Replacing Periodontally Compromised Molars with Dental Implants: A Clinical Case Report with 2-year Follow-up

以人工植牙取代牙周受損之大臼齒的兩年追蹤臨床案例報告

吳尚恆(Shang-Heng Wu)

《中華民國家庭牙醫學雜誌》 16卷1期 (2021/06) Pp. 4-10

https://doi.org/10.6566/JFD.202106_16(1).0001

摘要

In this case report, two periodontally compromised molars were replaced by dental implants after extraction and ridge preservation. Following soft tissue augmentation, two single implant crowns with customized abutments were then delivered. In two-year clinical and radiographic follow-up, either the surrounding hard and soft tissue or occlusal functions of implants are maintained stable and well-qualified. It is reasonable to conclude that replacing periodontally compromised teeth by dental implants is a predictable treatment option for patients with well-controlled periodontitis, and more cases should be investigated for further confirmation.

關鍵字

dental implants ； periodontitis

並列摘要

本案例為右下第一及第二大臼齒嚴重牙周破壞，經拔除後進行齒槽脊保存術。之後經過術前完整診斷分析，植入兩支植體，並輔以軟組織增補，最後以客製化支台形式，完成兩顆單冠植牙補綴物。術後連續兩年的臨床追蹤及放射線檢查，發現植牙及周邊軟硬組織皆維持穩定，且咬合功能也表現良好。顯示在牙周病獲得良好控制的患者口內，以人工植牙來取代牙周受損的牙齒，是可預期成功的治療選擇，而日後應有更多臨床案例來應證。

並列關鍵字

牙科植體 ； 牙周炎