无牙颌种植固定修复术后并发症的反思与总结

摘要/Abstract

摘要： 无牙颌种植固定修复已经有40余年历史，种植体长期成功率大于90%，而其修复体失败率通常高于种植体。无牙颌种植修复术后严重的机械、生物并发症是影响修复成功的重要因素。因此，临床医生需要了解种植固定修复并发症的发生率和类型，以便向患者提供基于循证证据的治疗方案以及不同修复的优势及风险信息。该文将结合临床经验以及国内外文献对种植修复术后并发症进行探讨。

关键词: 并发症, 无牙颌, 全颌种植固定修复

Abstract: Implantsupported fixed complete dental prostheses (IFCDPs) have a history of more than 40 years, and the longterm success rate of implant is more than 90%, but it is reported that the failure rate of the restoration is usually higher than that of the implant for IFDP in edentulous patients. Severe mechanical and biological complications after the restoration are relevant to prosthesis success rate. Hence, the understanding of the incidence and type of complications in each treatment modality is necessary for the clinicians in order to present evidencebased information to the patient about treatment options and their respective benefits and risks. This paper will discuss the complications of IFCDP in combination with clinical experience and literature review.

Key words: complications, edentulism, implantsupported fixed complete dental prosthesis

汤春波. 无牙颌种植固定修复术后并发症的反思与总结[J]. , 2019, 39(5): 385-389.

参考文献

[1]Papaspyridakos P, Barizan Bordin T, Kim YJ, et al.Implant survival rates and biologic complications with implantsupported fixed complete dentalprostheses: A retrospective study with up to 12year followup[J].Clin Oral Implants Res, 2018, 29(8):881-893
[2]〓林野.口腔种植学［M］.北京:北京大学医学出版社, 2014:365.
[3]Papaspyridakos P, Chen CJ, Chuang SK, et al.A systematic review of biologic and technical complications with fixed implant rehabilitations for edentulous patients[J].Int J Oral Maxillofac Implants, 2012, 27(1):102-110
[4]〓Wong CKK, Narvekar U, Petridis H.Prosthodontic complications of metalceramic and allceramic, completearch fixed implant prostheses with minimum 5 years mean followup period. a systematic review and Metaanalysis［J/OL］. J Prosthodont, 2018, (20180517)［20190120］. https://doi.org/10.1111/jopr.12797.〓〓
[5]Attard NJ, Zarb GA.Longterm treatment outcomes in edentulous patients with implantfixed prostheses: the Toronto study[J].Int J Prosthodont, 2004, 17(4):417-424
[6]Al Bader B, Al Helal A, Proussaefs P, et al.Digitally milled metal framework for fixed complete denture with metal occlusal surfaces: a design concept[J].Int J Period Res Dent, 2017, 37(3):e180-e188
[7]Malo P, Araujo Nobre MD, Lopes A, et al.Double fullarch versus single fullarch,four implantsupported rehabilitations: A retrospective,5year cohort study[J].J Prosthodont, 2015, 24(4):263-270
[8]Tischler M, Patch C, Bidra AS.Rehabilitation of edentulous jaws with zirconia completearch fixed implantsupported prostheses: An up to 4year retrospective clinical study[J].J Prosthet Dent, 2018, 120(2):204-209
[9]Pjetursson BE, Asgeirsson AG, Zwahlen M, et al.Improvements in implant dentistry over the last decade: comparison of survival and complication rates in older and newer publications[J].Int J Oral Maxillofac Implants, 2014, 29(Suppl):308-324
[10]Katsoulis J, Takeichi T, Sol Gaviria A, et al.Misfit of implant prostheses and its impact on clinical outcomesDefinition,assessment and a systematic review of the literature[J].Eur J Oral Implantol, 2017, 10(Suppl 1):121-138
[11]Bacchi A, Paludo L, Ferraz Mesquita M, et al.Loosening torque of prosthetic screws in metalceramic or metalacrylic resin implantsupported dentures with different misfit levels[J].J Biomech, 2013, 46(7):1358-1362
[12]Sananez A, Lefebvre C, Looney S, et al.In vitro mechanical analysis of completearch mandibular implantsupported fixed prostheses abutment screws after cyclic loading[J].J Prosthet Dent, 2015, 113(5):432-439
[13]AlOtaibi HN, AlFouzan AF, AlMufleh TS, et al.Effect of different maintenance time of torque application on detorque values of abutment screws in fullarch implantsupported fixed prostheses[J].Clin Implant Dent Relat Res, 2018, 20(5):848-851
[14]rtorp A, Jemt T.CNCmilled titanium frameworks supported by implants in the edentulous jaw: a 10year comparative clinical study[J].Clin Implant Dent Relat Res, 2012, 14(1):88-99
[15]Bidra AS, Rungruanganunt P, Gauthier M.Clinical outcomes of full arch fixed implantsupported zirconia prostheses: A systematic review[J].Eur J Oral Implantol, 2017, 10(Suppl 1):35-45
[16]rtorp A, Jemt T.Early laserwelded titanium frameworks supported by implants in the edentulous mandible: a 15year comparative followup study[J].Clin Implant Dent Relat Res, 2009, 11(4):311-322
[17]Drago C, Howell K.Concepts for designing and fabricating metal implant frameworks for hybrid implant prostheses[J].J Prosthodont, 2012, 21(5):413-424
[18]Chrcanovic BR, Kisch J, Albrektsson T, et al.Factors influencing the fracture of dental implants[J].Clin Implant Dent Relat Res, 2018, 20(1):58-67
[19]Chang JS, Ji W, Choi CH, et al.Catastrophic failure of a monolithic zirconia prosthesis[J].J Prosthet Dent, 2015, 113(2):86-90
[20]Bidra AS, Tischler M, Patch C.Survival of 2039 complete arch fixed implantsupported zirconia prostheses: A retrospective study[J].J Prosthet Dent, 2018, 119(2):220-224
[21]Murgueitio R, Dussan J, Rios H, et al.Visual labels to facilitate hygiene around implantsupported complete fixed dental prostheses[J].J Prosthet Dent, 2014, 112(6):1588-1590
[22]Sadowsky SJ, Fitzpatrick B, Curtis DA.Evidencebased criteria for differential treatment planning of implant restorations for the maxillary edentulous patient[J].J Prosthodont, 2015, 24(6):433-446
[23]Coachman C, Calamita MA, Coachman FG, et al.Facially generated and cephalometric guided 3D digital design for complete mouth implant rehabilitation: A clinical report[J].J Prosthet Dent, 2017, 117(5):577-586
[24]Collaert B, Van Dessel J, Konings M, et al.On speech problems with fixed restorations on implants in the edentulous maxilla: introduction of a novel management concept[J].Clin Implant Dent Relat Res, 2015, 17(Suppl 2):e745-750