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目的:探讨在美学区采用简化和微创伤种植修复方法的可行性。方法:上颌前牙美学区种植患者为本研究对象。采用微创拔牙即刻种植,不翻瓣手术,骨膨胀骨增量技术,即刻修复和软组织无创诱导成形等方法,减少手术次数和降低种植区外科创伤。结果:采用此方法完成种植修复患者,获得了可接受的美观效果,并且种植体周组织稳定。讨论:美学区种植修复的目标不仅是功能的成功,也要追求美学的成功,而持久的美学效果还要取决于种植体周围组织的稳定。在临床上大多数种植修复患者的解剖条件均不满足实现基本美学目标的要求,但对某些病例实施过多和复杂的美学处理手段,延长了治疗周期,增加了费用和痛苦,提高了患者对美学结果的心理预期值,反而增大种植治疗的风险。医患双方都必须认识到,完美的种植修复美学效果只有在少数病案中才能实现。临床经验表明,采用微创方法更容易获得适度的美学结果。结论:美学区种植的微创原则是:1.满足功能修复需要;2.合理的美学目标;3.治疗结果可预期性;4.组织稳定性;5.将创伤最小化;6.简化操作缩短疗程;7.控制治疗费用。
Objective: To explore the feasibility of using simplified and minimally invasive implant repair in the aesthetic area. Methods: The maxillary anterior dental aesthetic area planting patients for this study. Minimally invasive extraction of immediate implants, flap surgery, bone augmentation bone augmentation techniques, immediate repair and non-invasive induction of soft tissue forming methods to reduce the number of surgical procedures and reduce surgical trauma in the planting area. Results: This method was used to complete the implantation of patients, to obtain an acceptable aesthetic effect, and implant tissue stability. Discussion: The goal of aesthetic restoration of aesthetics is not only the success of the function, but also the pursuit of the success of the aesthetics, and lasting aesthetics depend on the stability of the tissue around the implant. Most clinically implanted prostheses are not anatomical in terms of meeting basic aesthetic goals, but excessive and complicated aesthetic treatments in some cases prolong treatment cycles, increase costs and pain, and increase patient outcomes The psychological expectations of the aesthetic results, on the contrary, increase the risk of implant treatment. Both doctors and patients must recognize that the perfect aesthetic effect of implant restoration is achieved only in a small number of cases. Clinical experience shows that it is easier to obtain modest aesthetic results using minimally invasive methods. CONCLUSIONS: The minimally invasive principles of aesthetic district planting are: 1. To meet the needs of functional rehabilitation; 2. Reasonable aesthetic goals; 3. Predictable outcome of treatment; 4. Organizational stability; 5. Minimization of trauma; 6. Simplification of operations Shorten the course of treatment; 7 control the cost of treatment.