[1]李振,孟翔峰,童昕.全口即刻负重过渡义齿的临床观察[J].徐州医科大学学报,2019,39(08):557-561.
　The clinical observation of immediate loading in complete edentulous jaws[J].Journal of Xuzhou Medical University,2019,39(08):557-561.
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全口即刻负重过渡义齿的临床观察()
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《徐州医科大学学报》[ISSN:2096-3882/CN:32-1875/R]

卷:
39
期数:
2019年08期
页码:
557-561
栏目:
出版日期:
2019-08-25

文章信息/Info

Title:
The clinical observation of immediate loading in complete edentulous jaws
作者:
李振; 孟翔峰 ; 童昕
南京市口腔医院
关键词:
种植体; 即刻负重; 存留率; 过渡义齿
Keywords:
implant;  immediate loading;  survival rate;  transitional denture
分类号:
R782.13
文献标志码:
A
摘要:
目的 ：通过临床研究观察全口即刻修复即刻负重义齿修复后种植体存留率及种植体周围骨变化。方法 ：选择本院种植科57例全口即刻修复即刻负重病例（单颌全口48例，上下全口9例），过渡义齿修复6个月后再行永久义齿修复。观察种植体周围黏膜，种植体周围骨吸收及种植体存留情况。结果 ：57例种植病例在行永久修复前种植体存留率99.6%，种植体周围黏膜健康，颈部周围未见明显吸收，上颌骨高度变化为‐0.3（‐0.4,‐0.2），下颌骨高度变化为‐0.2（‐0.3,‐0.1）。结论 ：全口即刻修复即刻负重满足患者过渡期的对美观及过渡期的咀嚼功能的要求，种植体有较高的存留率，同时为后期永久修复咬合关系的确定提供了较好的参考。
Abstract:
Objective : The aim of this study was to analyze the survival rate of implants and change of the bone around implants after immediately loading in complete edentulous jaws. Methods : 57 cases of immediate loading in complete edentulous jaws(48 cases with single jaw, 9 cases with complete upper and lower jaws) were selected, and the definitive restorations were made after 6 months of transitional dentures. Results: In 57 cases, the survival rate of implants was 99.6% before the definitive restorations, and the surrounding mucosa of the implant was healthy, and there was no obvious absorption around the implants neck. The changes of bone height were -0.3(-0.4, -0.2) in the upper jaws and -0.2(-0.3, -0.1) in the lower jaws. Conclusion : The immediate loading in complete edentulous jaws can satisfy the aesthetic and transitional masticatory function of the patient. The implant has a high survival rate, and provides a good reference for the determination of occlusal relation in the definitive restoration.

参考文献/References:

[1] Branemark PI, Hansson BO, Adell R, et al. Osseointegrated implants in the treatment of the edentulous jaw. Experience from a 10-year period. Scand J Plast Reconstr Surg Suppl, 1977, 16:1-132. [2] Li W, Chow J, Hui E, et al. Retrospective study on immediate functional loading of edentulous maxillas and mandibles with 690 implants, up to 71 months of follow-up. J Oral Maxillofac Surg, 2009, 67: 2653–2662. [3] Ding X, Zhu XH, Liao SH, et al. Implant-bone interface stress distribution in immediately loaded implants of different diameters: a three-dimensional finite element analysis. J Prosthodont, 2009, 18: 393–402. [4] Kong L, Gu Z, Li T, et al. Biomechanical optimization of implant diameter and length for immediate loading: a nonlinear finite element analysis. Int J Prosthodont, 2009, 22: 607–615. [5] Jemt T, Book K. Prosthesis misfit and marginal bone loss in edentulous implant patients. Int J Oral Maxillofac Implants, 1996, 11:620-5. [6] Sahim S, Cehreli MC, Yalcin E. The influence of functional forces on the biomechanics of implant-supported prostheses d a review. J Dent, 2002, 30: 271-82. [7] Papaspyridakos P, Lal K, White GS, et al. Effect of splinted and nonsplinted impression techniques on the accuracy of fit of fixed implant prostheses in edentulous patients: a comparative study. Int J Oral Maxillofac Implants, 2011, 26 (6):1267-72. [8] Morneburg TR, Proschel PA. In vivo forces on implants influenced by occlusal scheme and food consistency. Int J Prosthodont, 2003, 16(5): 481–486.

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[2]李振、童昕、孟翔峰.全口即刻负重过渡义齿的临床观察[J].徐州医科大学学报,2019,39(08):557.

备注/Memo

备注/Memo:
基金项目：国家自然科学基金（81470781） *通信作者，E-mail: mengsoar@nju.edu.cn
更新日期/Last Update: 2019-09-18