数字化临时修复体在前牙区种植即刻修复中的应用1例

doi:10.12337/zgkqjxjyzz.2023.02.005

中国口腔医学继续教育杂志 ›› 2023, Vol. 26 ›› Issue (2): 116-122.DOI: 10.12337/zgkqjxjyzz.2023.02.005

数字化临时修复体在前牙区种植即刻修复中的应用1例

舒婷婷¹, 喻娜^1,*, 王园园²

¹重庆医科大学附属口腔医院修复工艺科;
²重庆医科大学附属口腔医院种植科

出版日期:2023-03-31 发布日期:2023-03-21
通讯作者: ^*喻娜,联系方式：023-13018321083,电子邮箱：500357@hospital.cqmu.edu.cn,通讯地址：重庆市渝中区太平洋广场A座四楼,400015
基金资助:
四川大学横向技术项目全瓷修复材料美学效果的评价与临床应用研究（项目编号：22H0421）

Application of digital temporary restoration in immediate implant restoration in anterior dental area: a case report

Tingting Shu¹, Na Yu^1,*, Yuanyuan Wang²

Department of Prosthetic Technology, Affiliated Stomatological Hospital of Chongqing Medical University, Department of Implantology, Affiliated Stomatological Hospital of Chongqing Medical University

Online:2023-03-31 Published:2023-03-21
Contact: Tingting Shu. Tel: 023-15223025863. Email: 1048072997@qq.com. Address: fourth floor, Block A, Pacific Plaza, Yuzhong District, Chongqing 400000, P.R.China.
Supported by:
Esthetic Evaluation and Clinical Application of All Ceramic Materials(No.22H0421)

摘要/Abstract

摘要： 目的改善患者前牙粉白美学效果,达到较佳的疗效。方法使用数字化技术,术前结合患者微笑照进行数字微笑设计（digital smile desigh,DSD）,术中使用数字化全程导板进行手术,术后即刻戴入提前制作完成的临时修复体,终修复时个性化获取临时修复体的穿龈轮廓。结果较好地恢复了患者前牙区域的粉白美学效果,取得了较好的效果。结论对于前牙区连续多牙缺失的延期种植修复患者来说,术后即刻戴入临时修复体可最大限度地恢复及保留牙间乳头,重塑牙龈轮廓。

关键词: 临时修复体, 数字化, DSD微笑设计, 全程导板, 个性化

Abstract: Objective: To Improve the pink and white aesthetics of the patient’s anterior teeth and achieve better treatment effect. Methods: Using digital technology, DSD smile design was performed with patient smile photo before surgery, digital guide plate was used for surgery, the temporary restoration made in advance was placed immediately after surgery, and the perforating contour of the temporary restoration was personalized during the final repair. Results: The pink and white aesthetics of the patient’s anterior teeth area were better restored, and the results were better. Conclusion: Implant restoration of continuous multiple tooth loss in the anterior tooth area has always been considered an aesthetic challenge. For patients with delayed implant restoration, the anterior tooth area is often accompanied by soft and hard tissue defects, gingival papilla retreat and other physiological conditions, and the patient’s red and white aesthetic construction is even more difficult to control.

Key words: temporary restoration, digitization, DSD smile design, full guide, personalize

舒婷婷, 喻娜, 王园园. 数字化临时修复体在前牙区种植即刻修复中的应用1例[J]. 中国口腔医学继续教育杂志, 2023, 26(2): 116-122.

Tingting Shu, Na Yu, Yuanyuan Wang. Application of digital temporary restoration in immediate implant restoration in anterior dental area: a case report[J]. Chinese Journal of Stomatological Continuing Education, 2023, 26(2): 116-122.

参考文献

[1] Ignacio Sanz-Martín, Ignacio Sanz-Sánchez, Ana Carrillo de Albornoz, et al. Effects of modified abutment characteristics on peri-implant soft tissue health: A systematic review and meta-analysis[J].Clin Oral Implants Res. 2018; 29(1):118-129.
[2] Edwin Ruales-Carrera, Patrícia Pauletto, Karin Apaza-Bedoya, et al.Peri-implant tissue management after immediate implant placement using a customized healing abutment[J]. J Esthet Restor Dent. 2019; 31(6):533-541.
[3] WF Biggs, AL Litvak Jr.Immediate provisional restorations to aid in gingival healing and optimal contours for implant patients[J]. J Prosthet Dent. 2001; 86(2):177-180.
[4] Oscar González-Martín, Ernesto Lee, Arnold Weisgold, et al.Contour Management of Implant Restorations for Optimal Emergence Profiles: Guidelines for Immediate and Delayed Provisional Restorations[J]. Int J Periodontics Restorative Dent. 2020; 40(1):61-70.
[5] 宫苹. 前牙即刻种植[J].中国实用口腔科杂志, 2012, 5(4):193-197.
[6] WF Biggs.Placement of a custom implant provisional restoration at the second-stage surgery for improved gingival management: A clinical report[J]. J Prosthet Dent. 1996; 75(3):231-233.
[7] MS Block, DE Mercante, Denise Lirette, et al.Prospective Evaluation of Immediate and Delayed Provisional Single Tooth Restoration[J]. J Oral Maxillofac Surg. 2009; 67(11 Suppl):89-107.
[8] Tim De Rouck, Kristiaan Collys, Iris Wyn, et al.Instant provisionalization of immediate single-tooth implants is essential to optimize esthetic treatment outcome[J]. Clin Oral Implants Res. 2009; 20(6):566-570.
[9] Marius Steigmann, Alberto Monje, Hsun-Liang Chan, et al.Emergence Profile Design Based on Implant Position in the Esthetic Zone[J]. Int J Periodontics Restorative Dent. 2014; 34(4):559-563.
[10] 韩欣欣, 李雅瑾, 刘晓强. 口腔种植个性化软组织印模的改良方法与应用评价[J]. 中国口腔种植学杂志, 2021, 26(3):5.
[11] 李风帆, 曹庆堂, 王宏远. 影响前牙区种植美学因素的研究进展[J]. 口腔颌面修复学杂志, 2020, 21(1):5.
[12] 夏婷, 施斌. 上颌单前牙即刻种植修复和延期种植修复的美学效果比较[J]. 口腔医学研究, 2016, 32(1):50-54.
[13] Yildiz P, Zortuk M, Kilic E, et al.Esthetic outcomes after immediate and late implant loading for a single missing tooth in the anterior maxilla[J]. Nigerian journal of clinical practice. 2018; 21(9):1164-1170.
[14] Yang Xingmei, Zhou Tengfei, Zhou Nan, et al.The thick-ness of labial bone affects the esthetics of immediate implant placement and provisionalization in the esthetic zone: A prospective coh ort study[J]. Clinical implant dentistry and related research. 2019; 21(3):482-491.
[15] 谢艳婷, 江鹭鹭, 何晶, 等. 美学区单颗牙即刻种植和延期种植的短期红色美学和种植体边缘骨吸收的临床效果比较及影响因素分析[J]. 上海口腔医学, 2019, 28(2):148-153.
[16] 骆奇峰. 上颌前牙单牙即刻种植即刻修复与延期种植修复对患者植体周围软组织和主观满意度的影响[J]. 中华全科医学, 2017, 15(8):1355-1357.
[17] 徐莉亚, 余鑫, 叶彬, 等. 牙齿外伤后种植牙修复时机对患者修复效果、疼痛度及牙周指标影响[J]. 临床口腔医学杂志, 2021, 37(1):29-32.
[18] Mardas N, Trullenque Eriksson A, MacBeth N, et al. Does ridge preservation following tooth extraction improve implant treatment outcomes: a systematic review: Group 4: Therapeutic concepts & methods[J]. Clin Oral Implants Res. 2015; 26:180-201.
[19] Cardaropoli Daniele, Tamagnone Lorenzo, Roffredo AlessanDro, et al. Preservation of Peri-implant Soft Tissues Following Immediate Postextraction Implant Placement. Part II: Clinical Evaluation[J]. Int J Periodontics Restorative Dent. 2019; 39(6):789-797.
[20] Raes S, Eghbali A, Chappuis V, et al.A long-term prospective cohort study on immediately restored single tooth implants inserted in extraction sockets and healed ridges: CBCT analyses, soft tissue alterations, aesthetic ratings, and patient-reported outcomes[J]. Clin Implant Dent Relat Res. 2018; 20(4):522-530.

数字化临时修复体在前牙区种植即刻修复中的应用1例

Application of digital temporary restoration in immediate implant restoration in anterior dental area: a case report

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