下颌后牙区种植修复前行角化黏膜增宽术的时机考量及临床体会
Timing considerations and clinical insights for attached gingival augmentation before implant restoration in the mandibular posterior region
郭一馨 1夏薇 2王侗飞 3王君婷 2皮甜甜 2邓荣纳 2梁美琦 2容明灯 2曾艳2
作者信息
- 1. 深圳市龙岗区骨科医院口腔科,深圳 518116
- 2. 南方医科大学口腔医院特诊中心,广州 510280
- 3. 南方医科大学深圳口腔医院(坪山)牙周黏膜病科 518118
- 折叠
摘要
种植体周围充足的角化黏膜对于维持种植修复的长期效果是十分必要的,临床上游离龈移植作为种植体周角化黏膜增宽的金标准被广泛应用,但对手术时机的选择并没有明确定论.笔者选择种植前及种植同期对下颌后牙区行角化黏膜增宽术,均获得了良好的治疗效果.其中后者运用数字化导板,不翻瓣下将种植体植入与角化黏膜增宽手术同期进行,手术效果可预期,减少了手术次数,减轻了患者痛苦,提高了临床诊疗效率,可为临床上同类型病例提供参考.
Abstract
Adequate attached gingiva around implants is essential for maintaining the long-term success of implant restoration. Clinically,free gingival grafts are widely recognized as the gold standard for augmenting peri-implant attached gingiva,but there is no clear consensus regarding the optimal timing of surgery. This study explores two approaches for attached gingiva augmentation in the posterior mandibular region:prior to implant placement and simultaneously with implant placement. Both approaches demonstrated favorable outcomes. In the latter approach,a digital surgical guide was used to facilitate simultaneous implant placement and attached gingiva augmentation without flap elevation,resulting in predictable outcomes,fewer surgical interventions,reduced patient discomfort,and enhanced clinical efficiency. These findings provide a valuable reference for similar cases in clinical practice.
关键词
数字化导板/口腔种植/角化黏膜增宽术/手术时机Key words
Digital surgical guides/Dental implant placement/Attached gingiva augmentation/Timing of surgery guides引用本文复制引用
出版年
2024
国家科技期刊平台
NSTL
万方数据