数字化引导上前牙美学区多颗牙种植手术——附1例病例报道

Digital guided dental implant restoration in anterior aesthetic area: a case report

目的:报告一例上颌前牙美学区多颗牙缺失患者的诊治经过,总结数字一体化种植修复经验。方法:患者男,28岁。11、12、13、21、22牙因外伤拔除3月。行单独GBR恢复缺牙区软硬组织量,使用口内光学扫描获取口内数据,经数字化静态导板设计引导下种植后进行数字化修复。结果:共植入4枚种植体,种植位置均较为理想。影像学检查显示种植体形成良好骨结合、周围骨水平较为稳定,实现了较为理想的美学修复效果。结论:正确的术前诊断、充分的术前准备以及三维数字化模拟种植,有助于提升种植手术精准性,使最终修复兼顾生物力学与美学效果。

To report the diagnosis and treatment of a case of consecutive edentulous in anterior maxillary,and summarize the experience of integrated digital implant restoration.Methods:Clinical case was a 28 years old male patient whose 11,12,13,21,22 teeth were extracted due to trauma.A single GBR was used to restore the quantity of the soft and hard tissue.The intraoral data were obtained by the intraoral optical scanning and the implant surgery was guided by static template.Results:4 implants were implanted,and the implant location was ideal.Imaging examination showed that the implant had good osseointegration and the level of the surrounding bone was relatively stable,and showed good clinical esthetic outcome.Conclusion:Correct preoperative diagnosis,sufficient preoperative preparation and three-dimensional digital simulation can enhance the precision of implant surgery,and make the final outcome take both biomechanical and aesthetic effects into consideration.