植牙治療區域手術解剖的文獻探討

Review on Surgical Anatomy in Implant Therapy

曾春祺(Chuen-Chyi Tseng) ； 陳俊榮(Chun-Jung Chen) ； 毛念平(Lian-Ping Mau) ； 林承俊(Cheng-Jyun Lin) ； 林威妮(Wei-Ni Lin) ； 林靖萍(Ching-Pin Lin) ； 彭玉秋(Iok-Chao Pang)

《臺灣牙周病醫學會雜誌》 18卷3期 (2013/09) Pp. 193-207

https://doi.org/10.6121/TAP.2013.18.3.03

摘要

植牙治療已經是口腔復健的重要選項，希望能夠得到良好的植牙治療效果而且不要傷及植體周圍既有的神經血管等重要器官（vital organs），有必要對植牙手術區域的解剖做進一步的膫解。眾所皆知解剖有人種上的差異，早期解剖的知識均來自屍體的研究，近年來電腦斷層的蓬勃發展是一種非侵入性的研究，提供了另一種重要的解剖知識，更有助於對國人的解剖研究。因此本篇報告針對植體植入區域的3D立體影像構造的研究依下顎和上顎部位以解剖學位置，影像構造發現，國人影像方面的資料與國外報告比較以及植牙手術注意事項，希望對植牙治療有實質的幫忙。

關鍵字

植牙治療 ； 上顎 ； 下顎 ； 牙科電腦斷層

並列摘要

Implant therapy has already reached a point where it has an important role to play in oral rehabilitation. To achieve good implant therapy without jeopardizing the surrounding vital structure is the most important guideline for such treatment. Therefore, surgical anatomy has become an important part of the field in this area. In addition, dental computerized tomography (CT) has progressed rapidly in recent years due to the needs of implant treatment. CT is an excellent non-invasive tool for studying anatomy. In addition, it is well known that anatomy shows variation between different racial groups. Therefore a detailed analysis of the implant site or sites is necessary for each case before any surgery takes place in order to avoid any unnecessary damage. The purpose of this article is to review and compare 3D information available in the literature for Eastern and Western individuals in relation to maxillary and mandibular structures. Each structure includes the anatomy, the CT image findings and the differences between Eastern and Western populations; furthermore. These factors will be highlighted in relation to implant surgery. Hopefully, the above information will be beneficial to practitioners who are carrying out implant treatment.

並列關鍵字

implant therapy ； maxilla ； mandible ； dental CT