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目的:由于导致牙列缺损、缺失原因复杂,缺牙区组织结构、咬合关系、咀嚼功能等不同个体间存在着很大的差别,因此治疗方案的个性化极其重要,是保证治疗效果的有效性和长期稳定性的关键所在,本文将探讨在不同的条件下前牙种植美学修复方案的设计。方法:部分牙缺失区域、由于解剖结构异常、存在骨缺损,或者受术中视野、手术者经验及技巧的影响,导致植入种植体位置、方向和深度的欠佳,会给后期的种植修复带来困难。将种植体异常的临床表现分类,通过分类具体讲述不同的种植修复病例的个性化设计和治疗方案。采用不同材料的个性化基台和二氧化锆全瓷冠修复技术,完成86例前牙区的种植美学修复。结果:以前牙区种植体咬合空间的变化分类概括了临床常见的前牙区种植美学修复问题,在取得良好的美学效果前提下,为临床操作提供参考指导。结论:个性化的治疗方案对种植义齿前牙区的美学修复至关重要。
OBJECTIVES: The individualization of treatment regimens is extremely important in order to ensure the effectiveness of the treatment, due to the great differences between the different entities that cause the defect of the dentition, the reasons for the loss, the structure of the edentulous area, the occlusion relationship and the masticatory function And the key to long-term stability, this article will explore the design of aesthetics restoration programs for anterior teeth implant under different conditions. Methods: In some areas of tooth loss, due to the abnormal anatomy, the presence of bone defects, or the influence of intraoperative field of vision, surgeons’ experience and skills, resulting in poor placement, orientation and depth of implants, which will give post-implant restoration Bring difficulties The classification of clinical manifestations of implants abnormalities, through the classification of different planting specific repair case personalized design and treatment programs. Using different materials of personalized abutment and zirconia all-ceramic crown repair technology to complete the planting of 86 cases of anterior dental restoration aesthetics. Results: The changes of the occlusal spaces of the dental implants in the past summarized the problems of aesthetical restoration of the common anterior dental implants, and provided reference guidance for the clinical operation under the premise of obtaining good aesthetic results. CONCLUSIONS: Personalized treatment is essential for aesthetic restoration of the anterior dentition.