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Prophylactic apicoectomy involving implant sites with possible retrograde peri-implantitis

於可能發生逆行性植體周圍炎處進行預防性牙根切除術

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摘要


於台北醫學大學附設醫院牙周病醫學科,臨床應用布蘭馬克植體系統已逾13年,並達成極高之臨床累積性成功率。在此期問,有五個案例曾經發生逆行性植體周圍炎(retrograde peri-implantitis, RPI)。因此於此提出3個因鄰近牙齒根管治療封填不全而引發 RPI 案例之處理經驗,同時介紹兩個預防性實歷,並建議未來對植牙區鄰近有根管封填不全或有呈現根尖病變之牙齒,進行預防性根尖切除術,以避免植體發生RPI之後果。

並列摘要


Branemark implant system has been used in Periodontal Department of Taipei Medical University Hospital for more than 13 years and a high ten years accumulative success rate of the system has been reported. However, five cases with retrograde peri-implantitis (RPI) occurred during the treatment period. The following three case reports were briefly the occurrence and clinical management of RPI at the apical sites of implants installed adjacent to incomplete endodontic treated teeth. Two additional implant cases treated with simultaneous prophylactic apicoectomy are also introduced.

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