中国实用口腔科杂志 ›› 2022, Vol. 15 ›› Issue (2): 151-157.DOI: 10.19538/j.kq.2022.02.005

• 软硬组织增量技术改善种植治疗条件专栏 • 上一篇    下一篇

口腔癌术后局部放疗5年后患者下颌磨牙拔牙区软硬组织增量手术改善种植条件(附1例报告)

张浩筠a,任钰莹a,胡文杰a,刘云松b,徐    涛a,危伊萍a,韩子瑶a   

  1. 北京大学口腔医学院·口腔医院a牙周科,b修复科;国家口腔医学中心;国家口腔疾病临床医学研究中心;口腔数字化医疗技术和材料国家工程实验室;国家卫生健康委员会口腔医学计算机应用工程技术研究中心,北京  100081
  • 出版日期:2022-03-30 发布日期:2022-04-06
  • 基金资助:
    北京市科学技术委员会首都临床特色应用研究基金(Z161100000516042);北京大学临床科学家计划专项(BMU2019LCKXJ010)

  • Online:2022-03-30 Published:2022-04-06

摘要: 软硬组织增量手术常用于改善种植条件,如牙槽嵴保存术、游离龈移植术等可用于维持或创造良好的软硬组织轮廓,避免后期进行复杂的增量手术,降低种植手术难度。对于口腔局部放疗患者而言,能否通过这些简便、创伤小的增量技术创造利于种植治疗的基础条件,是特殊人群种植治疗值得关注的问题。文章展示了1例口腔局部放疗患者微创拔牙、牙槽嵴保存术和游离龈移植术改善种植位点局部软硬组织条件的全过程,种植修复后取得了良好的治疗效果,为口腔癌术后放疗患者行种植治疗及相关软硬组织增量手术提供了经验。

关键词: 局部放疗, 软硬组织增量, 磨牙, 牙槽嵴保存, 种植治疗

Abstract: Soft and hard tissues augmentation is often used to improve local conditions for implant therapy,such as alveolar ridge preservation and free gingival graft,which may help to avoid complex augmentation process and reduce the difficulty of implant therapy. It is noteworthy that whether these simple and minimally invasive augmentation technologies can create favourable condition for implant therapy in patients receiving local radiotherapy. This article illustrated the whole process of atraumatical tooth extraction,alveolar ridge preservation and free gingival graft to improve the soft and hard tissues of implant site in a patient experiencing oral and maxillofacial local radiotherapy. Satisfactory effect was obtained after implant restoration. This case provided clinical experience for implant therapy and related soft and hard tissue augmentation surgery in patients who underwent local radiotherapy.

Key words: local radiotherapy, soft and hard tissues augmentation, molars, alveolar ridge preservation, implant therapy