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Implant Dentistry

編輯中

Implant Complication

編輯中

名詞解釋

Mucotome

IceCrean Cone Technique 注意事項

Use Crosslink collagen membrane Use small particle 250-500um FDBA, hydrated for 5 mins
1.32mm resorption


Subperiosteal Minimally Invasive Aesthetic Ridge Augmentation Technique (SMART)

Int J Periodontics Restorative Dent. 2017 Mar/Apr;37(2):165-173. doi: 10.11607/prd.3171. Subperiosteal Minimally Invasive Aesthetic Ridge Augmentation Technique (SMART): A New Standard for Bone Reconstruction of the Jaws.


Trans Socket Drilling

Int J Periodontics Restorative Dent. 2013 Jan-Feb;33(1):89-96. Pre-extractive interradicular implant bed preparation: case presentations of a novel approach to immediate implant placement at multirooted molar sites. Rebele SF1, Zuhr O, Hürzeler MB. IJPRD

Added 2020-03-08


Management of Periimplantitis

Dr.Frank Schwarz, Germany 2019-11-23 TPA 年會演講

Zirconia implant也會得Peri implantitis
Zirconia implant兩年內發生40%的biological complication…….. Laserlok abutment/ Healing被打臉

2019有新的植體周圍炎骨缺損分類了

軟組織移植會有40%的萎縮,在移植前要預估前置量

植體周圍炎Surgical cleaning without Graft不補骨大概會有50% bone growth,有補骨+膜75% 全長不要想

非手術性治療 Er-YAG laser是唯一有研究可用在植體周圍治療的雷射,但跟跟aPDT(光動力)治療一樣,有效,但3-6個月後都會復發

手術治療最好在非手術治療後的三個月內開始,因為之後的發炎情形就會在增高!

植體出廠久的表面碳含量會增加,降低表面與細胞作用的能量,這跟細菌感染植體表面後的情形一樣,🔩剛出廠的比較好⋯⋯

最後提問你可以問:

1.Periimplantitis GBR加autogenous bone 會不會比較好? 2.用d-PTFE 再生膜會不會比較好? 3. 什麼形態的bony defect 預後比較好及相對應的術式 4. SLActive 泡在saline 會不會有同樣的碳含量改變?

Class I I bone defect+ Buccal dehiscence, 使用implantoplasty最有效

Supracrestal bone loss=Class II

Circumferential =Class I ,是Regenerative好的indication 而不是用implantoplasty

Native Non crosslink collagen membrane is better TypeI&III Porcin

因為不再翻開,所以不要用membrane Pin 因為pin會因為modeling and remodeling,最後浮在soft tissue中

No comparative data on using allograft……

一般bone graft, exposure rate約10%,submerge implant bone graft exposure rate=65-100% 所以,採用跟自然牙補骨一樣trans mucosal healing

有兩篇paper表示使用autogenesis bone bone fill較好,但 Autogenesis bone吸收率太高不會單獨用在補perimolant defect,講者會混合low resorption rate material…..就biooss啦

Class III deficiency要用combination method

有人問到無KG的問題 講者回答在Non surgical stage就會先處理無KG問題,有KG後才會進到Surgical stage

Combination defect頰側Implantoplasty Intrabody defect的部分才放骨粉

翻瓣方式過Mucogingiva juction變partial

Surgical tx of periimplantitis 10 recurrence 60-70 resolved

Nonresobable membrane due to the high exposure rate所以不用 Slactive放入骨頭後碳含量也會逐漸增加

start/implant_dentistry.txt · 上一次變更: 2020/03/08 02:21 由 patrick