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目的探讨分析即刻种植适应证的选择、操作要点及失败原因分析。方法应用ITI种植体及CDIC种植体即刻种植42例患者,共植入种植体60枚,ITI种植体20枚,CDIC种植体40枚,术后三到四月种植体冠部修复。检查种植体松动度,X线检查种植体骨结合情况及牙龈外形,评价临床成功率及美学修复效果。结果随访2～5年60枚种植体中,2枚术后2周内感染松动,拔除。1枚3个月复诊时未达到骨结合,拔除。其余57枚种植体无松动,达到骨结合,成功率达到95%。结论即刻种植只要严格选择适应证,精细操作,同样与延期种植一样达满意的临床成功率及远期效果。
Objective To analyze and analyze the choice of immediate indications of planting, the main points of operation and the analysis of the causes of failure. Methods Forty-two patients were implanted with ITI implants and CDIC implants. There were 60 implants, 20 ITI implants and 40 CDIC implants. The implants were repaired in 3 to 4 months after operation. Check the implant mobility, X-ray examination of implant bone and gum shape, evaluation of clinical success rate and aesthetic repair effect. Results The follow-up 2 to 5 years, 60 implants, 2 were infected within 2 weeks after loosening, removal. A 3-month follow-up did not achieve bone union, removal. The remaining 57 implants without loosening, to achieve bone union, the success rate of 95%. Conclusion As soon as strict indications and fine operation are needed for immediate planting, the same satisfactory clinical success rate and long-term effect are also obtained.