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上顎前牙單顆植牙,因涉及門面美觀,能否即刻給與假牙恢復美觀,是患者最大的期望,而上顎前牙單顆植牙的early loading則是植牙醫師的重要考驗。上顎前牙缺牙的常見原因包括:先天性缺牙、意外撞斷、嚴重的齲齒、輕度到嚴重的牙周感染、失敗的Post-PC-Crown等等。作者提出一系列上述原因造成缺牙的臨床病例,本著縮短療程、減少痛苦、降低費用的原則,儘可能滿足患者的期望。與大家分享百分之九十的臨床病例以All-in-one一次手術完成的臨床經驗。包括:嚴重骨塉缺損、厚度不足等案例的一次手術完成、拔牙即刻植牙(Immediate Implantation)、即刻給與臨時固定假牙(Immediate provi-sionalization)、Flap或Flapless approach、Bone grafting或non grafting等等。另外作者比較傳統兩截式植體與一截式植體應用在上顎前牙單顆植牙的優缺點及成功率考量。面臨不同狀況的缺牙原因及植牙條件,與患者術前審美需求的溝通,是上顎單顆前牙植牙治療的重要課題。滿足患者的審美從Acceptable,Good,到Excellent不同層次的期望與要求,充分明白的溝通是治療成功的基石。
Single implants of the maxillary anterior teeth, due to the aesthetic appearance of the facades, are the patients’ greatest expectation of being able to instantly restore the dentures. However, early loading of the maxillary anterior teeth is an important test for the implantable physician. Common causes of tooth loss in the maxillary anterior teeth include: birth defects, accidental crashes, severe dental caries, mild to severe periodontal infections, failed Post-PC-Crown, and more. The authors propose a series of clinical cases of edentulousness caused by the above-mentioned reasons, and meet patient’s expectation as much as possible in the principle of shortening the course of treatment, reducing pain and reducing costs. Share 90% of clinical cases with All-in-one clinical experience of a surgery. Including: a serious case of skeletal defects, such as the lack of thickness of a complete operation, immediate dental implants (Immediate Implantation), immediately give temporary fixed dentures (Immediate provi-sionalization), Flap or Flapless approach, Bone grafting or non-grafting, etc. . In addition, the author compares the advantages and disadvantages of single two-parted implants and single-parted implants applied to single implants of anterior maxilla and the success rate. Facing the different conditions of the causes of tooth loss and implant conditions, and the patient’s aesthetic needs of preoperative communication, is an important issue of the single anterior teeth implant surgery. Satisfying patient’s aesthetic expectations and requirements at different levels of Acceptable, Good, Excellent, fully understood Communication is the cornerstone of successful treatment.