在一个年轻的患者中,将鼻腔增大与牙移植结合起来,以取代一个缺失的前
Jessica Juslin1, Tuija Teerijoki-Oksa2, Päivi Jääsaari2
1Department of Oral and Maxillofacial Surgery, University of Turku, Turku, Finland.
Case reports in dentistry
|September 22, 2025
概括
这份病例报告证明了成功的牙移植,并结合了因骨体积不足而进行的无移植鼻腔提升. 一颗智慧牙被自移植,四年后显示出完全的喷发和新的骨生长.
科学领域:
- 口腔和牙面部外科手术
- 牙周病学 牙周病学
- 恢复性牙科 恢复性牙科
背景情况:
- 大前区域的骨体积不足对牙科植入物和牙置换提出了挑战.
- 牙自移植为替换缺失的牙提供了一个生物替代方案.
- 鼻腔提升通常需要增加后大骨的骨高度,通常涉及骨移植.
研究的目的:
- 描述一个将未爆发的智自移植与无移植鼻腔提升手术相结合的案例.
- 为了评估这种结合方法的长期临床和放射性结果,在一个受体骨体积不足的患者中.
主要方法:
- 一颗未爆发的智慧牙被自动移植,以取代一个缺失的上前牙.
- 使用侧窗技术进行了无移植的鼻提升.
- 捐赠牙被仔细处理,以保存牙周带.
- 移植的牙通过 sutures 稳定.
主要成果:
- 移植的牙在四年的随访期内完全喷发.
- 没有观察到病理学的临床或放射性迹象.
- 在移植牙的根部周围发生了显著的新骨形成,表明膜骨再生成功.
- 无移植的鼻提升有助于为移植的牙提供足够的骨支持.
结论:
- 牙自移植结合无移植鼻提升是一种可行的治疗选择,用于在骨量不足的区域替换缺失的牙.
- 对牙周带的微妙处理对于保护和促进移植牙周围的膜骨生长至关重要.
- 这种结合的技术可以带来成功的长期结果,包括完全爆发和骨再生.
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