摘要
良好的软硬组织条件是种植治疗成功实施的重要保证。拔牙窝自然愈合会导致牙槽骨吸收和改建,有可能影响以修复为导向的种植治疗。牙槽嵴保存术可有效保存和重建牙槽骨,对于重度牙周炎患牙,进行彻底清创、微创拔牙和微翻瓣牙槽嵴保存是值得临床推广应用的治疗方法。本文针对拔牙窝自然愈合后的软硬组织变化、牙槽嵴保存术成功的影响因素及重度牙周炎患牙拔牙位点牙槽嵴保存术的特点等临床问题进行探讨。
Good soft and hard tissue conditions are important for the successful placement of dental implants.However,following tooth extraction,the alveolar ridge undergoes physiological remodeling that results in vertical and horizontal bone reduction,which affects prosthetically driven implant restoration.Alveolar ridge preservation can effectively preserve and reconstruct the volume of alveolar bone.Alveolar ridge preservation with minimally invasive extraction and minimally flap at molar extraction sites with severe periodontitis is strategically recommended to clinicians.This article discusses the changes in soft and hard tissues after natural healing of tooth extraction sockets,the influencing factors of successful alveolar ridge preservation,and the characteristics of alveolar ridge preservation at tooth extraction sites with severe periodontitis.
作者
胡文杰
Hu Wenjie(Dept.of Periodontology,Peking University School and Hospital of Stomatology&National Clinical Research Center for Oral Diseases&National Engineering Laboratory for Digital and Material Technology of Stomatology&Beijing Key Laboratory of Digital Stomatology,Beijing 100081,China)
出处
《国际口腔医学杂志》
CAS
CSCD
2021年第3期249-258,共10页
International Journal of Stomatology
基金
北京市科学技术委员会首都临床特色应用研究基金(Z1611-00000516042)
北京大学临床科学家计划专项(BMU2019LCKXJ010)。
关键词
拔牙窝愈合
牙槽嵴保存
微创拔牙
重度牙周炎
种植治疗
extraction socket healing
alveolar ridge preservation
atraumatic extraction
severe periodontitis
implant therapy
