中国口腔医学继续教育杂志 ›› 2026, Vol. 29 ›› Issue (2): 164-178.DOI: 10.12337/zgkqjxjyzz.2026.02.011

• 病例报告 • 上一篇    下一篇

种植覆盖义齿修复无牙颌7年观察1例

徐敏1, 丁鑫2, 张玉梅3,*   

  1. 1口颌系统重建与再生全国重点实验室,口腔疾病国家临床医学研究中心,陕西省口腔生物工程技术研究中心,空军军医大学口腔医院第二医疗中心;
    2淮安市口腔医院口腔修复科;
    3口颌系统重建与再生全国重点实验室,口腔疾病国家临床医学研究中心,陕西省口腔医学重点实验室,空军军医大学口腔医院口腔修复科
  • 出版日期:2026-03-31 发布日期:2026-06-23
  • 通讯作者: * 张玉梅,联系方式:029-84776467,电子邮箱:wqtzym@fmmu.edu.cn,通讯地址:陕西省西安市新城区长乐西路169号,710032
  • 基金资助:
    2023年空军军医大学第三附属医院临床新技术项目(项目编号:LX2023-513)

Implant-retained Overdenture for Edentulous Jaw: a Case Report with 7-year Follow-up

Min Xu1, Xin Ding2, Yumei Zhang3,*   

  1. 1State Key Laboratory of Oral & Maxillofacial Reconstruction and Regeneration, National Clinical Research Center for Oral Diseases, Shaanxi Engineering Research Center for Dental Materials and Advanced Manufacture, The Second Medical Center, School of Stomatology, The Fourth Military Medical University, Xi’an, Shaanxi Province, P.R. China;
    2Department of Prosthodontics, Huai’an Stomatological Hospital, Huai’an Jiangsu Province, P.R. China;
    3State Key Laboratory of Oral & Maxillofacial Reconstruction and Regeneration, National Clinical Research Center for Oral Diseases, Shaanxi Key Laboratory of Stomatology, Department of Prosthodontics, School of Stomatology, The Fourth Military Medical University, Xi’an, Shaanxi Province, P.R. China
  • Online:2026-03-31 Published:2026-06-23
  • Contact: Yumei Zhang. Tel: 029-84776467. Email: wqtzym@fmmu.edu.cn. Address: 169 Changle West Rd, Xi’an 710032, Shaanxi Province, P.R. China.
  • Supported by:
    2023 Clinical New Technology Project of The Fourth Military Medical University (No.LX2023-513)

摘要: 目的:通过1例下颌双种植体-杆卡辅助固位的覆盖义齿联合上颌松软牙槽嵴开窗印模技术对无牙颌修复的治疗,展示规范治疗过程,提高修复质量。诊治经过:规范制取无牙颌患者初印模及模型并进行术前锥形束计算机断层扫描检查,于区植入种植体2颗。制作上下颌开窗式个性化托盘,规范制取终印模及模型,颌位关系确定与转移后制作牙列导板、铸造杆,完成义齿试戴与口内调改。结果:修复后义齿固位稳定良好,患者咀嚼、发音功能明显改善,自我满意。随访期间种植体周无明显骨吸收,义齿使用稳定。结论:针对无牙颌患者口内条件选择合适修复方式,规范操作,可以获得良好的修复效果。

关键词: 种植覆盖义齿, 杆卡式附着体, 低平牙槽嵴, 松软牙槽嵴, 开窗印模, 无牙颌

Abstract: Objective: Demonstrate the standardized treatment process and enhance prosthesis quality through a case of edentulous jaw rehabilitation using mandibular dual implant-bar clip-assisted overdenture combined with maxillary fibrous alveolar ridge windowing impression technique. Diagnosis and Treatment: Standardized fabrication of preliminary impressions and models for edentulous patients, followed by preoperative cone beam computed tomography(CBCT) examination. Two implants were placed in regions  and . Customized windowed trays were designed for both arches, and final impressions with precise models were obtained. After recording and transferring jaw relations, a dentition guide and cast bar were fabricated. The prosthesis was finally tried in and adjusted intraorally. Results: Post-restoration, the denture exhibited excellent retention and stability. The patient’s masticatory and speech functions were significantly improved, with self-satisfaction. During follow-up, no significant bone resorption was observed around the implants and the denture remained stable in use. Conclusions: Favorable restorative outcomes can be achieved by selecting suitable restoration methods according to the intraoral conditions of edentulous patients and standardizing the operation.

Key words: implant-retained overdenture, bar-clip attachment, atrophic alveolar ridge, fibrous alveolar ridge, windowed impression, edentulous jaw