Use of titanium dental implants as an integrated part of a CLP protocol.
Use of titanium dental implants as an integrated part of a CLP protocol.
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使用钛牙种植体作为 CLP 方案的组成部分。
DOI：
10.1080/02844319850158840
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发表时间：
1998
影响因子：
--
通讯作者：
A. Elander
中科院分区：
文献类型：
--
作者：
J. Lilja;E. Yontchev;H. Friede;A. Elander
唇腭裂患者唇腭裂区无牙问题以前是通过传统的固定桥结构来解决的，但这种方法并不总是被证明是最佳的。如今，在这些患者中，可以用骨整合钛种植固定装置上的冠代替桥。利用钛种植体进行口腔康复的概念已逐渐融入我们对唇腭裂患者的常规治疗中。在这篇报告中，我们描述了我们使用骨整合钛种植体的手术技术，并评估了我们在唇腭裂患者中的效果。16例唇腭裂患者，男11例，女5例，分为两组：1组6例，在固定装置安装前不需要植骨；2组10例，在固定装置安装前3个月追加植骨。在固定装置安装6个月后应用支台。然后建造牙冠和固定桥。所有患者均接受定期随访。术前及应用基台时进行常规x线片检查。在这些场合以及修复工作完成后，我们都拍摄了照片。在31个固定装置中，除2个外，其余的在基台连接时都是骨整合的，其余29个在观察期间都是正常的，成功率为93%。组1所有固定物（100%）均为骨整合。在第二组中发现非集成固定装置，该组的成功率为91%。安装治具后的平均随访时间为6年零3个月，加载治具的平均观察时间为5年零6个月。
The problem of edentulousness in the cleft area of patients with cleft lip and palate was formerly resolved with a conventional fixed bridge construction, but this approach did not always prove optimal. Nowadays, in these patients the bridge can be substituted by a crown on an osseointegrated titanium implant fixture. The concept of dental rehabilitation using titanium implants has gradually merged into our routine treatment for patients with cleft lip and palate. In this report we describe our surgical technique using osseointegrated titanium implants and evaluate our result in patients with cleft lip and palate. Sixteen patients with cleft lip and palate, 11 men and five women, were divided into two groups: group 1 consisted of six patients who did not need bone grafting prior to the fixture installation, and group 2 comprised 10 patients who had additional bone grafting three months before the fixture installation. Abutments were applied six months after fixture installation. Dental crowns and fixed bridges were then constructed. All patients were seen on regular follow-up visits. Routine roentgenograms were obtained preoperatively and when the abutments were applied. Photographs were taken at these occasions and also after the prosthodontic work was completed. Of a total of 31 fixtures, all except two were osseointegrated at the time of the abutment connection, and the remaining 29 have all been functional during the observation period, giving a success rate of 93%. In group 1 all fixtures (100%) were osseointegrated. The non-integrated fixtures were found in group 2 giving a success rate of 91% in this group. The mean follow-up time after fixture installation was six years and three months, and the mean observation time with loaded fixtures was five years and six months.