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齒槽嵴劈開術在牙科種植體的應用

Ridge Splitting for Dental Implant

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摘要


齒槽嵴劈開術(ridge splitting)是利用骨劈(chisel)或骨鑿(osteotome)將狹窄的齒槽骨劈開,達到增加齒槽骨寬度的目的。在劈開的齒槽骨內可立即植入植體。然而撐開齒槽嵴時需小心操作,否則可能劈斷頰側骨板,造成骨癒合不良,甚至導致植體的失敗。本文將說明採用齒槽嵴劈開術的病患選擇,並詳細介紹此技術的臨床步驟及特殊設計骨鑿的使用方法。本文更進一步探討植體植入劈開齒槽嵴的臨床效果以及評估齒槽骨被劈開之後產生的間隙的骨癒合狀況。

並列摘要


Ridge splitting is a technique to expand the narrow residual ridge by using a chisel or a series of osteotomes. This procedure provides ridge widening with immediate implant placement. When employing this technique, the buccal plate should be carefully displaced. Any trauma to the fragile bony plate may impede the normal bone healing. This paper describes and reviews recent literatures of the bone-splitting procedures and its indications in dental implant surgery. The use of osteotomes specially designed for the bone splitting is illustrated. The clinical effectiveness of implant installed in the split ridge is assessed. The histological events regarding bone healing within the fissure created by splitting technique is discussed.

並列關鍵字

ridge splitting dental implant

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