病例报告表

Doctor Peng Dong, the expert of tooth implantation in Peking University International Hospital and president of Beijing Hedu Stomatological Clinic Co., Ltd

Medical Case Report

性别/年龄: 男/67岁
初诊: 16/05/2015	植牙: 03/07/2015
O辅助措施:03/07/2015	最终修复: 26/12/2015
第1次复诊: 06/01/2016
患者主诉: Loose fixed bridge on upper anterior teeth.
特殊事项: GBR

病例概要

上前牙固定桥松动，微创拔除右上2和左上1。愈合后，右上2和左上1植入C-Tech种植体，5个月后氧化锆烤瓷桥修复。

治疗计划

右上2牙槽骨宽度为7.6mm，骨高度为13.4mm：左上1牙槽骨宽度为7.4mm，骨高度为14.5mm，分别植入C-Tech种植体EL-4311，常规植入，简单植骨。五个月后二期手术。

治疗内容

1、术前抽取静脉血制备 CGF 备用。
2、常规消毒铺巾，上颌前牙区无痛局浸麻醉。沿右上2至左上1牙槽嵴顶水平切口，右上3至左上2沟内切口，右上3唇侧远中减张，翻瓣，彻底搔刮清创，见右上2及左上1唇侧骨壁缺损。
3、右上2、左上1定点，级差备洞至3.7*13mm分别植入C-Tech植体EL-4311 +封闭螺丝， Bio-Oss骨粉+CGF混合物填入骨隙内及穿孔唇侧，盖Bio+Gide，牙槽嵴顶盖Bio+Gide，再盖CGF膜。严密缝合。
4、6个月取模，置换修复基台，型号：EL-4503F*2，粘接固定，氧化锆烤瓷桥永久修复。

Advantages of guided surgery, predictability in small spaces

by Doctor Henriette Lerner, HL-DENTCLINIC DR. STOM. MEDIC. In this case, the patient has a genesis of the two upper lateral incisors. Having created the space with the help of the orthodontic specialist, we first proceed with a Digital Smile Design and then with the digital planning of the two implants in comparison with the new aesthetics.了解更多

Guided surgery in the jaw and mandible

by Doctor Henriette Lerner, HL-DENTCLINIC DR. STOM. MEDIC. In this case, it is necessary to use all the digital tools available – detection of joint movements, digital smile design and guided surgery, with the aim of having predictability and accuracy. For the future aesthetic part and function, the evaluation took place before the surgery.了解更多

Guided surgery with bone graft

by Doctor Henriette Lerner, HL-DENTCLINIC DR. STOM. MEDIC. In this case it is shown how it is still possible to work in guided surgery and consequently perform bone grafts where necessary. The advantage in a difficult case like this is to design the dental implants with a surgical guide, in order to maintain their correct positioning. Finally, the aesthetic project was evaluated prior to surgery.了解更多

Slide Casi clinici