(P149-176)雙語(yǔ)教學(xué)種植外科四-口腔專業(yè)課課件-額面外科

PartIV

ExtensionandExpandation

ofImplantOperation李曉東M.D.D.D.S.DentalImplantClinic,StomatologicalCollege,CQUMSContents

1ExtensionComplicationandTreatmentEstheticsconsiderationinDentalImplantologySuccessStandard-Long-termFunctionalEvaluationPre-implantSurgery&TreatmentContents2Expandation

Autograftstechnique;GTRtechnique;Augmentationtechnique;NerveMigration;SinusLifttechnique;BoneCondensetechnique;ImmediateImplanttechnique;ImmediateLoadingtechniqueminimal1mmbetter1.5–2.0mmComfortZoneDangerZoneDangerZoneDangerZone>2mm>2mmComfortZone0-2mm0-2mmDangerZoneDangerZoneComfortZone即刻種植技術(shù)及要點(diǎn)拔牙后立即進(jìn)行的種植術(shù)(1week)一般僅僅適用于單根牙需要進(jìn)行微創(chuàng)拔牙術(shù)種植體植入深度超過(guò)天然牙根尖≥4mm多選用根形種植體多數(shù)需要同期GBR技術(shù)軟組織封閉和初期穩(wěn)定性獲得是本技術(shù)難點(diǎn)即刻種植優(yōu)缺點(diǎn)減少缺牙時(shí)間有利于減少牙槽骨吸收有利于牙齦美學(xué)技術(shù)要求高、成功率相對(duì)較低即刻種植應(yīng)具備的條件唇頰側(cè)水平向骨壁完整唇頰側(cè)垂直向骨組織無(wú)明顯吸收微創(chuàng)拔牙技術(shù)條件骨增量技術(shù)Dr.S.ChenAustraliaDr.S.ChenAustraliaDr.S.ChenAustraliaDr.S.ChenAustraliaDr.S.ChenAustraliaDr.S.ChenAustraliaDr.S.ChenAustraliaDr.S.ChenAustraliaDr.S.ChenAustraliaDr.S.ChenAustraliaDr.S.ChenAustraliaDr.S.ChenAustraliaDr.S.ChenAustraliaDr.S.ChenAustraliaDr.S.ChenAustraliaDr.S.ChenAustraliaGBR膜技術(shù)及要點(diǎn)骨引導(dǎo)再生技術(shù)中膜的作用——屏障作用阻擋成纖維細(xì)胞遷移，從而為成骨細(xì)胞遷移與成骨創(chuàng)造空間和時(shí)間不可吸收膜——Gore-tex膜、鈦膜可吸收膜——膠原膜、合成膜位置、大小合適邊緣與骨面貼合