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从牙过渡到植入物:一个叙事审查
1Clinical Professor, Department of Oral and Maxillofacial Surgery, LSU School of Dentistry, New Orleans, LA; Private Practice, Metairie, LA.
概括
在牙植入物康复期间保持患者的功能至关重要. 使用剩余的牙进行固定临时假肢支持植入物集成和移植愈合,提供了一个可行的过渡策略.
科学领域:
- 牙科植入物学 牙科植入物学
- 牙修复 牙修复 牙修复 牙修复 牙修复
- 在口腔外科手术.
背景情况:
- 牙科康复通常需要拔牙和植牙.
- 管理剩余的牙影响植入物时间和暂时化方法.
- 在这个过程中维持患者的功能是一个关键的临床挑战.
研究的目的:
- 审查顺序拔牙,接种和植入植牙的策略.
- 评估使用现有牙作为临时假牙支的方法.
- 为外科医生提供一个参考来维持患者在康复期间的功能.
主要方法:
- 在PubMed (1990-2022) 的文献中搜索同行评审文章.
- 包括关于在提取地点和过渡技术中立即植入植入物的研究.
- 从系统审查,临床系列和病例报告中收集数据.
主要成果:
- 与治愈的部位相比,在提取部位立即放置植入物具有相对较大的失败风险.
- 使用不可修复的牙作为固定临时假肢证明是成功的.
- 统计分析受到过渡方法中报告变化的限制.
结论:
- 外科医生应该利用剩余的牙在治疗阶段提供支持.
- 一个固定的临时假肢有助于植入体的整合和移植的愈合.
- 虽然具体的过渡方法缺乏强有力的证据,但报告说常规技术.
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