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目的:种植牙的设计以修复需求为主导,功能和美观恢复为前提,在此基础上结合自身骨量条件设计种植体的位置、长短、粗细、是否植骨、选用哪一品牌的植体和选择哪种上部修复结构。本文根据临床需求,总结修复主导种植的植体选择、基台选择、上部结构设计和修复材料选择。方法:总结临床两年来240例种植修复病例,根据种植体水平、基台形式、固位方式、固定或活动修复、单冠或联冠、修复材料选择和美学考虑等方面综合评价种植修复各个环节。结果、讨论与结论:归纳了种植覆盖活动义齿和种植固定义齿的临床过程和注意事项。种植覆盖活动义齿包括球基台、太极扣基台、磁性基台、杆卡系统等。并总结基台、冠桥、和活动覆盖义齿的材料选择。特别介绍了种植体上部全瓷基台的临床选择和成品瓷基台、个性化瓷基台和全瓷冠的制作过程。
OBJECTIVE: The design of dental implants is mainly based on the repair needs and the functional and esthetic restoration. Based on this, we design the position, length, thickness and thickness of the implants, whether or not to implant the implants and which brand of implants to choose Choose which type of upper repair structure. Based on clinical needs, this article summarizes the choice of implant selection, abutment selection, superstructure design, and repair material for the dominant implant. Methods: To summarize 240 cases of implant rehabilitation in the past two years, and to evaluate the various aspects of implant restoration in terms of implant level, abutment form, retention mode, fixation or activity repair, single crown or joint crown, material selection and aesthetic considerations . RESULTS, DISCUSSION AND CONCLUSIONS: The clinical course and precautions of planting dentures and implant dentures were summarized. Denture planting activities covering the ball-based platform, Tai Chi buckle-based units, magnetic-based Taiwan, the card system. And summarize the material selection of abutments, crown bridges, and overdentures. In particular introduced the upper porcelain implant all the clinical options and finished porcelain abutments, porcelain-based personalized porcelain table and all-ceramic crown production process.