Implants 种植牙
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- Implants 种植牙
别名
全口牙种植、植义牙、种植牙齿
项目介绍
种植牙,是将种植体(相当于牙根)植入牙龈下的牙槽骨中,通常采用钛合金种植体,它具有良好的生物相容性,能与周围的骨形成类似,真牙牙根与牙槽骨结合的方式,很稳定;然后医生在种植体上面做烤瓷冠修复;如有需要,可以考虑接受牙龈成形手术,以求较佳的软组织美学效果。
项目特色
种植牙因不需要磨损周边临牙,已经成为缺牙患者喜爱的修复方式。
功效
美牙,牙齿修复,伪真牙,牙齿稳固,抗压度高
适合人群特征
先天性少牙,牙齿意外脱落,牙齿松动,咀嚼无力
适合人群
先天性少牙,牙齿脱落,牙齿松动,咀嚼无力
关注度
⭐⭐⭐ ✩ ✩
安全度
⭐⭐⭐⭐ ✩
复杂度
⭐⭐⭐ ✩ ✩
项目优点
具有很强的固位力与稳定性,如同‘真牙’一样,扎根在患者的口腔里; 对两侧自然牙齿基本无损伤; 不需要活动假牙必备的基托与卡环,没有大面积塑料基托导致的味觉迟钝与不适感。 体积小、不露金属、美观,有利于保持口腔清洁卫生。
项目缺点
治疗周期长,一般需要上颌牙三个月,下颌牙六个月; 治疗费用,相对比一般镶牙贵。
禁忌人群
未治愈的严重出血性疾病、难以控制的高血压、心脏病等患者; 严重的骨质疏松症、恶性肿瘤、精神不正常者; 化疗、激素、抗凝剂等对骨质的化谢和整合有影响的药物期间者; 局部牙龈炎症、牙周炎未控制的患者。
留疤
无
治疗时长
1~1.5小时
麻醉方式
局麻
治疗周期
2~3次,可在6个月后进行再次治疗
操作方式
牙齿美容
效果持续
10年以上
恢复时间
3~6个月
操作人员资质
口腔执业医师
疼痛感
轻度疼痛
术前必读
- 口腔检查,特别是牙周检查和治疗非常重要;
- 治疗前进行骨质评估;
- 备好过渡义齿,治疗后能马上佩戴,不会影响正常的生活。
0~3天严重肿胀期
恢复提示:
术后当天拍牙片,查看种植情况;术后咬紧压在手术创口的棉纱。
护理方法:
- 术后当日,进半流或全流食;
- 术后2小时后可进(温或软)流质或半流质食物,餐后漱口液轻轻漱口,保持口腔清洁,术后当天不可以刷牙;
- 术后常规使用抗生素3天;
- 复杂的种植,需要静脉应用抗生素,以预防感染;
- 伤口上砂条轻轻咬半小时到一小时后吐出,术后可在种植部位冰敷以减少肿胀;
- 术后24小时之内,不要做剧烈运动、不开车、不饮酒、不洗热水澡,睡觉枕头稍微垫高,伤口稍有水肿或疼痛属正常情况。
4天~7天快速消肿期
恢复提示:
会有不同程度的手术反应,有些患者反应较轻或无不适反应,有些则会出现局部水肿及瘀斑,一般持续3-5天左右。
护理方法:
- 一周后如有剧烈疼痛,肿胀请及时与医生联系;
- 根据恢复情况,可食用软质食物(如:面条、面包、松软的米饭等)。
8天~90天组织恢复期
恢复提示:
等待种植体愈合。
护理方法:
- 保持口腔内卫生;
- 两周之内少戴或不戴假牙。
91天~180天效果稳定期
恢复提示:
牙齿逐渐恢复。
护理方法:
- 不可用力使用牙齿,可能导致种植义齿损坏和种植体松动;
- 定期进行口腔检查;
- 术后3-6个月左右,做二期取模和修复制作。
温馨提醒
以上术后护理仅供参考。因个体差异、采用术式不同,恢复周期、拆线时间及护理方法均会有所不同。具体护理方案,建议遵医嘱执行。
热门问题
Q1.先天性缺一颗牙怎么办?
对于先天牙齿缺失患者,常用的修复方法有固定义齿、活动义齿及种植体支持的义齿等多种方式;必要时必须要联合正畸治疗、正颌外科治疗才能达到更好的效果,而下颌恒牙列缺失患者颌骨发育不全,缺牙区牙槽骨严重发育不良,呈刀刃状,高度几乎与前庭沟平齐,固位困难,传统可摘义齿是难于达到理想效果。
Q2.恒牙先天性缺失是什么原因引起的?
小时候缺钙
Q3.先天缺牙能补救吗?
经过X线片检查证实颌骨内的相应部位没有埋伏牙胚;也没有因外伤造成牙齿脱落或曾经拔过牙等,才能确诊为先天性牙齿缺失。这个情况一般先正畸修复,把门牙的缝隙关闭,然后考虑修复缺牙区,可以种植修复,或者固定桥修复,年轻最好选择种植,对邻牙没有损伤。如果不做矫正就选择做美容冠,把牙齿磨小做冠套修复,可以关闭缝隙的。
Alias Name
Full dental implants, prostheses, and dental implants
Procedure Detail
Dental implant is to implant the implant (equivalent to the root of the tooth) into the alveolar bone under the gum, usually using titanium alloy implant, which has good biocompatibility and can be similar to the surrounding bone formation, the real tooth root and alveolar bone combination way, very stable; Then doctors do a porcelain crown on top of the implant; If necessary, gingival plastic surgery may be considered for better soft tissue aesthetic results.
Features
Dental implants have become the preferred method of restoration for patients with missing teeth because they do not require wear and tear on peripheral teeth.
Benefits
Beauty teeth, teeth restoration, false teeth, teeth stable, high compression resistance
Recommended
Congenital oligodontia, accidental tooth loss, loose teeth, weak chewing
Suitable Candidate
Congenital oligodontia, tooth loss, loose teeth, weak chewing
Popularity
⭐ ⭐ ⭐ ✩ ✩
Safety
⭐ ⭐ ⭐ ⭐ ✩
Complexity
⭐ ⭐ ⭐ ✩ ✩
Pros
With strong retaining force and stability, like “real teeth”, rooted in the patient’s mouth; There was no damage to natural teeth on both sides. There is no need for the base and clasp necessary for mobile dentures, and there is no dull taste and discomfort caused by large plastic bases. Small size, no metal, beautiful, is conducive to maintaining oral hygiene.
Cons
The treatment cycle is long, generally requiring three months for upper teeth and six months for lower teeth; Treatment costs are relatively more expensive than general dental prostheses.
Unsuitable Candidate
Patients with uncured severe bleeding disorders, uncontrolled hypertension, heart disease, etc.; Serious osteoporosis, malignant tumors, mental disorders; Chemotherapy, hormones, anticoagulants and other drugs have an effect on bone degradation and integration; Patients with uncontrolled gingival inflammation and periodontitis.
Scar
No
Treatment Time
1 hour~1.5 hours
Anesthesia Method
Local anesthesia
Treatment Course
2~3 times, can be treated again after 6 months
Procedures Technique
Cosmetic dentistry
Sustainability
More than 10 years
Recovery Period
3~6 months
Qualification
Dental practitioner
Pain Scale
Mild pain
Before the Procedure
- Oral examination, especially periodontal examination and treatment is very important;
- Bone evaluation before treatment;
- Prepare the transition denture, can be worn immediately after treatment, will not affect the normal life.
0~3rd days severe swelling period
Recovery tips:
Dental film was taken on the day after surgery to check the implant status. After the operation, bite the cotton gauze tightly pressed against the surgical wound.
Aftercare methods:
- On the day after surgery, take half or full liquid diet;
- 2 hours after the operation, liquid or semi-liquid food can be entered (warm or soft), gargle gently after meals, keep the mouth clean, do not brush your teeth on the day after the operation;
- Antibiotics were routinely used for 3 days after surgery.
- Complex implants that require intravenous antibiotics to prevent infection;
- Bite the sand strip gently on the wound for half an hour to an hour and then spit it out. Ice can be applied to the implant site after surgery to reduce swelling;
- Within 24 hours after surgery, do not do strenuous exercise, do not drive, do not drink alcohol, do not take a hot bath, sleep pillow slightly high, slight edema or pain in the wound is normal.
4th~7th days rapid swelling reduction period
Recovery tips:
There will be varying degrees of surgical reaction, some patients have mild reaction or no discomfort, some will appear local edema and ecchymosis, generally lasting about 3-5 days.
Aftercare methods:
- If you have severe pain or swelling after one week, please contact your doctor immediately.
- Depending on the condition of recovery, soft foods (e.g., noodles, bread, soft rice, etc.) can be eaten.
8th~90th days tissue recovery period
Recovery tips:
Wait for the implant to heal.
Aftercare methods:
- Maintain oral hygiene;
- Wear little or no dentures for two weeks.
91st~180th days adaptation period
Recovery tips:
The teeth gradually recover.
Aftercare methods:
- Do not use the teeth forcefully, which may cause damage to the implant and loosening of the implant.
- Regular oral examinations;
- About 3-6 months after surgery, the second phase of the mold and repair production.
Reminder
The above postoperative care is for reference only. Due to individual differences and different operation methods, the recovery cycle, removal time and nursing methods will be different. Specific nursing plan, it is recommended to follow the doctor’s advice.
Hot issue
Q1. How if congenital lack of a tooth?
For patients with congenital tooth loss, the common restoration methods include fixed denture, movable denture and implant-supported denture. If necessary, orthodontic treatment and orthognathic surgery must be combined to achieve better results. However, in patients with mandibular permanent dentition loss, the jaw is underdeveloped, and the alveolar bone in the missing tooth area is seriously dysplasia, which is blade-like and almost level with the vestibular groove in height, and the retention is difficult. Traditional removable dentures are difficult to achieve ideal results.
Q2. What causes congenital loss of permanent teeth?
Calcium deficiency in childhood
Q3. Can congenital missing teeth be remedied?
X-ray examination confirmed that there was no ambushed tooth embryo in the corresponding part of the jaw. There is no tooth loss or tooth extraction due to trauma to be diagnosed as congenital tooth loss. This situation is generally orthodontic repair, close the gap of the front teeth, and then consider repairing the missing tooth area, you can implant repair, or fixed bridge repair, young best choose to implant, no damage to the adjacent teeth. If you choose to do a cosmetic crown without correction, grind the teeth to do crown sleeve repair, you can close the gap.
FAQ 常见问答题
Dental implants are mainly suitable for patients without teeth, but also for denture retention difficulties caused by various reasons, or due to psychological factors, resulting in dysfunction, and can not be repaired by traditional methods.
种植牙主要适用于无牙的患者,同时适用于因各种原因造成的义齿固位困难,或由于心里因素的影响,所产生的功能障碍,而无法用传统方法修复者。
If the operation is improper, it may appear: 1. Poor postoperative compression, submucosal or subcutaneous bleeding; 2. The lower lip is numb and the wound splits leading to infection; 3. Because the design is unreasonable, the abutment penetrates the gingival too little, or the abutment and the bridge are poorly linked, and the local health condition is poor, leading to gingivitis; Therefore, it is important to choose a regular institution before treatment.
如操作不当,可能出现:1.术后压迫不良,发生黏膜下或皮下出血;2.下嘴唇麻木,伤口裂开导致感染;3.因为设计不合理,导致基台穿龈过少,或是基台与桥架链接不良,局部卫生状况差,导致牙龈炎的出现;因此,在治疗前要选择正规的机构进行。
The advantages of the appearance of implant teeth are: The effect is realistic, beautiful and stable; Chewing function, much better than traditional movable dentures; No need to grind the good teeth next to the missing teeth, which greatly protects the patient’s healthy teeth; Small size, comfortable and sanitary, neither afraid of cold, nor afraid of acid, easy to use.
种植牙外形其优点在于:效果逼真、美观、稳定性好;咀嚼功能,大大优于传统活动假牙;无需磨削缺牙旁边的好牙,极大程度的保护了患者的健康牙齿;体积小,舒适卫生,既不怕冷,也不畏酸,使用方便。
Normally, 3 months after tooth extraction, the bone tissue of the missing tooth area has healed well, and the absorption is stable, and it is better to do dental implants at this time; However, if the alveolar is in good condition and there is no acute inflammation, immediate implantation in the freshly extracted cavity can also achieve satisfactory results.
一般来讲,拔牙3个月以后,缺牙区骨组织已愈合好,吸收稳定,此时做种植牙较好;但如果牙槽状况好,无急性炎症,在新鲜拔牙窝内,即刻种植也可以获得满意效果。
种植牙的即刻种植,与拔牙同期完成,并没有增加痛苦;但若是长期缺牙后再种植,会存在骨吸收、骨缺损的现象,这时治疗就会相对复杂、痛苦一些;但是由于现代麻醉技术,以及术后的良好护理措施,可以使患者的不舒适降到最少。
正常情况下,不会的;如果有脱落情况的出现,一般情况下,是由于继发龋坏或者固位力差导致,应及时就医。