牙种植修复中的咬合重建

Occlusion Reconstruction of Dental Implant Therapy

当患者牙缺失导致固有的咬合关系丧失或因缺牙后影响咬合功能时,牙种植修复需要进行咬合重建。但由于牙列结构和咀嚼功能的个体差异较大,目前对治疗方案的评价指标尚无统一的量化标准。在临床工作中应以已有的理论、知识、经验为基础,将不同患者的特点纳入较成熟的相关认知结构,以修复为导向,严格执行牙种植临床路径。在实施治疗中综合患者的主观评价、医师的个人经验,减少医患主观因素对治疗方案实施及操作的影响,以保证牙种植修复体获得健康、稳定的咬合功能。

Occlusal reconstruction should be carried out in the design of dental implant restoration after the loss of the intrinsic occlusion or the influence of the oeclusal function as a result of tooth loss. However, due to the obvious individual differences in the dentition structure and the masticatory function, the evaluation index of the treatment plan is difficult to quantify. Therefore, clinical work should be based on the existing knowledge and experience, incorporate the patients＂ char- acteristics into a more mature cognitive structure, and restoration oriented, as well as strictly carrying out the clinical pathway of dental implanttherapy. Besides, treatment plan should combine patients＂ subjective assessment with physicians＂ personal experience, meanwhile reduce the effects of doctors＂ and patients＂ subjective factors on treatment and operation, in this way to achieve healthy and stable oeclusal function after dental implant therapy.