种植修复资料

几乎所有的咬合面螺丝孔都位于长轴上，即咬合接触区上 (Almost all
position of occlusal screw hole is located on long axis, where occlusal contact occurs.)
螺丝孔须用树脂覆盖并适当进行调合 (And then occlusal adjustment is
welding)
重新修复困难 (Difficult retrieval) 诊疗时间长 (Long chairtime)
Non-Hexed according to the patient’s preference)
容易修补 (Easy to prosthetic repair , for retrieval is allowed) 诊疗时间短 (Short Chairtime!!!)
临时基台 (Temporary Ab.) • When immediate loading • After provisional crown is manufactured when gingival contouring 直接可铸造基台 (Direct casting Ab.) • Manufacture of Individualized abutment possible
患者开口度有限，螺丝难于就位，且容易误咽 (It is difficult to access with a limited mouth opening patient. And one can easily swallow screw while handling instrument.)
疲劳 (Fatigue)
Lab. analog
☆ 也可用于即刻负重或者临时冠 (Immediate loading or provisional crow n, also allowed when manufacturing)
1. 去除愈合基台 (Remove Healing Ab) 2. 据牙龈高度及牙齿间 距选择适当型号的一 体式基台 (Condsidering gingival depth and the width of the tooth, choose and equip Combi Ab) 3. 据颌间距离适当切削 使用 (Consider Interarch space and remove Ab.)
* 螺栓固位型基台 (Screw Abutment)
通过诱导应力沿种植体长轴传导，粘接固位修复体可以减少作用在
牙槽嵴上的应力 (Cement-retained prosthesis reduces stress on alveolar crest by inducing it to a long axis of implant.)
应力作用在修复体支持结构上，甚至会引起种植体断裂 (weighting stress on prosthetic supporting structure even brings about fracture of implant.)
Dual milling Ab. Angled Ab.
Direct casting Ab.+ porcelain
Dual Ab.
Combi Ab. analog
Angled , Dual Ab
Direct casting Ab.
Screw Ab.
Comport cap
Impression coping
临时基台 (Temporary Ab.) 基底 (Cylinder)
一体式 (Combi)
分体式 (Dual)
植入位置理想时 (When the position of implant is ideal) 可在椅旁选择基台 (Choosing abutment from Chairside) 基台水平取模 (Abutment level impression) 口内需要的准备视情况而定 (Preparation required
二期手术 (Second surgery)
咬合记录 (Bonnet for jaw Relation record)
取印模 (Impression )
定位辅件 (Positioning Jig)
临床图片 (Clinic side) 咬合记录 (Jaw relation record)
技工室图片 (Lab. Side)
种植位置 (Implant location) 植入深度(穿龈高度) (Fixture installation depth (Gingival Height)) 牙弓间距离 (Interarch distance) 修复类型 (Prosthesis type) 牙医和技工的喜好 (Dentist & Dental technician's preference)
一体式基台 One-piece Abutment 内部：六角 The interior: HEX -shaped
分体式基台 Two-piece Abutment
Combi
Dual
ቤተ መጻሕፍቲ ባይዱ
临床图片 (Clinic side)
技工室图片 (Lab. Side)
制备工作模型， 选择基台 (Manufacturing models Choose Abutment )
基台水平及种植体水平取模均适用 (Abutment &
fixture level impression all possible)
一般选用种植体水平取模方式 (Generally operate fixture
level impression)
可在模型上选择基台 (Choosing abutment from master

结合粘接固位和螺丝固位的修复方法 (Combine the method of cementation and screwing (SCRC)) REC) 分体式基台：修复体合面备洞，方便取下并修补修复体 (Dual Abutment : With making a hole on occlusion after restoration, remove and repair prosthesis.)
分体式可研磨基台(Dual milling Ab.) • Similar to Dual Ab. • Create Path modification and optional margin by milling 角度基台 (Angled Ab. (15°)) • When installed path is unfavorable
☆ Reduction Jig required to remove Ab. In the mouth
Hexed Non-Hexed
Ding (2003) : 六角和非六角与螺丝松动无直接关联 (Hexed and Non-Hexed don’t affect screw loosening much) 六角仅作为基台就位的参考 (Hex is just used as Index of Abutment positioning)
☆ Use Positioning Jig to transfer the Abutment Model to the oral cavity then tighten it (25~30N.cm). Re-tighten after 15 minutes. ☆ When equipped in the mouth and when rebounding by gingival tissue, hold for 10~15 minutes
可修补性 (Retrievability)

选择粘接材料 (Choosing cement materials)
对颊舌粘膜无刺激 (Leave a notch within the range that’s not stimulated on the tongue or cheek for hook or ejection) ZPC或聚羧酸水门汀 (ZPC or Polycarboxylate cement)
适当的垂直合力作用在修复体上时，螺栓固位型修复体力量作用在
螺丝孔合方。(Screw-retained prosthesis is given force on occlusal screw hole for proper vertical occlusal loading on prosthesis.)
螺丝孔的直径约为3mm，占后牙咬合面的30%，功能区的50%，因为功
能区占整个咬合面的2/3 (Screw hole diameter is about 3mm; it occupies 30% of occlusal surface on posterior area or 50% of functional area because it is functional area on 2/3 of entire occlusal surface. )
Mounting
制作修复体 (Fabrication of prosthesis) 最终修复体 (Delivery of prosthesis)
一体式基台 (Combi Ab.)
分体式基台 (Dual Ab.)
分体式可研磨基台 (Dual milling Ab.)
螺栓固位型基台 (Screw Ab.) 角度基台 (Angled Ab.) 直接可铸造基台 (Dereact casing Ab.)
inside the mouth depending on the situation)
螺丝不易松动 (Little bit of screw loosening due to cold
model)