牙种植位点复合组织缺损增量时机与方式的选择

Selection of Timing and Methods to Augment Combinational Defect in Dental Implant Sites

牙种植位点由于外伤、炎症等原因可同时伴有软硬组织不同程度的复合缺损,对种植体的植入、创口愈合、修复后美学效果及功能恢复造成不利影响。通过手术对这种复合组织缺损进行增量,才能为种植修复创造理想的组织条件,从而获得满意的修复效果。本文对牙种植位点的软硬组织缺损类型、复合缺损软硬组织增量时机与方式的选择进行综述,通过分析不同类型复合缺损增量方式的适应症、预后及其优缺点,以期为临床种植修复复合组织缺损增量时机与方式的选择提供参考。

Soft and hard tissue defects are often found in the dental implant sites due to trauma,inflammation,and other reasons,which will cause adverse effects on the implantation,wound healing,and esthetic and functional recovery after restoration.Increasing the amount of tissue in the combinational defect through different surgical techniques helps to gain ideal tissue conditions for implantation.In this paper,the classification of soft and hard tissue defects and the selection of opportunity and methods for soft and hard tissues augmentation are summarized,respectively.The indications,prognosis,advantages,and disadvantages are analyzed to provide guidance for clinical selection.