真實個案 - 失去一隻門齒 Case Study - Missing Upper Right Central Incisor Chinese lady 中國籍女子 42 years old 42歲 Request replacement of denture 要求以植牙取代牙托 Medical history – clear & healthy 健康狀況 - 健康 Attend dental care occasionally 不定期接受牙科治療 11 lost due to trauma 上右門牙因受傷脫落 Wearing denture > 10 years 配戴假牙托多於10年 Buccal bone loss on 11 牙骨收縮 Multiple interproximal caries 多處牙縫有蛀牙
CT Scan and 3D reconstruction 電腦斷層掃描及立體模擬影象 Radiography template in place
牙骨分析 Bone Volume Consideration
Implant was simulated over the radiographic image 模擬植體植入牙骨的影象 Manipulated Image
手術的第一階段 Stage one surgery RP Branemark 15mm implant inserted by machine 用儀器將植體植入牙骨 Bone debris & Gortex membrane (GT4) to cover the perforation 用醫療骨粉蓋在植體上 Gortex suture closure 縫合傷口
手術的第二階段 Stage two surgery After six months 六個月後 Raised flap 揭開牙肉 1mm abutment 安上接鑲零件 Provisional temporary crown 鑲嵌臨時的牙冠
手術後14個月 14 months after Cementation Patient satisfies with the final esthetic outcome 病人十分滿意牙冠的儀容