矯正式垂直骨嵴增高術－適應症、好處、治療方式及穩定性

Vertical Ridge Augmentation by Orthodontic Extrusion technique-indications, Advantages, Treatment and Stability

蕭欣慧(Sin-Huey Siew) ； 董醒任(Tony Shing-Zeng Dung) ； 呂炫堃(Hsein-Kun Lu)

《臺灣牙周病醫學會雜誌》 16卷1期 (2011/03) Pp. 36-47

https://doi.org/10.6121/TAP.201103_16(1).0004

摘要

面對各種因素所引起的缺牙，人工植牙在牙科臨床工作上扮演著越來越重要的角色，也爲病患帶來更好的口腔生活品質。但是，骨嵴高度及寬度上的不足往往是植牙前面臨的一大問題。目前在臨床上，牙骨嵴增高的術式一般可分爲非手術性骨嵴增高術（矯正式骨嵴增高術）及手術性骨嵴增高術。本文主要探討矯正式骨嵴增高術的適應症、好處、方法，及穩定性，同時比較它與手術性骨嵴增高術在後遺症及植體成功率方面的差異。以現有的參考文獻來看，在適當的病例選擇下，矯正式骨嵴增高術在硬組織及軟組織方面都有不錯的表現，新增的骨嵴也能提供植體良好的骨整合及存活率。

關鍵字

骨嵴高術 ； 矯正式拔牙 ； 導引骨再生術

並列摘要

Dental implant restoration is becoming the first choice for the patients and dentists to rehabilitate the edentulous area in this brand new era. However, insufficient alveolar ridge in width and height are always a problem for a dentist to install an implant in a proper and safe position. The alveolar ridge can be augmented in two ways: non-surgical (orthodontic extrusion technique) and surgical. This paper discusses the indications, advantages and treatment methods of orthodontic extrusion technique for vertical ridge augmentation. Moreover, the implant stability in the augemented ridge by the orthodontic extrusion technique and surgical technique will also be compared. In short, orthodontic ridge augmentation technique provide good results in soft and hard tissue aspects, and also in implant stability and survival rate.

並列關鍵字

Ridge augmentation ； orthodontic extrusion ； vertical ridge augmentation, guided bone regeneration ； forced eruption