Chinese Journal of Practical Stomatology ›› 2024, Vol. 17 ›› Issue (1): 26-32.DOI: 10.19538/j.kq.2024.01.004

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  • Online:2024-01-30 Published:2024-02-20

种植固定修复后食物嵌塞的发生原因及防治

葛严军,潘韶霞   

  1. 北京大学口腔医学院·口腔医院修复科,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,口腔数字医学北京市重点实验室,北京  100081
  • 作者简介:葛严军,医学博士、北京大学口腔医院副主任医师。兼任国际口腔种植学会(ITI)Fellow、中华口腔医学会口腔种植专业委员会青年委员、白求恩精神研究会口腔医学分会理事会理事。主持国家青年科学基金项目1项、院级科研项目5项,参与国家、省部级科研项目10余项。参编专著5部、主译英文专著2部。发表中英文学术论文24篇。获全国口腔种植及美学病例大赛最高奖5次。

Abstract: Food impaction is a common complication of fixed implant supported restoration with high prevalence and severe threat to oral health. It is classified into three subtypes:vertical,horizontal and mixed type,which is the most commonly used classification clinically. Many factors are related to food impaction,such as,hard and soft tissue around implant,implant and its superior prosthesis,adjacent tooth,opposite jaw tooth,occlusion,teeth alignment and personal habit. There is no simple and effective therapeutic method clinically. Prevention should be the first choice,and a multidisciplinary approaches of restoration,periodontology and orthodontics can be applied following confirmed diagnosis.

Key words: fixed implant supported restoration, food impaction, proximal contact loss, cause of occurrence, occlusion

摘要: 食物嵌塞是一种常见的种植固定修复后并发症,发生率高,危害大。目前临床上最常用的分类方式是将其分为垂直型、水平型和混合型3种。种植体周软硬组织、种植体及其上部修复体、邻牙、对颌牙、咬合、牙齿排列以及患者个人习惯等诸多因素都会引起或加重食物嵌塞的发生。临床尚无简单有效的治疗手段,应以预防为主,在明确成因后综合运用修复、牙周、正畸等多学科手段解决。

关键词: 种植固定修复, 食物嵌塞, 邻接触丧失, 发生原因, 咬合