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: 女/74岁
初诊: 14/07/2014	植牙: 15/01/2015
辅助措施:	最终修复: 19/06/2015
第1次复诊: 17/01/2015
患者主诉: 左下后牙缺失，要求种植修复。
特殊事项:

病例概要

左下后牙缺失多年，植入C-Tech种植体，型号为：EL-4307，二颗，后期氧化锆全冠修复。

治疗计划

左下6牙槽骨宽度为6.8mm，骨高度为10.2mm，植入C-Tech种植体EL-4307；左下7牙槽骨宽度为6.2mm，骨高度为9.8mm，植入C-Tech种植体EL-4307，常规植入。

治疗内容

1、常规消毒铺巾，左下567局部浸润麻醉。
2、左下6、7 沿牙槽嵴顶切口，左下5沟内切口，左下7颊侧远中减张纵斜切口，翻瓣，平整骨面。
3、左下6、7定点，先锋钻达工作长度，级差备洞至3.9*9mm 收集自体骨，植入C-Tech种植体EL-4307+封闭螺丝，左下6扭力60N ，边缘骨高度M3/D1.5/B1/L1；左下7扭力60N，边缘骨高度M1.5/D1/B1/L0。自体骨置于左下67种植体颊侧、颈部，严密缝合，止血。
4、5个月后取模，更换修复基台，型号为EL-4502F/2，氧化锆全冠修复，粘接固定，永久修复。
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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