電腦導引式全口植牙重建-病例報告

Full Mouth Rehabilitation with Guided Implant Surgery - A Case Report

楊秀斌(Hsiu-Pin Yang) ； 梁光源(Kuang-Yuan Liang)

《臺灣口腔顎面外科學會雜誌》 27卷1期 (2016/03) Pp. 46-54

摘要

電腦導引式植牙是利用電腦斷層收集患者軟硬組織的三度空間資訊，並在 電腦上合成活動假牙及軟硬組織之間相互位置，避開重要的解剖構造並規劃及達成理想的植牙手術。本病例報告提出如何利用電腦導引式植牙，在患者持續的張口練習及骨鑿式上顎竇提升術下克服口腔黏膜下纖維化及上顎骨高 度不足等導引式植牙相對禁忌症，一次性精準且快速的完成植入上顎十顆下顎八顆全口共十八顆植體，並利用初期穩定性佳的上下顎各四顆植體立即受力來支持原活動假牙，達到即刻功能及受力的目的，後續分別完成下上顎固定式植牙贋復，達到快速、精準且安全的全口重建治療。

關鍵字

全口重建 ； 電腦導引式植牙 ； 口腔黏膜下纖維化 ； 上顎竇提升術

並列摘要

The Guided implant surgery allows the virtual planning of dental implant therapy by using CBCT to get the detailed information of the soft tissue, hard architecture of jaw bone, and removable prosthesis. Therefore, it is possible to plan precise positions of all the implants respect to the anatomical structures, and achieving better predictability. This case is about a full mouth computer-guided implant surgery which was planned with bimaxillary implantations according to the NobelGuide surgery and immediate loading technique under compromised conditions of oral submucosal fibrosis and vertical deficiency of maxillary bone. Ten and eight fixtures over maxilla and mandible were placed accurately and safely with guided implant surgery at one time. After 3 months of surgery, implant-supported fixed bridges were finished to complete the full mouth rehabilitation successfully.

並列關鍵字

NobelGuide ； Full mouth rehabilitation ； Guided implant surgery ； Oral submucosal fibrosis ； Sinus lift