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即刻种植 即刻修复

发布时间:2016-11-11 16:47  | 文章分类:种植浏览次数:  |  评论:37  | 推荐数:35

 患者 男 周某某      20

 

 

        上前牙原修复体一周前松动
现 病 史上前牙儿时因外伤碰断并临时修复,现临时修复体松动,来我院就诊
既 往 史有镶牙史,否认全身系统疾病史及药物过敏史
        11,21树脂冠,松动I°     X示:根管内阻射,内有桩钉,根尖            
                 阴影。唇侧骨质较薄,骨密度良好
治疗计划11,21拔除,即刻种植
     置:必兰局麻下拔除牙体,即刻切开,翻瓣,刮除肉芽,逐级备洞,
             植入诺保4.3*11.5植体,唇侧植入人工骨粉,置胶原蛋白,置修
             复基台,制作临时冠,调颌,抛光,临时固定,间断缝合,医嘱
             3月后冠修复
治疗过程: 如图

图1                                                             术前CT

 

图2                                                              术后CT

 

图3                                                     术前正位咬颌照

 

图4                                                          术前正位照

 

图5                                                           术前腭侧照                                        

 

图6                                                         拔除牙体及原修复体

 

图7                                               植入诺保植体,置修复基台

 

图8                                       术后即刻修复,临时冠正位咬颌                 

 

图9                                        术后即可修复,临时冠腭侧照

 

图10                                                临时冠修复(1个月后

 

图11                            三个月后袖口形成咬颌照

 

图12                                                   三个月后袖口形成


 

图13                                          采用诺保闭口式印模帽腭侧照

 

图14                                       采用诺保闭口式印模帽正面照

 

图15                                                            比色

 

图16                                                        滤光镜比色

 

图17                                           诺保闭口式印模帽硅橡胶取模

 

图18                                                 修复体模型正位照

 

图19                                                   修复体模型腭侧照

 

图20                                                 修复体模型正面照

 

图21                                                  愈合基台正面照

 

图22                                                    愈合基台腭侧照

 

图23                                                  氧化锆修复体

 

图24                                                   术后正位咬颌照

 

图25                                                                  术后正位牙列照

 

图26                                               术后正位黑背板照

 

图27                                                术后正位滤光镜照

 

图28                                                  术后露唇度照

 

图29                                               修复三个月后复诊

 

图30                                                X光片示                                                         

 

 

图31                                                    三个月后复查X光片

 

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