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立即植牙且早期負荷之下顎全口覆蓋式義齒病例報告

Immediate Implantation and Early Loading of Mandibular Overdenture: Case Report

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摘要


為了達到成功的骨整合,植體在置入後必須在無任何負載的情況下等待3-6個月,然而這段等待的時間,會造成患者美觀、功能,及人際關係上的不便。因此,如何在植體置入後盡快裝戴義齒成為目前研究的重點。近年來很多立即或早期負荷的研究報告皆顯示在適當的條件下是可行的且預後良好,成功率與傳統的治療模式不相上下。本篇報告提出的病例是患者在植體植入6天後負荷之下顎全口覆蓋式義齒的治療過程及討論其注意事項。

並列摘要


The classical guidelines for achieving osseointegration include a long healing time with no functional load. However, patients may experience inconvenience in terms of function, esthetic, psychological and social activity during the healing period, especially in patients with fully edentulous arches. Therefore, current researches have been focused on how to restore patient’s function and esthetics as early as possible after implant placement. Recent studies demonstrated immediately loaded implant prostheses in completely edentulous patients with high success rate comparable to conventionally treatment protocols. The purpose of this paper is to report a case of loading four ITI implants with a mandibular overdenture 6 days after their insertion. The clinical procedures, surgical and prosthodontic considerations are also discussed.

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