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第2组:ITI共识报告:植入体假肢技术的发展

W Derksen1,2, T Joda3, J Chantler3

  • 1Private Practice, Arnhem, The Netherlands.

Clinical oral implants research
|September 26, 2023
PubMed
概括

添加和减去制造对于临时植入物修复都是可行的. 建议在后部的多单元修复中使用单质,以尽量减少并发症.

关键词:
临床研究是临床研究.临床试验是指临床试验中的临床试验.材料科学 材料科学以患者为中心的结果.牙修复 牙修复 牙修复

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科学领域:

  • 牙科植入物学 牙科植入物学
  • 生物材料科学 生物材料科学
  • 数字牙科数字牙科

背景情况:

  • 牙科植入物技术的发展需要对当前的制造技术和材料性能进行审查.
  • 了解各种植入物修复方法的临床结果对于基于证据的实践至关重要.

研究的目的:

  • 系统地审查对植入物修复的增剂与减法制造的科学证据.
  • 为了比较预制与定制的支柱在生存,并发症和美学方面.
  • 评估后部植入物支持的多单元固定牙假体的存活率.

主要方法:

  • 按照PRISMA指南进行系统的文献选.
  • 对67篇出版物的批判性审查,导致了三次系统性审查.
  • 由全体会议制定并接受的共识声明.

主要成果:

  • 在和聚合物植入物修复中添加或减去制造在适应性和机械性能方面没有明显的优势.
  • 使用基与定制支柱的植入单个冠的1年生存率相似.
  • 对于PFM,面板和单体石多单元后置假肢的3年生存率很高,面板修复显示出更高的陶骨折/破片率.

结论:

  • 添加和减去制造对于临时植入物修复是可行的;添加方法的临床性能需要进一步研究.
  • 在基支柱上植入单个皇冠,其临床性能与其他支柱相提并论,但需要长期的RCT数据.
  • 为减少技术并发症,建议在后部多单元植入物修复时使用单质;数字规划辅助假肢设计和支架选择.