顎顔面補綴
Online ISSN : 2435-0389
Print ISSN : 0389-4045
総説
インプラント治療は上顎欠損患者の機能回復に有用か?
村上 和裕塩入 重彰秦 正樹宮前 真中林 晋也大山 哲生原口 美穂子服部 麻里子中島 純子皆木 祥伴藤原 茂弘小野 高裕
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ジャーナル フリー

2019 年 42 巻 1 号 p. 24-32

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Background: Implant therapy can be an effective option for prosthetic treatment for intractable cases with maxillary defect. The aim of this review was to elucidate the effectiveness of implant therapy for patients with maxillary defect.
Methods: A systematic literature survey was conducted by the Japan Medical Library Association based on keywords for PubMed and Ichushi-web presented by the Clinical Practice Guideline Committee of Japanese Academy of Maxillofacial Prosthetics. After secondary screening, relating articles were extracted and their structured abstracts were described for discussion.
Results: RCTs and meta-analyses were not found, and many articles were clinical reports based on a single case report or case accumulation study. After the second screening, 17 papers were extracted. From these papers, implant-supported maxillary prostheses tended to be applied to edentulous patients with large maxillary defects where stability and retention of prosthesis could not be established by conventional prostheses. Improvement of masticatory performance and speech intelligibility by implant-supported maxillary prostheses was better than that by conventional prostheses. However, the success rate of implant therapy remains controversial.
Conclusions: Implant-supported maxillary prostheses have higher stability and retention than conventional maxillary prostheses, which might be useful to improve the masticatory performance and speech intelligibility of post-maxillectomy patients.

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© 2019 一般社団法人日本顎顔面補綴学会
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