1例前牙即刻种植的过程与思考——基于风险评估的术式选择与修复设计

摘要：近十余年，随着经济与科技的飞速发展，种植义齿的临床应用日益普遍。更多患者选择，更多医院开展，更多医生介入……一面是繁花似锦的专业前景，一面是纷繁复杂的病例现状。面对这一现状，严谨、规范、可控、可重复是毋庸置疑的解决之道。在这一原则下，术前对病例难易程度的分析及美学、外科、修复风险评估至关重要，决定了医生选用何种术式，如何修复，最终走向何方。目前业界使用较为广泛的种植病例分类评估体系是国际口腔种植学会（International Team for Implantology，ITI）于2007年3月在西班牙马略卡岛共识研讨会制定的SAC（straightforward简单、advanced复杂、complex高度复杂）分类，该分类为不同类型的修复和外科病例提供了指导原则，从而为医生选择合适病例，制定种植治疗计划提供参考。笔者尝试以1例前牙即刻种植为例，应用SAC分类评估后制定对应治疗计划，展示从初诊到2年后随访的全程记录，探讨种植修复规范化治疗的一个可行路径。

关键词:即刻种植,风险评估,病例

Abstract:For nearly 10 years, with the rapid development of economy and science and technology, the clinical application of planting denture increasingly common.Patients with more choices, more hospitals, more doctors involved in...One side is the modern professional prospects, one side is the complicated cases.In the face of this situation, rigorous, standardized, controllable and repeatable is undoubtedly a solution.Under this principle, preoperative cases for ease of analysis and aesthetic, surgery, repair risk assessment is crucial, decided the doctors to choose what kind of operation, how to repair, the final direction.The industry used more widely planting case classification evaluation system is the International society for oral planting (International Team for Implantology, ITI) in March 2007 in the Spanish island of Majorca consensus conference of the SAC (straightforward and simple, advanced and complex, complex highly complex) classification, the classification of different types of repair and surgical cases provided guiding principle, to choose the appropriate cases, provide reference for planting treatment plan.The author try to 1 case of front teeth immediate plant as an example, the application of SAC classification assessment after corresponding treatment plan, display from first diagnosis to 2 years follow-up records all the way, a feasible path to explore the diagnosis and treatment plant repair standardization.