使用矯正挺出法增進植牙區軟硬組織之臨床原則

Clinical Principles of Orthodontic Extrusion for Implant Site Development

林子軒(Tzu-Hsuan Lin) ； 蔡昆哲(Kun-Zhe Tsai) ； 邱賢忠(Hsian-Chung Chiu) ； 江正陽(Cheng-Yang Chiang) ； 黃仁勇(Ren-Yeong Huang) ； 郭博仁(Po-Jan Kuo)

《臺灣牙周病醫學會雜誌》 29卷1期 (2024/05) Pp. 30-37

https://doi.org/10.6121/TAP.202405_29(1).0003

摘要

臨床上嚴重牙周病或根管感染所產生的齒槽骨缺損，在牙齒拔除後常因明顯的軟硬組織缺損而使後續的植牙治療充滿挑戰，特別是當此類缺損存在前牙美觀區時。如果在拔牙前能進行適當的分析，在適合的病例上矯正挺出法可作為以非手術方式增補植牙區軟硬組織的治療選擇。本文章將針對矯正挺出法進行文獻回顧，整理包含所使用之力量大小、牙根移動速度及治療後穩定時間等細節，以期能作為臨床治療之參考。

關鍵字

矯正挺出 ； 人工植牙 ； 脊增進術

並列摘要

In clinical practice, alveolar bone defects resulting from severe periodontal disease or endodontic infection often present significant challenges in subsequent implant therapy due to noticeable deficiencies in both soft and hard tissues following tooth extraction, especially when such defects are present in the esthetic zone. If appropriate analysis can be conducted before tooth extraction, orthodontic extrusion in suitable cases can serve as a non-surgical treatment option to implant site development. This article aims to conduct literature review on orthodontic extrusion, organizing details such as the magnitude of forces applied, the speed of root movement, and the post-treatment stabilization time. The goal is to provide a reference for clinical treatment.

並列關鍵字

Orthodontic extrusion ； Dental implantation ； Alveolar ridge augmentation