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首页> 外文期刊>International journal of paediatric dentistry >Treatment outcomes for adolescent ectodermal dysplasia patients treated with dental implants.
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Treatment outcomes for adolescent ectodermal dysplasia patients treated with dental implants.

机译：用牙种植体治疗的青少年外胚层发育不良患者的治疗结果。

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Summary. To evaluate dental implant survival in patients with ectodermal dysplasia (ED). To assess patterns of hypodontia in this patient group. Methods. A retrospective analysis of the use of dental implants in ED patients treated at the Royal Children's Hospital, Melbourne. Results. Sixty-one implants were placed into 14 patients (nine male and five female). The mean age of patients receiving maxillary implants was 18 years 6 months (range 17 years 9 months-20 years 0 months) and mandibular implants was 17 years 5 months (range 12 years 2 months-21 years 11 months). The mean follow-up period was 3 years 4 months (range 1 year 18 months-5 years 1 month). Forty-three implants were placed in the anterior mandible, three in the posterior mandible and the remaining 15 in the anterior maxilla. Of the 61 implants placed, 54 [88.5%] successfully integrated and were able to be restored. Three of the 15 implants placed into the anterior maxilla [20%] failed, while four of the 46 in the anterior mandible failed[8.7%]. Five of the 14 patients [35.7%] had at least one implant fail prior to abutment connection. At the 12-month review appointments, 41 of the integrated 54 implants [76%] were reviewed and classed as successful, giving an overall success at follow up of 67.2%. Thirteen implants [21.3%] were unable to be reviewed owing to geographical reasons. Teeth most likely to be present in the maxilla were the central incisors [71%], first molars [54%] and canines [43%], whereas in the mandible they were the canines [53%] and the first premolars and first molars [40%]. Conclusions. Dental implants can be placed, restored and loaded in ED patients. Maxillary teeth most likely to be present are the central incisors, canines and first molars, whereas in the mandible the canines, first premolars and molars are most likely to be present. Prior to cessation of growth, implant placement in the symphyseal region of the anterior mandible may be performed with caution. Despite the limited numbers and with due consideration to jaw development, the results support the continual use of endosseous dental implants in this group of patients for optimal clinical outcomes.
机译：概要。评估外胚层发育不良（ED）患者的牙种植体存活率。评估该患者组的牙髓病模式。方法。对在墨尔本皇家儿童医院接受治疗的ED患者中使用牙种植体的回顾性分析。结果。将六十一个植入物植入14例患者中（9例男性和5例女性）。接受上颌植入物的患者的平均年龄为18岁6个月（范围为17岁9个月至20岁0个月），下颌植入物的平均年龄为17岁5个月（范围为12岁2个月至21岁11个月）。平均随访期为3年4个月（范围1年18个月至5年1个月）。将43个植入物放置在前下颌骨中，将三个植入物放置在后下颌骨中，其余15个放置在前上颌骨中。在放置的61颗植入物中，有54颗[88.5％]成功整合并得以修复。放置在上颌前骨的15个植入物中有3个[20％]失败，而下颌前部的46个中有4个失败[8.7％]。 14例患者中有5例[35.7％]在基台连接之前至少有1个植入失败。在为期12个月的审查任命中，对54颗集成种植体中的41颗[76％]进行了评估，并被分类为成功，随访总体成功率为67.2％。由于地理原因，无法对13种植入物[21.3％]进行检查。上颌中最可能出现的牙齿是中切牙[71％]，第一磨牙[54％]和犬齿[43％]，而在下颌骨中它们是犬齿[53％]以及第一前磨牙和第一磨牙[40％]。结论可以在ED患者中放置，修复和装载牙科植入物。最可能出现的上颌牙齿是中央门牙，犬齿和第一磨牙，而在下颌骨的犬齿中，最有可能存在第一前磨牙和臼齿。在停止生长之前，可能要谨慎地将植入物放置在前下颌骨的干phy区。尽管数量有限且充分考虑了颌骨的发育，但研究结果支持在该组患者中继续使用骨内种植牙以取得最佳临床效果。

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