以引導組織再生來保存牙齒或拔牙以人工植牙重建缺牙區－如何取拾？

Guide tissue regeneration to save tooth or tooth extraction with implant replacement-How to make a decision?

簡華宏(Hua-Hong Chien)

《中華民國牙周病醫學會雜誌》 9卷附冊 (2004/07) Pp. s49-s55

摘要

根據文獻回顧已証實有許多手術方法及材料可以成功地用來獲得臨床及組織學上的新附連。過去三十幾年來，雖然在牙周再生的範疇上已有重大進展，但是要達到對已失去牙周支持的組織使產生可預測性的完全再生，仍就是無法達成的目標。本文主要的目的即是提供關於牙周再生治療及口腔植體贗復的實証醫學資訊，同時也將探討影響其成功率的一些因素。另外，我們將針對會影響牙周再生結果及長期維護的「治療相關 J 及「患者相關」之因素作深入分析。此外，本文也將介紹牙科植體的種類，評估其「成功／失敗」的參數及導致牙科植體失敗的生物因子。

關鍵字

引導組織再生 ； 口腔植體 ； 成功/存活率

並列摘要

Reviews of the literature identify many surgical techniques and materials that have been used successfully to obtain new clinical and histological attachment. Although great progresses have been made in the field of periodontal regeneration over the past three decades, to date the goal of complete and predictable regeneration of lost periodontium is an unrealistic goal. The purpose of this article is to provide evidence-based information of the periodontal regenerative therapies and implant-supported restoration, along with patient and local factor variables that may affect success rates or outcome predictability. In this article, we will focus on identifying treatment- and patient-related factors associated with periodontal regenerative outcome and long-term maintenance. On the other hand, this review article will also include types of dental implant, parameters for success/failure evaluation, and identify the biological factors contributing to failures of osseointegrated oral implants.

並列關鍵字

Guide tissue regeneration ； Dental implant ； Success/survival rate