立即植牙引發顎骨骨髓炎之文獻回顧及病例報告

Osteomyelitis of the Jaw Following Immediate Implant Placement: Systemic Review and A Case Series

張孟擇(Meng-Tse Chang) ； 吳昭南(Chao-Nan Wu) ； 張浩陞(Hao-Sheng Chang) ； 葉于萍(Yu-Ping Ye) ； 柯仁琮(Rent-Sung Ko) ； 姚雅柔(Ya-Jou Yao)

《臺灣牙周病醫學會雜誌》 23卷1期 (2018/05) Pp. 42-56

https://doi.org/10.6121/TAP.201805_231.0005

摘要

立即植牙現今已被認為是可預期性且成功率高的術式。隨著植體表面處理的進步，與盡量保存缺牙區周圍軟硬組織觀念下，目前被大幅應用在植牙手術，來減少患者的手術次數、治療時間、術後不適感及缺牙不美觀的等待期。顎骨骨髓炎是一個棘手的顎骨感染性疾病，極不易治療。因立即植牙引發顎骨慢性骨髓炎，目前少有文獻探討與病例報告。本篇文獻藉一下顎第一大臼齒立即植牙引發下顎骨髓炎之病例報告，進行文獻回顧，探討立即植牙與骨髓炎之可能關連性及骨髓炎之診斷與治療。

關鍵字

立即植牙 ； 骨髓炎

並列摘要

It is widely known that immediate implant placement is a predictable and successful surgical protocol nowadays. With the improvement of the surface treatment of the implant and the concepts of keeping the soft and hard tissue surrounding the edentulous area, it is widely used in the implant surgery to reduce the number of surgical procedure, the treatment time, the postoperative discomfort and the waiting period. Osteomyelitis is a difficult infectious disease of the jaw and is extremely difficult to treat. However, to our best knowledge, there are limited previous articles about the diffuse osteomyelitis following immediate implant placement. By this case report, we review the literature to explore the relationships between immediate implant placement and osteomyelitis as well as the diagnosis and the treatment of osteomyelitis.

並列關鍵字

immediate implant ； osteomyelitits