{"id":1067,"date":"2024-01-10T19:18:32","date_gmt":"2024-01-10T11:18:32","guid":{"rendered":"https:\/\/taiwanfullarch.com.tw\/?p=1067"},"modified":"2025-10-13T13:53:44","modified_gmt":"2025-10-13T05:53:44","slug":"%e4%b8%8b%e9%a1%8e%e9%aa%a8%e8%85%ab%e7%98%a4%e5%88%87%e9%99%a4%e5%90%88%e4%bd%b5%e8%85%93%e9%aa%a8%e7%9a%ae%e7%93%a3%e9%87%8d%e5%bb%ba%e6%82%a3%e8%80%85%e7%9a%84%e6%a4%8d%e7%89%99%e9%87%8d%e5%bb%ba","status":"publish","type":"post","link":"https:\/\/taiwanfullarch.com.tw\/?p=1067","title":{"rendered":"\u3164\u4e0b\u984e\u9aa8\u816b\u7624\u5207\u9664\u5408\u4f75\u8153\u9aa8\u76ae\u74e3\u91cd\u5efa\u60a3\u8005\u7684\u690d\u7259\u91cd\u5efa"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-post\" data-elementor-id=\"1067\" class=\"elementor elementor-1067\" data-elementor-post-type=\"post\">\n\t\t\t\t<div class=\"elementor-element elementor-element-d83da33 e-flex e-con-boxed elementor-invisible e-con e-child\" data-id=\"d83da33\" data-element_type=\"container\" data-settings=\"{&quot;animation&quot;:&quot;fadeInUp&quot;,&quot;background_background&quot;:&quot;slideshow&quot;,&quot;background_slideshow_gallery&quot;:[{&quot;id&quot;:5744,&quot;url&quot;:&quot;https:\\\/\\\/taiwanfullarch.com.tw\\\/wp-content\\\/uploads\\\/2025\\\/08\\\/texture-1.jpg&quot;}],&quot;background_slideshow_loop&quot;:&quot;yes&quot;,&quot;background_slideshow_slide_duration&quot;:5000,&quot;background_slideshow_slide_transition&quot;:&quot;fade&quot;,&quot;background_slideshow_transition_duration&quot;:500}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-3b7f3d0 elementor-widget elementor-widget-heading\" data-id=\"3b7f3d0\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">\u4e0b\u984e\u9aa8\u816b\u7624\u5207\u9664\u5408\u4f75\u8153\u9aa8\u76ae\u74e3\u91cd\u5efa\u60a3\u8005\u7684\u690d\u7259\u91cd\u5efa<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-2894df9 elementor-widget__width-initial elementor-widget-divider--view-line elementor-widget elementor-widget-divider\" data-id=\"2894df9\" data-element_type=\"widget\" data-widget_type=\"divider.default\">\n\t\t\t\t\t\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-2d6cf82 e-flex e-con-boxed e-con e-parent\" data-id=\"2d6cf82\" data-element_type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-398daf5 elementor-widget__width-initial elementor-widget elementor-widget-image\" data-id=\"398daf5\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img fetchpriority=\"high\" decoding=\"async\" width=\"800\" height=\"800\" src=\"https:\/\/taiwanfullarch.com.tw\/wp-content\/uploads\/2024\/01\/1-4-1024x1024.png\" class=\"attachment-large size-large wp-image-1069\" alt=\"\" srcset=\"https:\/\/taiwanfullarch.com.tw\/wp-content\/uploads\/2024\/01\/1-4-1024x1024.png 1024w, https:\/\/taiwanfullarch.com.tw\/wp-content\/uploads\/2024\/01\/1-4-300x300.png 300w, https:\/\/taiwanfullarch.com.tw\/wp-content\/uploads\/2024\/01\/1-4-150x150.png 150w, https:\/\/taiwanfullarch.com.tw\/wp-content\/uploads\/2024\/01\/1-4-768x768.png 768w, https:\/\/taiwanfullarch.com.tw\/wp-content\/uploads\/2024\/01\/1-4.png 1440w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-dff59e8 e-flex e-con-boxed e-con e-parent\" data-id=\"dff59e8\" data-element_type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-48bc989 elementor-widget__width-initial elementor-widget elementor-widget-text-editor\" data-id=\"48bc989\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t\n<p>\u00a0<\/p>\n\n<p>\udb40\udc20<br \/>\u258b \u524d\u8a00<br \/>\u81ea\u5f9e 1989 \u5e74\uff0cHidalgo \u9996\u6b21\u6210\u529f\u4f7f\u7528\u6e38\u96e2\u8153\u9aa8\u76ae\u74e3 (fibular free flap) \u91cd\u5efa\u4e0b\u984e\u9aa8\u7f3a\u640d\uff0c\u9019\u7a2e\u624b\u8853\u6280\u8853\u5728\u4e0b\u984e\u9aa8\u816b\u7624\u5207\u9664\u7684\u60a3\u8005\u5df2\u6210\u70ba\u91cd\u5efa\u65b9\u5f0f\u4e4b\u4e00\u3002<br \/>\udb40\udc20<br \/>\u96a8\u8457\u6578\u4f4d\u865b\u64ec\u624b\u8853\u8a2d\u8a08 (Virtual Surgical Planning, VSP) \u8207 3D \u5217\u5370\u624b\u8853\u5c0e\u677f\u6280\u8853\u4e0d\u65b7\u7684\u9032\u6b65\uff0c\u6e38\u96e2\u8153\u9aa8\u76ae\u74e3\u624b\u8853\u6280\u8853\u7684\u63d0\u5347\u4f7f\u5176\u5728\u4fee\u5fa9\u4e0b\u984e\u9aa8\u7f3a\u9677\u65b9\u9762\u6709\u8457\u8d8a\u4f86\u8d8a\u5ee3\u6cdb\u7684\u61c9\u7528\u3002\u7d50\u5408\u65b0\u7684\u6578\u4f4d\u5316\u690d\u7259\u6280\u8853\uff0c\u5229\u7528\u81ea\u7531\u8153\u9aa8\u76ae\u74e3\u9032\u884c\u4e0b\u984e\u9aa8\u7684\u529f\u80fd\u6027\u91cd\u5efa\u53ef\u4ee5\u6709\u6548\u5730\u9084\u539f\u60a3\u8005\u7684\u984f\u9762\u5916\u89c0\u548c\u54ac\u5408\u95dc\u4fc2\u3002<br \/>\udb40\udc20<br \/>\u7136\u800c\u6700\u5927\u7684\u7f3a\u9ede\u662f\uff0c\u91cd\u5efa\u7684\u4e0b\u984e\u9aa8\u9ad8\u5ea6\u5e38\u5e38\u7121\u6cd5\u6eff\u8db3\u690d\u9ad4\u9577\u5ea6\u7684\u9700\u6c42\uff0c\u4e14\u55ae\u5c64\u8153\u9aa8\u76ae\u74e3 (single-barrel fibular flap) \u8868\u9762\u7684\u9ecf\u819c\u76ae\u74e3\u8f03\u539a\uff0c\u9019\u4e0d\u50c5\u589e\u52a0\u4e86\u5370\u6a21\u7684\u96e3\u5ea6\uff0c\u9084\u5bb9\u6613\u5f15\u8d77\u690d\u9ad4\u5468\u570d\u7684\u767c\u708e\u3002<br \/>\udb40\udc20<br \/>\u76f8\u8f03\u65bc\u55ae\u5c64\u8153\u9aa8\u76ae\u74e3\uff0c\u96d9\u5c64\u8153\u9aa8\u76ae\u74e3 (double-barrel fibular flap) \u4e0d\u50c5\u80fd\u5920\u5b8c\u7f8e\u5730\u9084\u539f\u9f52\u69fd\u9aa8\u7684\u9ad8\u5ea6\uff0c\u4e5f\u6bd4\u8f03\u5bb9\u6613\u907f\u514d\u5728\u690d\u7259\u5f8c\u767c\u751f\u7259\u51a0\u8207\u7259\u6839\u6bd4\u4f8b\u7684\u4e0d\u5e73\u8861\uff0c\u9032\u800c\u6539\u5584\u9577\u671f\u7684\u7a69\u5b9a\u6027\u3002<br \/>\udb40\udc20\udb40\udc20<br \/>\u258b \u60a3\u8005\u6982\u6cc1<br \/>\u672c\u75c5\u4f8b\u5206\u4eab\u4e00\u4f4d 64 \u6b72\u7537\u6027\u60a3\u8005\uff0c\u5148\u524d\u56e0\u5de6\u4e0b\u984e\u63a5\u53d7\u9020\u91c9\u7d30\u80de\u7624 (Ameloblastoma) \u816b\u7624\u5207\u9664\u540c\u6642\u4ee5\u96d9\u5c64\u8153\u9aa8\u76ae\u74e3\u91cd\u5efa\uff0c\u624b\u8853\u4e00\u5e74\u5f8c\u7a69\u5b9a\u7121\u5fa9\u767c\uff0c\u7d93\u7531\u5047\u7259\u91ab\u5e2b\u8f49\u4ecb\u8a55\u4f30\u690d\u7259\u91cd\u5efa\uff0c\u6211\u5011\u5728\u6b64\u75c5\u4f8b\u4e2d\u4ee5 All-on-4 Concept \u7684\u65b9\u5f0f\u4f86\u91cd\u5efa\u54ac\u5408\u529f\u80fd\u3002<br \/>\udb40\udc20<br \/>\u258b All-on-4 Concept \u690d\u7259\u624b\u8853\u8a08\u756b<br \/>\u624b\u8853\u7684\u8a2d\u8a08\u5728\u60a3\u8655 #31,#33,#34,#36 \u7259\u4f4d\u7684\u4f4d\u7f6e\uff0c\u7f6e\u5165\u56db\u652f NobelSpeedy Groovy \u690d\u9ad4 (4.0*20mm)\uff0c\u4e26\u4ee5\u8907\u5408\u652f\u53f0\u9f52 (Multi-unit Abutment, MUA) \u4f86\u8abf\u6574\u9810\u671f\u7684\u5047\u7259\u51fa\u5b54\u4f4d\u7f6e\u3002<br \/>\udb40\udc20<br \/>\u9019\u985e\u76ae\u74e3\u690d\u7259\u5e38\u7531\u65bc\u690d\u9ad4\u4f4d\u7f6e\u53ef\u80fd\u6703\u56e0\u70ba\u8153\u9aa8\u76ae\u74e3\u800c\u6709\u6240\u9650\u5236\uff0c\u9032\u4e00\u6b65\u5c0e\u81f4\u5047\u7259\u88fd\u4f5c\u7684\u56f0\u96e3\uff0c\u5229\u7528\u8907\u5408\u652f\u53f0\u9f52\u53ef\u4ee5\u8abf\u6574\u56e0\u70ba\u690d\u9ad4\u4f4d\u7f6e\u7684\u6240\u9020\u6210\u7684\u9650\u5236\uff0c\u6e1b\u5c11\u5047\u7259\u88fd\u4f5c\u7684\u56f0\u96e3\u5ea6\u3002<br \/>\udb40\udc20<br \/>\u53e6\u5916\u9019\u985e\u60a3\u8005\u8853\u5f8c\u5e38\u898b\u4f75\u767c\u75c7\u4e4b\u4e00\u70ba\u76ae\u74e3\u592a\u539a\u9020\u6210\u690d\u9ad4\u8207\u76ae\u74e3\u4ea4\u63a5\u8655\u7522\u751f\u904e\u5ea6\u589e\u751f\u7684\u8089\u82bd\u7d44\u7e54\uff0c\u5c0e\u81f4\u5047\u7259\u5370\u6a21\u7684\u56f0\u96e3\uff0c\u4e5f\u5bb9\u6613\u9020\u6210\u8853\u5f8c\u6e05\u6f54\u56f0\u96e3\u800c\u5c0e\u81f4\u690d\u9ad4\u5468\u570d\u708e\u7b49\u554f\u984c\u3002<br \/>\udb40\udc20<br \/>\u258b \u76ae\u74e3\u690d\u9ad4\u5468\u570d\u7684\u8edf\u7d44\u7e54\u8003\u91cf<br \/>\u5728 2018 \u5e74 Gerardo Pellegrino \u7b49\u5b78\u8005\u63d0\u51fa\u7684\u9577\u671f\u7814\u7a76\u5831\u544a\u4e2d\u767c\u73fe\uff0c5 \u5e74\u548c 10 \u5e74\u7684\u8ffd\u8e64\u4e2d\uff0c\u5728\u5b58\u6d3b\u690d\u9ad4\u4e2d\u5206\u6790\u7d50\u679c\u8868\u793a\uff1a<br \/>\u25bb \u767c\u751f 14.8% \u7684\u690d\u9ad4\u5468\u570d\u708e (Peri-implantitis) \u548c 20.3% \u7684\u9ecf\u819c\u708e (mucositis)\u3002<br \/>\u25bb \u5c0d\u65bc\u7f3a\u4e4f\u7d50\u7de0\u7d44\u7e54 (connective tissue) \u6216\u76ae\u819a\u79fb\u690d (skin grafts) \u7684\u60a3\u8005\u767c\u751f\u690d\u9ad4\u5468\u570d\u708e\u7684\u98a8\u96aa (18.2%)\uff0c\u76f8\u8f03\u65bc\u6709\u505a\u7d50\u7de0\u7d44\u7e54\u6216\u76ae\u819a\u79fb\u690d\u7684\u60a3\u8005 (9.5%) \u8f03\u9ad8 (odds ratio = 1.5)\u3002<br \/>\udb40\udc20<br \/>\u56e0\u6b64\u9019\u985e\u76ae\u74e3\u624b\u8853\u690d\u7259\u7684\u60a3\u8005\u690d\u9ad4\u5468\u570d\u7684\u8edf\u7d44\u7e54\u9700\u8981\u7279\u5225\u6ce8\u610f\u5176\u7a69\u5b9a\u6027\u3002<br \/>\udb40\udc20<br \/>\u258b \u88dd\u7f6e\u5047\u7259\u524d\u7684\u76ae\u74e3\u4fee\u6e1b\u624b\u8853\u8a2d\u8a08<br \/>\u7531\u65bc\u9019\u4f4d\u60a3\u8005\u5728\u6e96\u5099\u63a5\u53d7\u5047\u7259\u88fd\u4f5c\u524d\uff0c\u6709\u76ae\u74e3\u904e\u539a\u7684\u60c5\u5f62\uff0c\u4f46\u539f\u672c\u7684\u76ae\u819a\u7d44\u7e54\u826f\u597d\uff0c\u6211\u5011\u5b89\u6392\u60a3\u8005\u63a5\u53d7\u76ae\u74e3\u4fee\u6e1b\u624b\u8853\u3002<br \/>\udb40\udc20<br \/>\u7531\u65bc\u96d9\u5c64\u8153\u9aa8\u76ae\u74e3\u76f8\u8f03\u65bc\u55ae\u5c64\u8153\u9aa8\u76ae\u74e3\u9ecf\u819c\u8f03\u8584\uff0c\u624b\u8853\u4e2d\u6211\u5011\u50c5\u9700\u5c07\u76ae\u74e3\u7565\u4f5c\u6253\u8584\uff0c\u518d\u4ee5\u5229\u7528 3D \u5217\u5370\u7684\u5ba2\u88fd\u5316\u5c0e\u677f\u76f8\u5c0d\u690d\u9ad4\u4f4d\u7f6e\u505a\u64e0\u58d3\u76ae\u74e3\u5408\u4f75\u74b0\u4e0b\u984e\u9aa8\u7d50\u7d2e\u6cd5 (circummandibular wiring technique)\uff0c\u4fbf\u53ef\u5c07\u904e\u591a\u7684\u76ae\u74e3\u8edf\u7d44\u7e54\u8abf\u6574\u3002\u7b49\u8853\u5f8c\u4e09\u9031\u8edf\u7d44\u7e54\u7a69\u5b9a\u5f8c\u5728\u9580\u8a3a\u62c6\u9664\u5c0e\u677f\uff0c\u518d\u8f49\u56de\u5047\u7259\u91ab\u5e2b\u5c07\u5047\u7259\u88fd\u4f5c\u5b8c\u6210\u3002<br \/>\udb40\udc20<br \/>\u258b \u76ae\u74e3\u4fee\u6e1b\u624b\u8853\u8207\u88dd\u7f6e\u5047\u7259<br \/>\u624b\u8853\u5f8c\u88dd\u7f6e\u56fa\u5b9a\u5f0f\u5047\u7259\u53ef\u770b\u5230\u5e95\u4e0b\u7684\u8edf\u7d44\u7e54\u7a69\u5b9a\uff0c\u4e14\u7531\u65bc\u4f7f\u7528 All-on-4 Concept \u7684\u65b9\u5f0f\u9032\u884c\u690d\u9ad4\u8207\u8d17\u5fa9\u9ad4\u7684\u5168\u53e3\u91cd\u5efa\uff0c\u5c0d\u65bc\u6e05\u6f54\u65b9\u9762\u6703\u6bd4\u50b3\u7d71\u56fa\u5b9a\u5f0f\u5047\u7259\u8f03\u5bb9\u6613\u8a31\u591a\u3002<br \/>\udb40\udc20<br \/>\u4e3b\u8981\u539f\u56e0\u5728\u65bc\u8907\u5408\u652f\u53f0\u9f52\u53ef\u4ee5\u7576\u4f5c\u9023\u63a5\u5047\u7259\u8207\u690d\u9ad4\u7684\u6a4b\u6a11\u4e14\u5047\u7259\u4f7f\u7528\u87ba\u7d72\u56fa\u5b9a\uff0c\u82e5\u91ab\u5e2b\u5224\u65b7\u60a3\u8005\u7121\u6cd5\u6709\u6548\u6e05\u6f54\u4e7e\u6de8\uff0c\u53ef\u81e8\u5e8a\u4e0a\u5378\u4e0b\u6e05\u6f54\u3002<br \/>\udb40\udc20<br \/>\u258b \u7d50\u8a9e<br \/>\u5c0d\u65bc\u816b\u7624\u5207\u9664\u5408\u4f75\u8153\u9aa8\u76ae\u74e3\u4e0b\u984e\u9aa8\u91cd\u5efa\u7684\u60a3\u8005\u690d\u7259\u91cd\u5efa\u4f86\u8aaa\uff0c\u4f7f\u7528 All-on-4 Concept \u7684\u65b9\u5f0f\u4f86\u91cd\u5efa\u54ac\u5408\u529f\u80fd\uff0c\u9664\u4e86\u53ef\u4ee5\u5229\u7528\u8907\u5408\u652f\u53f0\u9f52\u4f86\u514b\u670d\u690d\u9ad4\u8a2d\u8a08\u7684\u4fb7\u9650\u4ee5\u5916\uff0c\u5c0d\u65bc\u60a3\u8005\u53e3\u8154\u885b\u751f\u4e5f\u8f03\u6613\u7dad\u6301\u3002<br \/>\udb40\udc20<br \/>\u53e6\u5916\u9019\u985e\u60a3\u8005\u5728\u690d\u9ad4\u5468\u570d\u7684\u8edf\u7d44\u7e54\u70ba\u76ae\u74e3\u7d44\u7e54\uff0c\u8207\u4e00\u822c\u60a3\u8005\u7684\u53e3\u8154\u9ecf\u819c\u7d44\u7e54\u4e0d\u540c\uff0c\u9700\u8981\u7279\u5225\u8003\u616e\u690d\u9ad4\u5468\u908a\u8edf\u7d44\u7e54\u7684\u7a69\u5b9a\u6027\uff0c\u624d\u80fd\u6e1b\u5c11\u690d\u9ad4\u5468\u570d\u708e\u6240\u5c0e\u81f4\u7684\u690d\u9ad4\u5931\u6557\u3002<\/p>\n\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" width=\"1024\" height=\"1024\" class=\"wp-image-1070\" src=\"http:\/\/59.125.157.215\/wordpress\/wp-content\/uploads\/2024\/01\/4-2-1024x1024.png\" alt=\"\" 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