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虚拟的手术计划下骨架植入物. 随访时间为3年. 有关管理的提示和技巧

Paolo Cariati¹, Fernando Pérez Salazar¹, Lydia Fraile Ruíz¹

¹Department of Oral and Maxillofacial Surgery, Hospital Virgen de las Nieves, Granada, Spain.

Journal of cranio-maxillo-facial surgery : official publication of the European Association for Cranio-Maxillo-Facial Surgery

|August 20, 2025

概括

数字化计划的骨下植入物为严重的缩提供了成功的替代方案,在避免骨移植的患者中实现了高生存率并实现了即时功能. 这种方法提供了可靠的口腔康复.

科学领域:

口腔和面外科
牙科植入物学
数字牙科

背景情况:

严重的缩会给口腔康复带来挑战,尤其是那些不愿接受常规骨增强的患者.
对于极度缩的患者 (卡伍德和豪威尔类V和VI) 需要替代解决方案.

研究的目的:

在严重缩的患者中评估数字规划的骨下植入物的3年临床结果.
分析生存率,并发症,并为这一患者群提供技术建议.

主要方法:

一个回顾性病例系列的12名患者严重的缩拒绝了传统的植入物或骨移植.
使用CT扫描和口内扫描进行定制框架制造.
在局部麻醉下立即使用假肢.

主要成果:

所有12例患者在24小时内成功接受了立即的假肢加载.
患者的3年生存率为91. 7%.
在4/12例中出现并发症 (框架暴露,出血,植入失效),但一般可控.

结论:

在严重的缩时,数字计划的骨下植入物是立即口腔康复的可靠选择.
关键的技术建议包括避免侧面切口和使用双重手术指南.
这种方法对精心挑选的拒绝广泛手术或延长治愈的患者来说是可行的.

关键词:

骨头移植大缩口腔康复骨下植入物

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