同期软硬组织增量治疗种植体周围软组织缺损1例

doi:10.13591/j.cnki.kqyx.2026.08.008

口腔医学 ›› 2026, Vol. 46 ›› Issue (8): 613-618.doi: 10.13591/j.cnki.kqyx.2026.08.008

同期软硬组织增量治疗种植体周围软组织缺损1例

陈汀兰¹, 曹泽鹏², 孙中毅³, 倪靖¹()

¹ 上海交通大学医学院附属第九人民医院牙周病科, 上海交通大学口腔医学院,国家口腔医学中心,口腔疾病国家临床医学研究中心,上海市口腔医学重点实验室,上海市口腔医学研究所,中国医学科学院口腔颌面再生医学创新单元, 上海 (200011)
² 佳木斯大学附属口腔医学院, 黑龙江佳木斯 (154000)
³ 上海市松江区泗泾医院(上海市松江区口腔病防治所), 上海 (201600)

收稿日期:2025-11-06 出版日期:2026-08-28 发布日期:2026-08-24
通讯作者: 倪靖 E-mail:natalie1229_9@126.com
基金资助:
上海市卫生健康委员会临床专项青年基金(20244Y0189);国家自然科学基金(82301067);上海市重中之重研究中心(2022ZZ01017);中国医学科学院医学与健康科技创新工程(2019-I2M-5-037)

Simultaneous hard and soft tissue augmentation for peri-implant soft tissue defects: A case report

CHEN Tinglan¹, CAO Zepeng², SUN Zhongyi³, NI Jing¹()

¹ Department of Periodontology, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine; College of Stomatology, Shanghai Jiao Tong University; National Center for Stomatology; National Clinical Research Center for Oral Diseases; Shanghai Key Laboratory of Stomatology; Shanghai Research Institute of Stomatology; Research Unit of Oral and Maxillofacial Regenerative Medicine, Chinese Academy of Medical Sciences, Shanghai 200011, China

Received:2025-11-06 Online:2026-08-28 Published:2026-08-24

摘要/Abstract

摘要：

由于种植体与天然牙周软组织存在解剖结构上的差异,种植体周围软组织缺损的治疗相较于天然牙牙龈退缩更加困难,其效果更难预测。本文报道了1例双侧上颌前牙种植体周软组织缺损的病例,并分析了影响该病例治疗效果的因素。患者女性,种植术后10年出现双侧侧切牙种植体唇侧软组织缺损,影响美观。在保留原种植体冠条件下,对患者行种植体唇侧同期软硬组织增量手术,术后软组织基本覆盖裸露基台,改善了过于唇向植入的种植体周唇侧软组织轮廓与美学效果。

关键词: 种植体周软组织开裂/缺损, 种植体周软组织手术, 软硬组织增量

Abstract:

Due to the anatomical differences between peri-implant soft tissues and natural teeth, the treatment of peri-implant soft tissue defects is more challenging and less predictable than the management of gingival recession around natural teeth. This article presents a case report of bilateral peri-implant soft tissue defects in the maxillary anterior region and analyzes the factors influencing the treatment outcome. The patient, a female, presented with facial soft tissue recession around bilateral lateral incisor implants ten years after implantation, which compromised aesthetics. While preserving the original implant crowns, simultaneous hard and soft tissue augmentation was performed on the facial aspect of the implants. Postoperatively, near-complete coverage of the exposed abutments was achieved, along with an improved facial soft tissue contour and aesthetic outcome around the excessively facially positioned implants.

Key words: peri-implant soft tissue dehiscence/deficiency, peri-implant soft tissue surgery, hard and soft tissue augmentation

中图分类号:

R783.4

陈汀兰, 曹泽鹏, 孙中毅, 倪靖. 同期软硬组织增量治疗种植体周围软组织缺损1例[J]. 口腔医学, 2026, 46(8): 613-618.

CHEN Tinglan, CAO Zepeng, SUN Zhongyi, NI Jing. Simultaneous hard and soft tissue augmentation for peri-implant soft tissue defects: A case report[J]. Stomatology, 2026, 46(8): 613-618.

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参考文献 21

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同期软硬组织增量治疗种植体周围软组织缺损1例

Simultaneous hard and soft tissue augmentation for peri-implant soft tissue defects: A case report

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