作者认为骨膜下种植是无牙颌或局部无牙的颌骨可供选择的一种治疗方法。由于金属支架的厚度及骨和基桩上的应力集中,所以种植体的设计应预先考虑到组织的最小耐受性。本文讨论了骨膜下种植在细胞水平,种植体与组织界面及功能水平上的成功。Natiell等的研究发现,软组织和皮质骨出现的局部反应与其机能强度成比例,结论为金属骨膜下种植体的周围有软组织间隙形成。本文的羟基磷灰石涂层骨膜下绅植体经一年的研究与观察,显示出骨性结合。萤光显示骨组织活跃并趋向羟基磷灰石涂层种植体。作者为分析颌面骨及软组织解剖,讨论了利用电子计算机辅助设计和制作设计的多平面诊断影象。该方法可以三维分析术前的结构,也有助于修复的设计。有两个经证实不宜进行骨内种植手术的病例接受了CAD/CAM工艺和HA涂层骨膜下种植。作者认为电子计算机辅助设 The authors suggest that subperiosteal implants are an alternative treatment of edentulous jaws or partial toothless jaws. Due to the thickness of the metal stent and the stress concentration on the bone and foundation piles, the design of the implant should anticipate the minimum tissue tolerance. This article discusses the success of subperiosteal implants at the cellular level, at the implant-tissue interface and at functional levels. The study by Natiell et al. Found that the local reactions of soft tissue and cortical bone are proportional to their mechanical strength and concluded that soft tissue interstitial spaces were formed around the periosteal implants. The hydroxyapatite-coated subperiosteal implants in this paper have been studied and observed for one year and show bony union. Fluorescence showed bone tissue activity and tendency to hydroxyapatite-coated implants. To analyze the maxillofacial bone and soft tissue anatomy, the authors discussed multi-planar diagnostic images designed using computer-aided design and fabrication. This method can analyze preoperative structures in three dimensions as well as facilitate the design of repairs. Two cases confirmed to be unsuitable for intraosseous implant surgery underwent CAD / CAM and subchondral HA coating. The author believes that computer-aided design