位（95%CI） 螺丝固位（95%CI） 粘接固位（95%CI） 螺丝固位（95%CI）
颌向螺丝松动 0.90%（0.20,4.09） - 1.83%（0.47,7.02） - 1.75%（0.63,4.87）
基台松动 2.07%（0.65,6.58） 0.33%（0.15,0.71） 1.02%（0.40,2.57） 0.29%（0.02,3.44） 0.74%（0.10,5.33）
基台折断 0.08%（0.01,0.59） 0%（-） 0.07%（0.01,0.47） 0%（-） 0.16%（0.05,0.52）
螺丝折断 0.31%（0.07,1.32） 0%（-） 0.21%（0.08,0.53） 0%（-） 0.52%（0.15,1.88）
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