美学区种植义齿唇侧丰满度不佳的软组织解决方案
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摘要
前牙美学区的种植病例往往伴有骨量及软组织不足的情况,而种植义齿唇侧丰满度不佳严重影响种植修复的美学效果,软组织增量能够有效增加种植体周围的角化牙龈,减少种植体周围软组织的凹陷,增加种植义齿美学修复的可预期性。
The implant cases in the aesthetic area of anterior teeth are often accompanied by insufficient bone mass and soft tissue, while the aesthetic effect of implant restoration is seriously affected by the low fullness of the labial side of implant denture. The increment of soft tissue can effectively increase the keratinized gingiva around the implant, reduce the depression of soft tissue around implant, and increase implant denture repair predictability.
The implant cases in the aesthetic area of anterior teeth are often accompanied by insufficient bone mass and soft tissue, while the aesthetic effect of implant restoration is seriously affected by the low fullness of the labial side of implant denture. The increment of soft tissue can effectively increase the keratinized gingiva around the implant, reduce the depression of soft tissue around implant, and increase implant denture repair predictability.
引文
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[2] Jemt T.Regeneration of gingival papillae after single- implant treatment[J].Int J Periodontics Restorative Dent,1997,17(4):326-33.
[3] Lai HC1,Zhang ZY,Wang F,Zhuang LF,et al.Evaluation of soft tissue around single-tooth implant crowns:the pink esthetic score[J].Clin Oral Implants Res,2008,19(6):560-564.
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[9] Milinkovic I,Cordaro L.Are there specific indications for the different alveolar bone augmentation procedures for implant placement?A systematic review[J].Int J Oral Maxillofac Surg,2014,43(5):606-625.
[10] Maiorana C,Andreoni D,Poli PP.Hard and soft tissue management of a localized alveolar ridge atrophy with autogenous sources and biomaterials:a challenging clinical case[J].Case Rep Dent,2016,2016:8468763.
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[12] Cosyn J,De Bruyn H,Cleymaet R.Soft Tissue preservation and pink aesthetics around single immediate Implant restorations:A 1-year prospective study[J].Clin Implant Dent Relat Res,2013,15(6):847-857.
[13] Zuiderveld EG,Meijer HJA,den Hartog L,et al.Effect of connective tissue grafting on peri-implant tissue in single immediate implant sites:A RCT[J].J Clin Periodontal,2018,45(2):253-264.
[14] Bassetti RG,St?hli A,Bassetti MA,et al.Soft tissue augmentation procedures at second-stage surgery:a systematic review[J].Clin Oral Investig,2016,20(7):1369-1387.
[15] Bassetti RG,St?hli A,Bassetti MA,et al.Soft tissue augmentation around osseointegrated and uncovered dental implants:a systematic review[J].Clin Oral Investig,2017,21(1):53-70.
[16] Lin CY,Chen Z,Pan WL,et al.Impact of timing on soft tissue augmentation during implant treatment:A systematic review and meta-analysis[J].Clin Oral Implants Res,2018,29(5):508-521.
[17] Thoma DS,Naenni N,Figuero E,et al.Effects of soft tissue augmentation procedures on peri-implant health or disease:A systematic review and meta-analysis[J].Clin Oral Implants Res,2018,15:32-49.
[18] Hsu YT,Shieh CH,Wang HL.Using soft tissue graft to prevent mid-facial mucosal recession following immediate implant placement[J].J Int Acad Periodontol,2012,14(3):76-82.
[19] Zucchelli G,Felice P,Mazzotti C,et al.5-year outcomes after coverage of soft tissue dehiscence around single implants:A prospective cohort study[J].Eur J Oral Implantol,2018;11(2):215-224.
[20] 林野,邱立新,胡秀莲,等.硬腭结缔组织游离移植在上颌前牙区种植中的应用[J].北京大学学报(医学版),2008,40(1):52-56.
[21] Al-Hamdan KS.Esthetic soft tissue ridge augmentation around dental implant:Case report[J].Saudi Dent J,2011,23(4):205-209.
[22] Liu C,Su Y,Tan B,et al.Reconstruction of attached soft tissue around dental implants by acelluar dermal matrix grafts and resin splint[J].Int J Clin Exp Med,2014,7(12):4666-4676.
[23] El Nahass HE.A novel method to cover metal display in implants using a modified free gingival graft:A case report[J].Clin Adva Periodontics,2015,5(3):178-183.
[24] Zucchelli G,Mazzotti C,Mounssif,et al.A novel surgical-prosthetic approach for soft tissue dehiscence coverage around single implant[J].Clin Oral Implants Res,2013,24(9):957-962.
[25] Schallhorn RA,McClain PK,Charles A,et al.Evaluation of a porcine collagen matrix used to augment keratinized tissue and in-crease soft tissue thickness around existing dental implants[J].Int J Periodontics Restorative Dent,2015,35(1):99-103.
[26] Anderson LE,Inglehart MR,El-Kholy K,et al.Implant as- sociated soft tissue defects in the anterior maxilla:a randomized control trial comparing subepithelial connective tissue graft and acellular dermal matrix allograft[J].Implant Dent,2014,23(4):416-425.
[27] Jung RE,Holderegger C,Sailer I,et al.The effect of all-ceramic and porcelain-fused-to-metal restorations on marginal peri-implant soft tissue color:a randomized controlled clinical trial[J].Int J Periodontics Restorative Dent,2008,28(4):357-365.
[28] Souza AB,Tormena M,Matarazzo F,et al.The influence of peri-implant keratinized mucosa on brushing discomfort and peri-implant tissue health[J].Clin Oral Implants Res,27(6):650-655.
[29] Puisys A,Linkevicius T.The influence of mucosal tissue thickening on crestal bone stability around bone-level implants.A prospective controlled clinical trial[J].Clin Oral Implants Res,2015,26(2):123-129.
[30] Linkevicius T,Puisys A,Linkeviciene L,et al.Crestal bone stability around implants with horizontally matching connection after soft tissue thickening:a prospective clinical trial[J].Clin Implant Dent Relat Res,2015,17(3):497-508.
[31] Buyukozdemir Askin S,Berker E,Akincibay H,et al.Necessity of keratinized tissues for dental implants:a clinical,immunological,and radiographic study[J].Clin Implant Dent Relat Res,2015,17(1):1-12.
[32] Costa FO,Takenaka-Martinez S,Cota LO,et al.Peri-implant disease in subjects with and without preventive maintenance:a 5-year follow-up[J].J Clin Periodontol,2012,39(2):173-181.
[33] Linkevicius T,Apse P,Grybauskas S,et al.The influence of soft tissue thickness on crestal bone changes around implants:a 1-year prospective controlled clinical trial[J].Int J Oral Maxillofac Implants,2009,24(4):712-719.
[2] Jemt T.Regeneration of gingival papillae after single- implant treatment[J].Int J Periodontics Restorative Dent,1997,17(4):326-33.
[3] Lai HC1,Zhang ZY,Wang F,Zhuang LF,et al.Evaluation of soft tissue around single-tooth implant crowns:the pink esthetic score[J].Clin Oral Implants Res,2008,19(6):560-564.
[4] Fürhauser R,Florescu D,Benesch T,et al.Evaluation of soft tissue around single-tooth implant crowns:the pink esthetic score[J].Clin Oral Implants Res,2005,16(6):639-644.
[5] Lai HC,Zhang ZY,Wang F,et al.Evaluation of soft-tissue alteration around implant-supported single-tooth restoration in the anterior maxilla:the pink esthetic score[J].Clin Oral Implants Res,2008,19(6):560-564.
[6] Bassetti RG,St?hli A,Bassetti MA,et al.Soft tissue augmentation around osseointegrated and uncovered dental implants:a systematic review[J].Clin Oral Invest,2017,21(1):53-70.
[7] Jung RE,Sailer I,Hammerle CH,et al.In vitro color changes of soft tissues caused by restorative materials[J].Int J Periodontics Restorative Dent,2007,27(3):251-257.
[8] Jung RE,Holderegger C,Sailer I,et al.The effect of all- ceramic and porcelain-fused-to-metal restorations on marginal peri-implant soft tissue color:a randomized controlled clinical trial[J].Int J Periodontics Restorative Dent,2008,28(4):357-365.
[9] Milinkovic I,Cordaro L.Are there specific indications for the different alveolar bone augmentation procedures for implant placement?A systematic review[J].Int J Oral Maxillofac Surg,2014,43(5):606-625.
[10] Maiorana C,Andreoni D,Poli PP.Hard and soft tissue management of a localized alveolar ridge atrophy with autogenous sources and biomaterials:a challenging clinical case[J].Case Rep Dent,2016,2016:8468763.
[11] Dawson A,Chen S,Buser D,et al.The SAC classification in implant dentistry[M].Chicago:Quintessence Publishing Company,Incorporated,2009.
[12] Cosyn J,De Bruyn H,Cleymaet R.Soft Tissue preservation and pink aesthetics around single immediate Implant restorations:A 1-year prospective study[J].Clin Implant Dent Relat Res,2013,15(6):847-857.
[13] Zuiderveld EG,Meijer HJA,den Hartog L,et al.Effect of connective tissue grafting on peri-implant tissue in single immediate implant sites:A RCT[J].J Clin Periodontal,2018,45(2):253-264.
[14] Bassetti RG,St?hli A,Bassetti MA,et al.Soft tissue augmentation procedures at second-stage surgery:a systematic review[J].Clin Oral Investig,2016,20(7):1369-1387.
[15] Bassetti RG,St?hli A,Bassetti MA,et al.Soft tissue augmentation around osseointegrated and uncovered dental implants:a systematic review[J].Clin Oral Investig,2017,21(1):53-70.
[16] Lin CY,Chen Z,Pan WL,et al.Impact of timing on soft tissue augmentation during implant treatment:A systematic review and meta-analysis[J].Clin Oral Implants Res,2018,29(5):508-521.
[17] Thoma DS,Naenni N,Figuero E,et al.Effects of soft tissue augmentation procedures on peri-implant health or disease:A systematic review and meta-analysis[J].Clin Oral Implants Res,2018,15:32-49.
[18] Hsu YT,Shieh CH,Wang HL.Using soft tissue graft to prevent mid-facial mucosal recession following immediate implant placement[J].J Int Acad Periodontol,2012,14(3):76-82.
[19] Zucchelli G,Felice P,Mazzotti C,et al.5-year outcomes after coverage of soft tissue dehiscence around single implants:A prospective cohort study[J].Eur J Oral Implantol,2018;11(2):215-224.
[20] 林野,邱立新,胡秀莲,等.硬腭结缔组织游离移植在上颌前牙区种植中的应用[J].北京大学学报(医学版),2008,40(1):52-56.
[21] Al-Hamdan KS.Esthetic soft tissue ridge augmentation around dental implant:Case report[J].Saudi Dent J,2011,23(4):205-209.
[22] Liu C,Su Y,Tan B,et al.Reconstruction of attached soft tissue around dental implants by acelluar dermal matrix grafts and resin splint[J].Int J Clin Exp Med,2014,7(12):4666-4676.
[23] El Nahass HE.A novel method to cover metal display in implants using a modified free gingival graft:A case report[J].Clin Adva Periodontics,2015,5(3):178-183.
[24] Zucchelli G,Mazzotti C,Mounssif,et al.A novel surgical-prosthetic approach for soft tissue dehiscence coverage around single implant[J].Clin Oral Implants Res,2013,24(9):957-962.
[25] Schallhorn RA,McClain PK,Charles A,et al.Evaluation of a porcine collagen matrix used to augment keratinized tissue and in-crease soft tissue thickness around existing dental implants[J].Int J Periodontics Restorative Dent,2015,35(1):99-103.
[26] Anderson LE,Inglehart MR,El-Kholy K,et al.Implant as- sociated soft tissue defects in the anterior maxilla:a randomized control trial comparing subepithelial connective tissue graft and acellular dermal matrix allograft[J].Implant Dent,2014,23(4):416-425.
[27] Jung RE,Holderegger C,Sailer I,et al.The effect of all-ceramic and porcelain-fused-to-metal restorations on marginal peri-implant soft tissue color:a randomized controlled clinical trial[J].Int J Periodontics Restorative Dent,2008,28(4):357-365.
[28] Souza AB,Tormena M,Matarazzo F,et al.The influence of peri-implant keratinized mucosa on brushing discomfort and peri-implant tissue health[J].Clin Oral Implants Res,27(6):650-655.
[29] Puisys A,Linkevicius T.The influence of mucosal tissue thickening on crestal bone stability around bone-level implants.A prospective controlled clinical trial[J].Clin Oral Implants Res,2015,26(2):123-129.
[30] Linkevicius T,Puisys A,Linkeviciene L,et al.Crestal bone stability around implants with horizontally matching connection after soft tissue thickening:a prospective clinical trial[J].Clin Implant Dent Relat Res,2015,17(3):497-508.
[31] Buyukozdemir Askin S,Berker E,Akincibay H,et al.Necessity of keratinized tissues for dental implants:a clinical,immunological,and radiographic study[J].Clin Implant Dent Relat Res,2015,17(1):1-12.
[32] Costa FO,Takenaka-Martinez S,Cota LO,et al.Peri-implant disease in subjects with and without preventive maintenance:a 5-year follow-up[J].J Clin Periodontol,2012,39(2):173-181.
[33] Linkevicius T,Apse P,Grybauskas S,et al.The influence of soft tissue thickness on crestal bone changes around implants:a 1-year prospective controlled clinical trial[J].Int J Oral Maxillofac Implants,2009,24(4):712-719.