持續性顱顏面生長對人工植牙的影響：文獻回顧

The Effect of Continuous Craniofacial Growth on Dental Implants: A Literature Review

莊涵芝(Han-Chih Chuang) ； 侯欣妤(Hsin-Yu Hou) ； 蔡昆哲(Kun-Zhe Tsai) ； 張廼旭(Nancy Nie-Shiuh Chang) ； 郭博仁(Po-Jan Kuo)

《臺灣牙周病醫學會雜誌》 23卷2期 (2018/12) Pp. 87-98

https://doi.org/10.6121/TAP.201812_232.0003

摘要

人工植牙發展至今日，各類軟、硬組織手術技術漸趨成熟，研究上植牙長期存活率亦相當高。然而隨著植牙使用時機廣泛與觀察時間拉長，許多併發症逐漸浮現，其中顱顏面持續生長發育對植體的負面影響更受到聚焦重視。現今發現此現象不僅出現在青春期患者，於成年人顱顏面區域也有持續骨發育潛力，造成種植多年的植體出現低位咬合、植體與自然牙之間出現鄰接面無接觸以及影響前牙美觀等併發症。因此，本篇文獻回顧整理顱顏面持續性生長發育與人工植體相關資料，歸納持續骨發育對植體與週邊牙周組織造成之衝擊，進一步提供預防方法，以做為臨床訂定植體治療計劃之考量。

關鍵字

顱顏面生長 ； 植體 ； 年紀 ； 無接觸 ； 低位咬合

並列摘要

Dental implants have been used for decades. Nowadays, techniques of hard and soft tissue surgery have been developed so well that many researches pointed out that the long-term success rate of dental implants was very high. However, as dental implants being used more and more often and the follow-up periods getting longer and longer, many complications have emerged. One of which is the negative impact of persistent craniofacial growth on dental implants. Recently, this phenomenon was found not only in adolescents but also in adults. Continuous craniofacial growth results in infraocclusion of dental implants relative to remaining dentition, interproximal open contact between implants and neighboring nature teeth, and changes of esthetic outcomes. Hence, this review aims to organize previous studies about adult craniofacial growth, dentify its impact on dental implants as well as the surrounding tissue and further provide the methods of prevention for possible persistent craniofacial growth and recommendations for the treatment of dental implant under this kind of situation.

並列關鍵字

craniofacial growth ； dental implant ； age ； open contact ； infraocclusion