高齡患者之多顆植牙－病例報告

Multiple Implants Treatment in an Elderly patient-A Case Report

王研力(Yen-Li Wang) ； 余玲敏(Lin-Ming Yuh) ； 潘惠玲(Whei-Lin Pan) ； 朱毓仁(Yuh-Ren Ju) ； 陳朝寶(Chiu-Po Chan)

《臺灣牙周病醫學會雜誌》 13卷4期 (2008/12) Pp. 300-314

摘要

隨著台灣人口年齡層結構的改變，高齡人口的比例明顯提高，相較於以往雖可保留較多的牙齒，但是在對於生活品質要求大大提高的狀況下，傳統活動義齒常無法滿足病患對美觀和功能的要求，對於這些高齡病人往往需考慮以人工植牙及固定義齒的方式治療。而植牙對高齡患者除了病患本身牙床條件之外，還應審慎評估其全身身體狀況，心理狀況，骨頭狀況，可能面對的手術風險及植牙後的適應問題等，才能擬定適當的治療計畫，使病人能夠項利接受植牙手術及後續的贋複治療，並提高治療的效率和病人的滿意度。本病例報告爲一位八十三歲男性病患，由於病患弦烈要求固定義齒，在下顎雙側後牙及右上後牙缺失處，詳細評估後均以人工植體及固定義齒治療。病患身體健康狀況良好，除了下顎兩側後牙區植入六顆植體之外，#16並進行上顎竇提高術，同時植入#14，#15，#16三支植體。目前全口贋複治療已完成並定期維護中。最後植體植入十六個月後之追蹤，X光及臨床檢查均顯示植體狀況良好，病人對義齒的美觀和功能也十分滿意。本病例報告顯示在完善的術前評估及治療下，高齡患者也可接受完整之植牙重建，並得到令人滿意的效果。

關鍵字

高齡患者 ； 人工植體 ； 植體支持性固定義齒

並列摘要

With the transition of population structure, there is a marked increase in the ratio of elderly people in Taiwan society. The elderlies nowadays keep more natural teeth than before. However, with the request for better life quality, the conventional removable prostheses no longer satisfy their needs of esthetics and function, and thus osseointegrated implants and fixed prostheses are more commonly considered for elderly patients. To improve the efficacy of treatment and the satisfaction of elderly patients, it is necessary to make a comprehensive treatment plan, which takes into consideration of the patient's physical and psychological conditions, the bone condition, the possible risk of surgery, and the adaptation after surgery. In this report, an 83-year-old male patient strongly requested to replace the posterior missing teeth with fixed prostheses. After detailed evaluation, the lower bilateral and upper right posterior edentulous areas were all restored with implants. In general, the patient was in good health without any major systemic disease. Six implants were placed at lower bilateral posterior areas. Sinus lifting procedure was done at #16 area, and three implants (#14, #15, #16) were placed simultaneously. Full mouth prosthetic treatment was completed and now the patient is under regular maintenance. Radiographic and clinical examinations after 16 months since the last implant placement showed that the implants were in good condition. In addition, the patient was very satisfied with both the esthetics and function of the prostheses. This case report reveals that under meticulous preoperative evaluation and treatment, elderly patients can adapt to implant rehabilitation well, and attain satisfying results.

並列關鍵字

elderly patients ； implant ； implant-supported prostheses