上海口腔医学

上海口腔医学 ›› 2025, Vol. 34 ›› Issue (5): 545-550.doi: 10.19439/j.sjos.2025.05.017

• 论著 • 上一篇    下一篇

颧种植体支持式赝复体不同类型环形连接体的临床效果比较

白浩1,*, 武文妍2,*, 周运3#, 葛学军1#   

  1. 1.山西医科大学口腔医学院·口腔医院,口腔疾病防治与新材料山西省重点实验室,山西 太原 030001;
    2.上海交通大学医学院附属瑞金医院 口腔科,上海交通大学口腔医学院,上海 200025;
    3.上海交通大学医学院附属第九人民医院 口腔颌面-头颈肿瘤科,上海交通大学口腔医学院, 国家口腔医学中心,国家口腔疾病临床医学研究中心,上海市口腔医学重点实验室, 上海市口腔医学研究所,上海市头颈肿瘤诊治和转化医学中心,上海 200011
  • 收稿日期:2024-12-13 修回日期:2025-01-19 出版日期:2025-10-25 发布日期:2025-10-31
  • 通讯作者: 周运,E-mail：314691149@qq.com;葛学军,E-mail：gxj19722003@163.com。#共同通信作者
  • 作者简介:白浩（1997-）,男,在读硕士研究生,E-mail：bh11066@163.com;武文妍（1986-）,女,博士,E-mail：907651830@qq.com。*并列第一作者
  • 基金资助:
    上海交通大学“交大之星”计划医工交叉研究基金（YG2022QN054）

Comparison of clinical effects of zygomatic implant-supported prostheses with different types of ring connectors

Bai Hao1, Wu Wenyan2, Zhou Yun3, Ge Xuejun1   

  1. 1. Shanxi Medical University School and Hospital of Stomatology; Shanxi Province Key Laboratory of Oral Diseases Prevention and New Materials. Taiyuan 030001, Shanxi Province;
    2. Department of Stomatology, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine; College of Stomatology, Shanghai Jiao Tong University. Shanghai 200025;
    3. Department of Oromaxillofacial Head and Neck Oncology, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine; College of Stomatology, Shanghai Jiao Tong University; National Center for Stomatology; National Clinical Research Center for Oral Diseases; Shanghai Key Laboratory of Stomatology; Shanghai Research Institute of Stomatology; Shanghai Center of Head and Neck Oncology Clinical and Translational Science.Shanghai 200011, China
  • Received:2024-12-13 Revised:2025-01-19 Online:2025-10-25 Published:2025-10-31

PDF (PC)

4

摘要： 目的:比较纯钛切削金属环形杆与铸造金合金研磨杆在颧种植支持赝复体修复中的临床效果。方法:选择2017年1月—2024年10月在上海交通大学医学院附属第九人民医院因肿瘤术后双侧上颌骨缺损进行颧种植体联合连接环支撑赝复体修复的患者11例,其中6例采用纯钛切削金属环形杆连接赝复体,另5例采用铸造金合金环形立体研磨杆。从赝复体脱位、赝复体磨损、连接螺丝折断、总体满意度4个方面进行评分,评价修复效果的差异。结果:与纯钛切削金属环形杆连接方式相比,金合金研磨杆连接赝复体脱位、连接螺丝折断及总分得分较低,差异具有统计学意义（P<0.05）;而赝复体磨损及总体满意度方面差异不显著（P>0.05）。结论:纯钛切削金属环形杆是修复双侧上颌骨缺损较为理想的颧种植支持赝复体连接方式。

关键词: 上颌骨缺损, 颧种植体, 赝复体, 金合金研磨杆, 切削金属杆

Abstract: PURPOSE: To compare the clinical effects of pure titanium-milled metal rings and cast gold alloy milled rods in the prosthetic rehabilitation of zygomatic implant-supported prostheses. METHODS: A total of 11 patients were selected from January 2017 to October 2024 in Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine. The patients were repaired by zygomatic implant-supported prostheses with different types of ring connectors due to bilateral maxillary defects after tumor surgery. Among them, 6 cases used pure titanium-milled metal rings to connect the prosthetics, and the other 5 cases used cast gold alloy milled rods. The difference of repair effect was evaluated from 4 aspects: prosthesis retention, prosthesis wear, connection screw fractures and overall satisfaction. RESULTS: Compared to pure titanium-milled metal rings, the cast gold alloy milled rod connection scored significantly lower in prosthesis retention, connection screw fractures, and overall scores(P<0.05). No significant differences were observed in prosthesis wear or overall satisfaction(P>0.05). CONCLUSIONS: Pure titanium-milled metal rings are a more suitable connection method for prosthetic rehabilitation of bilateral maxillary defects using zygomatic implants.

Key words: Maxillary defect, Zygomatic implant, Prosthesis, Gold alloy milled rod, Milled metal rod

中图分类号: