口腔疾病防治 ›› 2022, Vol. 30 ›› Issue (7): 517-522.DOI: 10.12016/j.issn.2096-1456.2022.07.009
收稿日期:
2021-03-09
修回日期:
2021-05-10
出版日期:
2022-07-20
发布日期:
2022-04-25
通讯作者:
储顺礼
作者简介:
翟建佳,医师,硕士研究生,Email: dijj18@mails.jlu.edu.cn
基金资助:
ZHAI Jianjia(), CHU Shunli(
)
Received:
2021-03-09
Revised:
2021-05-10
Online:
2022-07-20
Published:
2022-04-25
Contact:
CHU Shunli
Supported by:
摘要:
随着种植技术的日益成熟,种植覆盖义齿逐渐成为无牙颌患者恢复美观和功能的常规修复方式,其提高了无牙颌患者的生活质量。本文对种植覆盖义齿的种植体因素、附着体因素、咬合因素和患者自身因素等对剩余牙槽嵴的影响进行综述。现有研究提示医师在进行义齿设计时,首先需要在术前考虑患者的口腔黏膜及颌骨条件,选择适宜尺寸的种植体以确保种植体周围余留充足的骨量;其次在选择附着体类型时应充分考虑种植体的数目、位置及A-P距,并适当降低牙尖斜度以避免过大的侧向力对牙槽嵴造成危害;最后还应在术后定期复查,以维持义齿更长久的使用时间及无牙颌患者更充足的骨量。然而影响颌骨吸收的因素是多方面的,未来还应对患者戴义齿的习惯和次数,口腔卫生和营养状况,全身疾病和服药情况等多种因素进一步探究。
中图分类号:
翟建佳, 储顺礼. 无牙颌种植覆盖义齿修复对剩余牙槽嵴影响的研究进展[J]. 口腔疾病防治, 2022, 30(7): 517-522.
ZHAI Jianjia, CHU Shunli. Research progress on the effect of implant-supported overdentures on residual ridges[J]. Journal of Prevention and Treatment for Stomatological Diseases, 2022, 30(7): 517-522.
[1] |
Ünlü KB, Akan E. Radiographic determination of trabecular bone change in 2- and 4-implant-supported overdenture prostheses[J]. Oral Surg Oral Med Oral Pathol Oral Radiol, 2021, 131(3): 364-370. doi: 10.1016/j.oooo.2020.08.002.
DOI URL |
[2] |
Sato E, Shigemitsu R, Mito T, et al. The effects of bone remodeling on biomechanical behavior in a patient with an implant-supported overdenture[J]. Comput Biol Med, 2021, 129: 104173. doi: 10.1016/j.compbiomed.2020.104173.
DOI URL |
[3] |
Km S, Koli DK, Jain V, et al. Comparison of ridge resorption and patient satisfaction in single implant-supported mandibular overdentures with conventional complete dentures: a randomised pilot study[J]. J Oral Biol Craniofac Res, 2021, 11(1): 71-77. doi: 10.1016/j.jobcr.2020.11.014.
DOI URL |
[4] |
Abe M, Wada M, Maeda Y, et al. Ability to adjust occlusal force in implant-supported overdenture wearers[J]. J Prosthodont Res, 2021, 65(1): 106-114. doi: 10.2186/jpr.JPOR_2019_376.
DOI URL |
[5] |
Shreedhar S, Raza FB, Vaidyanathan AK, et al. Effect of an implant-retained complete overdenture on the hearing ability of edentulous patients: a clinical pilot study[J]. J Prosthet Dent, 2021, 125(4): 628-635. doi: 10.1016/j.prosdent.2020.02.015.
DOI PMID |
[6] | 李恺. 种植体数目与分布对下颌种植覆盖义齿牙槽骨改建的影响[D]. 西安: 第四军医大学, 2014. |
Li K. The effect of the number and distribution of implants on the remoding of mandible induced by implant supported overdenture[D]. Xi’an: the Fourth Military Medical University, 2014. | |
[7] |
Chen J, Ahmad R, Suenaga H, et al. A comparative study on complete and implant retained denture treatments: a biomechanics perspective[J]. J Biomech, 2015, 48(3): 512-519. doi: 10.1016/j.jbiomech.2014.11.043.
DOI URL |
[8] |
Abe M, Yang TC, Maeda Y, et al. Support ratio between abutment and Soft tissue under overdentures: a comparison between use of two and four abutments[J]. Int J Prosthodont, 2017, 30(3): 242-244. doi: 10.11607/ijp.5104.
DOI URL |
[9] |
Awaad NM, Eladl NM, Abbass NA. Assessments of bone height loss in telescopic mandibular implant-retained overdentures retained by two and four end - osseous implants: a randomized clinical trial[J]. Open Access Maced J Med Sci, 2019, 7(4): 623-637. doi: 10.3889/oamjms.2019.108.
DOI URL |
[10] |
Grobecker-Karl T, Kafitz L, Karl M. Effect of implant position and attachment type on the biomechanical behavior of mandibular single implant prostheses[J]. Eur J Prosthodont Restor Dent, 2020, 28(4): 152-160. doi: 10.1922/EJPRD_2019Grobecker-Karl09.
DOI |
[11] |
Elsyad MA, Maryod WH, Mostafa AZ. Effect of implant position on clinical and radiographic outcomes of Locator-Retained mandibular overdentures: a 1-year prospective study[J]. J Prosthodont, 2019, 28(2): e699-e704. doi: 10.1111/jopr.12780.
DOI |
[12] |
Salehi R, Shayegh SS, Wm J, et al. Effects of interimplant distance and cyclic dislodgement on retention of LOCATOR and ball attachments: an in vitro study[J]. J Prosthet Dent, 2019, 122(6): 550-556. doi: 10.1016/j.prosdent.2018.12.023.
DOI URL |
[13] |
Tokar E, Uludag B, Karacaer O. Load transfer characteristics of three-implant-retained overdentures with different interimplant distances[J]. Int J Oral Maxillofac Implants, 2017, 32(2): 363-371. doi: 10.11607/jomi.5291.
DOI PMID |
[14] |
Aunmeungtong W, Kumchai T, Strietzel FP, et al. Comparative clinical study of conventional dental implants and mini dental implants for mandibular overdentures: a randomized clinical trial[J]. Clin Implant Dent Relat Res, 2017, 19(2): 328-340. doi: 10.1111/cid.12461.
DOI URL |
[15] |
Rokn AR, Monzavi A, Panjnoush M, et al. Comparing 4-mm dental implants to longer implants placed in augmented bones in the atrophic posterior mandibles: one-year results of a randomized controlled trial[J]. Clin Implant Dent Relat Res, 2018, 20(6): 997-1002. doi: 10.1111/cid.12672.
DOI URL |
[16] |
Temizel S, Heinemann F, Dirk C, et al. Clinical and radiological investigations of mandibular overdentures supported by conventional or mini-dental implants: a 2-year prospective follow-up study[J]. J Prosthet Dent, 2017, 117(2): 239-246.e2. doi: 10.1016/j.prosdent.2016.07.022.
DOI PMID |
[17] |
Borges GA, Presotto A, Caldas RA, et al. Is one dental mini-implant biomechanically appropriate for the retention of a mandibular overdenture? A comparison with Morse taper and external hexagon platforms[J]. J Prosthet Dent, 2021, 125(3): 491-499. doi: 10.1016/j.prosdent.2020.01.038.
DOI URL |
[18] |
Hussein MO, Alruthea MS. Marginal bone level changes and oral health impact profile (14) score of smokers treated by mandibular mini implant overdentures: a 5-year follow-up study[J]. Eur J Dent, 2020, 14(4): 590-597. doi: 10.1055/s-0040-1714763.
DOI URL |
[19] |
Patil PG, Seow LL, Uddanwadikar R, et al. Biomechanical behavior of mandibular overdenture retained by two standard implants or 2 mini implants: a 3-dimensional finite element analysis[J]. J Prosthet Dent, 2021, 125(1): 138.e1-138.e8. doi: 10.1016/j.prosdent.2020.09.015.
DOI |
[20] |
Mifsud DP, Sammut EJ, Degiorgio J, et al. Immediately loaded mini-implants supporting mandibular overdentures: a one-year comparative prospective cohort study[J]. Clin Implant Dent Relat Res, 2020, 22(4): 507-513. doi: 10.1111/cid.12930.
DOI URL |
[21] |
Kovacic I, Persic S, Kranjcic J, et al. Rehabilitation of an extremely resorbed edentulous mandible by short and narrow dental implants[J]. Case Rep Dent, 2018: 7597851. doi: 10.1155/2018/7597851.
DOI |
[22] |
Mínguez-Tomás N, Alonso-Pérez-Barquero J, Fernández-Estevan L, et al. In vitro retention capacity of two overdenture attachment systems: Locator® and Equator®[J]. J Clin Exp Dent, 2018, 10(7): e681-e686. doi: 10.4317/jced.54834.
DOI |
[23] |
Hegazy S, El MN, Emera R. Impact of implants number and attachment type on the peri-implant stresses and retention of palateless implant-retained overdenture[J]. Indian J Dent Res, 2020, 31(3): 414-419. doi: 10.4103/ijdr.IJDR_772_18.
DOI URL |
[24] |
Elsyad MA, Dayekh MA, Khalifa AK. Locator versus bar attachment effect on the retention and stability of implant-retained maxillary overdenture: an in vitro study[J]. J Prosthodont, 2019, 28(2): e627-e636. doi: 10.1111/jopr.12608.
DOI |
[25] |
Boven GC, Meijer H, Vissink A, et al. Maxillary implant overdentures retained by use of bars or locator attachments: 1-year findings from a randomized controlled trial[J]. J Prosthodont Res, 2020, 64(1): 26-33. doi: 10.1016/j.jpor.2019.04.013.
DOI URL |
[26] |
Khurana N, Rodrigues S, Shenoy S, et al. A comparative evaluation of stress distribution with two attachment systems of varying heights in a mandibular implant-supported overdenture:a three-dimensional finite element analysis[J]. J Prosthodont, 2019, 28(2): 795-805. doi: 10.1111/jopr.12966.
DOI PMID |
[27] |
Sato H, Kobayashi T, Nomura T, et al. Oral mucosa pressure caused by mandibular implant overdenture with different types of attachments[J]. J Prosthodont Res, 2020, 64(2): 145-151. doi: 10.1016/j.jpor.2019.06.003.
DOI URL |
[28] |
Kang TY, Kim JH, Kim KM, et al. In vitro effects of cyclic dislodgement on retentive properties of various Titanium-based dental implant overdentures attachment system[J]. Materials (Basel), 2019, 12(22): 3770. doi: 10.3390/ma12223770.
DOI URL |
[29] |
Abbasi M, Vinnakota DN, Sankar V, et al. Comparison of stress induced in mandible around an implant-supported overdenture with locator attachment and telescopic crowns - a finite element analysis[J]. Med Pharm Rep, 2020, 93(2): 181-189. doi: 10.15386/mpr-1312.
DOI |
[30] |
Khuder T, Yunus N, Sulaiman E, et al. Association between occlusal force distribution in implant overdenture prostheses and residual ridge resorption[J]. J Oral Rehabil, 2017, 44(5): 398-404. doi: 10.1111/joor.12504.
DOI PMID |
[31] |
Närhi TO, Geertman ME, Hevinga M, et al. Changes in the edentulous maxilla in persons wearing implant-retained mandibular overdentures[J]. J Prosthet Dent, 2000, 84(1): 43-49. doi: 10.1067/mpr.2000.107113.
DOI PMID |
[32] |
Yoo JS, Kwon KR, Noh K, et al. Stress analysis of mandibular implant overdenture with locator and bar/clip attachment: comparative study with differences in the denture base length[J]. J Adv Prosthodont, 2017, 9(3): 143-151. doi: 10.4047/jap.2017.9.3.143.
DOI URL |
[33] | 宿玉成. 口腔种植学[M]. 北京: 人民卫生出版社, 2014: 83-94. |
Su YC. Implant dentistry[M]. Beijing: People's Medical Publishing House, 2014. 83-94. | |
[34] |
Alsrouji MS, Ahmad R, Rajali A, et al. Mandibular implant-retained overdentures: potential accelerator of bone loss in the anterior maxilla?[J]. J Prosthodont, 2019, 28(2): 131-137. doi: 10.1111/jopr.12999.
DOI PMID |
[35] |
Ahmad R, Chen J, Abu-Hassan M, et al. Investigation of mucosa-induced residual ridge resorption under implant-retained overdentures and complete dentures in the mandible[J]. Int J Oral Maxillofac Implants, 2015, 30(3): 657-666. doi: 10.11607/jomi.3844.
DOI URL |
[36] |
Elsyad MA, Mohamed SS, Shawky AF. Posterior mandibular ridge resorption associated with different retentive systems for overdentures: a 7-year retrospective preliminary study[J]. Int J Prosthodont, 2017, 30(3): 260-265. doi: 10.11607/ijp.5114.
DOI URL |
[37] |
Ahmad R, Abu-Hassan M, Chen J, et al. The relationship of mandibular morphology with residual ridge resorption associated with implant-retained overdentures[J]. Int J Prosthodont, 2016, 29(6): 573-580. doi: 10.11607/ijp.4726.
DOI |
[1] | 王思远, 张璠, 王雪奎, 孙瑶. 蛋白聚糖与小鼠牙周炎牙槽骨吸收的相关性[J]. 口腔疾病防治, 2022, 30(7): 457-463. |
[2] | 刘诗瑶, 晏奇, 施斌. 无牙颌种植固定义齿设计的研究进展[J]. 口腔疾病防治, 2022, 30(7): 511-516. |
[3] | 周齐悦, 洪高英, 吴桐, 陈晨, 谢海峰. 钛表面不同硅烷偶联c(RGDfK)环肽的表征及生物相容性分析[J]. 口腔疾病防治, 2022, 30(6): 398-405. |
[4] | 邹蓉芳, 赖璇, 邓斌. 氮化硅陶瓷在牙科种植体方向的应用前景[J]. 口腔疾病防治, 2022, 30(6): 449-452. |
[5] | 谢丽丽, 张慧彦, 王子璇, 李碧榕, 李珍, 孟维艳. D-甲硫氨酸通过降低环二鸟苷酸清除牙龈卟啉单胞菌生物膜[J]. 口腔疾病防治, 2022, 30(5): 314-320. |
[6] | 李霞, 路瑞芳. 种植体周炎骨缺损的类型及治疗[J]. 口腔疾病防治, 2022, 30(4): 289-294. |
[7] | 张华英, 赵雨薇, 于海洋. 椅旁紫外线光功能化技术提高钛种植体生物活性的研究进展[J]. 口腔疾病防治, 2022, 30(4): 295-299. |
[8] | 魏媛, 朱雅男, 杨卫东. Toll样受体-4抑制剂TAK-242对大鼠重度牙周炎骨吸收的影响[J]. 口腔疾病防治, 2022, 30(3): 160-168. |
[9] | 丁黔川, 冯红超, 韦敬, 叶彬, 王朝辉. 成人下颌前行管的锥形束CT影像学研究[J]. 口腔疾病防治, 2022, 30(3): 200-206. |
[10] | 刘情, 刘清辉, 周静, 邓雪花. 下颌第一磨牙种植体解剖式愈合基台的设计与制作[J]. 口腔疾病防治, 2022, 30(3): 207-211. |
[11] | 钟永进, 唐权, 黄睿洁. 小檗碱预防和治疗牙周炎的研究进展[J]. 口腔疾病防治, 2022, 30(3): 217-220. |
[12] | 王景蓉, 高姗姗. 治疗性义齿对无牙颌患者义齿空间的影响及临床效果评估[J]. 口腔疾病防治, 2022, 30(2): 103-110. |
[13] | 贾璟博,任娟,王小琴. 骨性Ⅰ类错牙合不同垂直骨面型患者下颌横向关系研究[J]. 口腔疾病防治, 2021, 29(9): 617-623. |
[14] | 刘莉,周嫣,张大灵,王源元. 两种方法矫治骨性Ⅲ类错牙合前、后上气道变化的临床研究[J]. 口腔疾病防治, 2021, 29(8): 541-547. |
[15] | 王科,彭国光,何善志,谭玉莲. 克氏针治疗下颌骨髁突矢状骨折13例回顾性分析[J]. 口腔疾病防治, 2021, 29(7): 474-478. |
阅读次数 | ||||||
全文 |
|
|||||
摘要 |
|
|||||
本作品遵循Creative Commons Attribution 3.0 License授权许可.