下颌SFI-Bar杆卡式即刻修复覆盖种植义齿临床疗效评估
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摘要
目的观察和评价下颌SFI-Bar杆卡式即刻修复覆盖种植义齿修复2年后的临床效果。方法因下牙列缺失,下颌牙槽嵴中重度吸收需行下颌覆盖种植义齿修复的门诊患者4例,用SFI-Bar杆卡式即刻修复覆盖种植义齿进行修复。术后1、3、6、12及24个月复诊。结果8颗植体稳定度高,牙龈组织健康,术后1年骨吸收小于1mm。4副义齿,1副义齿在使用6个月后基托折断,余义齿均固位好,咀嚼效率高,取得良好的修复效果。结论下颌SFI-Bar杆卡式即刻修复覆盖种植义齿,是一种省时、经济、安全有效的新型杆卡式即刻修复覆盖种植义齿,具有良好的临床修复效果。
Objective To observe and evaluate the clinical efficacy of immediate loading of implant-supported mandibular overdentures with SFI-Bar-clip attachment for up to 2 years.Methods Four patients with mandibular dentition defect and severe alveolar ridge absorption were treated with immediate loading of implant-supported mandibular overdentures using SFI-Bar-clip attachment.Patients were re-examined after 1,3,6,12 and 24 months of loading.Results Eight implants showed high stability with healthy gingival tissue.The marginal bone loss was less than 1 mm after 1 year of follow-up.All dentures had good stability,retention and masticatory function,except 1 case of denture base fracture.Conclusion Immediate loading of implant-supported mandibular overdentures with SFI-Bar-clip attachment is a timesaving economical,safe and effective method to achieve the satisfactory clinical efficacy.
Objective To observe and evaluate the clinical efficacy of immediate loading of implant-supported mandibular overdentures with SFI-Bar-clip attachment for up to 2 years.Methods Four patients with mandibular dentition defect and severe alveolar ridge absorption were treated with immediate loading of implant-supported mandibular overdentures using SFI-Bar-clip attachment.Patients were re-examined after 1,3,6,12 and 24 months of loading.Results Eight implants showed high stability with healthy gingival tissue.The marginal bone loss was less than 1 mm after 1 year of follow-up.All dentures had good stability,retention and masticatory function,except 1 case of denture base fracture.Conclusion Immediate loading of implant-supported mandibular overdentures with SFI-Bar-clip attachment is a timesaving economical,safe and effective method to achieve the satisfactory clinical efficacy.
引文
[1]Boven G C,Raghoebar G M,Vissink A,et al.Improving masticatory performance,bite force,nutritional state and patient’s satisfaction with implant overdentures:a systematic review of the literature[J].J oral Rehabil,2015,42(3):220-233.
[2]Cune M,Burgers M,van Kampen F,et al,Mandibular overdenture retained by two implants:10-year results from a crossover clinical trial comparing ball-socket and bar-clip attachments[J].Int J Prosthodont,2010,23(4):310-317.
[3]Mosnegutu A,Wismeijer D,Gerates W.Implant-supported mandibular overdentures can minimize mandibular bone resorption in edentulous patients:results of a long-term radiologic evaluation[J].Int J Oral Maxillofac Implants,2015,30(6):1378-1386.
[4]何嘉菁,顾军莲,余文珺.下颌种植覆盖义齿不同类型附着体的固位力衰研究[J].临床口腔医学杂志,2012,28(9):515-516.
[5]周炜,宋应亮,李德华,等.激光焊接杆式附着体在种植覆盖义齿中的临床应用[J].现代口腔医学杂志,2006,20(6):582-584.
[6]Alqutaibi A Y,Kaddah A F,Farouk M.Randomized study on the effect of single-implant versus two-implant retained overdentures on implant loss and muscle activity:a 12-month followup report[J].Int J Oral Maxillofac Surg,2017,46(6):789-797.
[7]Mahoorkar S,Bhat S,Kant R.Single implant supported mandibular overdenture:a literature review[J].J Indian Prosthodont Soc,2016,16(1):75-82.
[8]李恺,章海涛,赵艳芳,等.种植体数目软布对下凳种植覆盖义齿骨组织应力变化的影响[J].临床口腔医学杂志,2013,11(29):643-645.
[9]Topkaya T,Solmaz M Y.The effect of implant number and position on the stress behavior of mandibular implant retained overdentures:A three-dimensional finite elemant analysis[J].J Biomech,2015,48(10):2102-2109.
[10]Melescanu I M,Marin M,Preoteasa E,et al.Two implant overdenture-the first alternative treatment for patients with complete edentulous mandible[J].J Medicine&Life,2011,4(2):207-209.
[11]Brunski J B,Puleo D A,Nanci A.Biomaterials and biomechanies of oral and maxillofacial implants:current states and future development[J].Int J Oral Maxillofacial implants,2000,15(1):15-46.
[12]Zygogiannis K,Wismeijer D,Aartman I H,et al.A systematic review on immediate loading of implants used to support overdenture opposed by convertional prostheses:factors that might influence clinical outcomes[J].Int J Oral Maxillofac Implants,2016,31(1):63-72.
[2]Cune M,Burgers M,van Kampen F,et al,Mandibular overdenture retained by two implants:10-year results from a crossover clinical trial comparing ball-socket and bar-clip attachments[J].Int J Prosthodont,2010,23(4):310-317.
[3]Mosnegutu A,Wismeijer D,Gerates W.Implant-supported mandibular overdentures can minimize mandibular bone resorption in edentulous patients:results of a long-term radiologic evaluation[J].Int J Oral Maxillofac Implants,2015,30(6):1378-1386.
[4]何嘉菁,顾军莲,余文珺.下颌种植覆盖义齿不同类型附着体的固位力衰研究[J].临床口腔医学杂志,2012,28(9):515-516.
[5]周炜,宋应亮,李德华,等.激光焊接杆式附着体在种植覆盖义齿中的临床应用[J].现代口腔医学杂志,2006,20(6):582-584.
[6]Alqutaibi A Y,Kaddah A F,Farouk M.Randomized study on the effect of single-implant versus two-implant retained overdentures on implant loss and muscle activity:a 12-month followup report[J].Int J Oral Maxillofac Surg,2017,46(6):789-797.
[7]Mahoorkar S,Bhat S,Kant R.Single implant supported mandibular overdenture:a literature review[J].J Indian Prosthodont Soc,2016,16(1):75-82.
[8]李恺,章海涛,赵艳芳,等.种植体数目软布对下凳种植覆盖义齿骨组织应力变化的影响[J].临床口腔医学杂志,2013,11(29):643-645.
[9]Topkaya T,Solmaz M Y.The effect of implant number and position on the stress behavior of mandibular implant retained overdentures:A three-dimensional finite elemant analysis[J].J Biomech,2015,48(10):2102-2109.
[10]Melescanu I M,Marin M,Preoteasa E,et al.Two implant overdenture-the first alternative treatment for patients with complete edentulous mandible[J].J Medicine&Life,2011,4(2):207-209.
[11]Brunski J B,Puleo D A,Nanci A.Biomaterials and biomechanies of oral and maxillofacial implants:current states and future development[J].Int J Oral Maxillofacial implants,2000,15(1):15-46.
[12]Zygogiannis K,Wismeijer D,Aartman I H,et al.A systematic review on immediate loading of implants used to support overdenture opposed by convertional prostheses:factors that might influence clinical outcomes[J].Int J Oral Maxillofac Implants,2016,31(1):63-72.