口腔疾病防治 ›› 2020, Vol. 28 ›› Issue (12): 749-758.DOI: 10.12016/j.issn.2096-1456.2020.12.001

• 专家论坛 • 上一篇    下一篇

萎缩无牙颌患者数字化种植即刻修复工作流程

顾新华()   

  1. 浙江大学医学院附属第一医院口腔科,浙江 杭州(310003)
  • 收稿日期:2020-05-07 修回日期:2020-08-21 出版日期:2020-12-20 发布日期:2020-11-10
  • 通讯作者: 顾新华
  • 基金资助:
    浙江省自然科学基金项目(LY20H140002);浙江省医药卫生科技计划项目(2020KY563)

Digital workflow of immediate implant-supported restoration for atrophic edentulous patients

GU Xinhua()   

  1. Department of Stomatology, the First Affiliated Hospital, College of Medicine, Zhejiang University, Hangzhou 310003, China
  • Received:2020-05-07 Revised:2020-08-21 Online:2020-12-20 Published:2020-11-10
  • Contact: Xinhua GU

摘要:

萎缩无牙颌由于颌骨解剖条件因素给修复重建带来了巨大挑战,种植支持式全口固定义齿修复因为可以很好地恢复患者咀嚼功能和美观效果而广受推崇。然而,萎缩无牙颌种植即刻功能重建手术要求高,修复治疗程序复杂,往往很难达到理想治疗效果。数字化辅助萎缩无牙颌种植即刻修复功能重建的工作流程对于无牙颌患者和种植修复医生都具有重要意义。本文结合临床病例总结了数字化辅助萎缩无牙颌种植即刻修复功能重建的工作流程,通过数字化手段进行辅助诊断、设计、植入、即刻修复重建和最终修复,可优化种植手术和即刻修复工作流程,提高萎缩无牙颌种植即刻修复的精度,减少大量植骨需要,获得更高的患者满意度,实现“修复导向,以终为始”的无牙颌种植修复理念,精准、微创、高效地恢复患者的美观和咀嚼功能,具有较高的临床推广应用价值。

关键词: 萎缩无牙颌, 骨量不足, 种植修复, 数字化工作流程, 即刻功能重建, 数字化导板, 数字化印模, 数字化微笑设计, 以修复为导向, CAD/CAM材料

Abstract:

Rehabilitation and reconstruction of atrophic edentulous predicament represents significant challenges for implant dentists due to the anatomical conditions of the edentulous jaw. Implant-supported fixed complete dental prostheses represent a scientifically and clinically validated treatment for recovering patients, masticatory function and esthetic effect. However, the highly demanding implant surgical techniques and complex rehabilitation procedures for immediate functional reconstruction make it difficult to achieve the desired treatment outcomes. The application of digital and CAD/CAM technology in various stages of the treatment process is logical for patients and dentists. This article summarizes the workflow of digital-assisted implantation with immediate functional reconstruction of atrophic edentulous combined with a clinical case. Digital-assisted diagnosis, design, implantation, immediate reconstruction and final rehabilitation can optimize the implant surgery and immediate rehabilitation workflow, improve the accuracy of implant-supported immediate functional reconstruction, reduce the demand for a large amount of bone graft, and achieve higher patient satisfaction. The “prosthetic-oriented, begin with the end in mind” concept of edentulous jaw implant prosthetics can accurately and efficiently restore the patient,s beauty and chewing function in a minimally invasive manner, and is worthy of clinical promotion.

Key words: atrophic edentulous jaw, bone insufficiency, implant restoration, digital workflow, immediate functional reconstruction, digital surgical guide, digital impression, digital smile design, prosthodontic oriented, CAD/CAM material

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