口腔种植学是口腔教育中较新的学科。虽然现在我们都有共识，种植⽛相关的理论知识，⽆论是治疗⽅案的规划，还是后期的随访和维护，对于每⼀个职业⽛医都⾮常重要。然⽽，在当下全球的口腔医学本科培养体系中，它的覆盖程度还远远落后于其重要性。 在此背景下，香港大学口腔医学院联合⾹港⼤学的线上教育专业团队，历时⼀年有余，设计并制作了这门为期五周的⽹络公开课，旨在传播以循证医学为基础的，客观、全⾯的⽛种植学相关知识。这门课程⾯向全球，双语教学，完全免费。学员将在20 多位全球领先的种植学专家的带领下，完成五个模块，系统地学习⽛种植学。
第五周 总结
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Do curso por The University of Hong Kong
口腔种植学 （Implant Dentistry）
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种植牙的术后、未来的发展
种植体毫无疑问是“高维护”设备！在这个模块中，我们将讨论如何设计个性化，循证的策略，以保持种植体的长期健康和功能。我们还将回顾最常见的技术和生物学并发症，并讨论预防策略，早期诊断和管理技术。同时，我们将探讨一些尖端的技术和新趋势，包括在组织工程和再生中使用数字技术，在植入程序中使用动态导航和数字化工作流程等，这些趋势可能改变种植牙的未来。
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Nikos MattheosClinical Associate Professor in Implant Dentistry
The University of Hong Kong
Dear friends, we're now reaching the end
of the 5th Module in our course.
And by now you have seen that living with dental implants
as a patient, or as a dentist is not entirely care free.
On the contrary, we need to stick to certain fundamental principles
in order to ensure long lasting success.
Careful patient selection, careful treatment planning
and execution will bring success to our interventions.
Nevertheless it is maintenance that will ensure
that the patients will stay happy in the long term.
The first thing we need to do once we have completed our treatment
is to document a baseline.
That means to record the basic parameters
of the tissues and the prosthesis,
and save this as a reference for
every future follow-up examination.
The second important thing is to establish
the risk profile of the patient.
In Module 2, we discussed in detail
of all the risk parameters.
When you do that then you can also determine
how frequently you will need to see the patient
for the rest of his or her life.
Every time we have a maintenance visit,
there are three important parameters we always have to review.
The patient, the prosthesis,
but also the peri-implant issues in particular.
At the patient level, we want to update the medical history
and look for any changes in the systemic health,
the medication or the behavioural aspects of the patient
The Peri Apical Radiograph might be very important
on an annual basis, not only to look at the bone,
but also to be able to early detect any problems
with the prosthetic components of the prosthesis,
the abutment or the implant.
Occlusal and functional examination is very important.
And then of course don't forget to ask the patient
about his experience with the prosthesis you have given him,
his daily function,
his satisfaction with all the parameters of the prosthesis.
Remember there are certain factors that we always have
to take in consideration in our risk assessment.
History of periodontitis,
smoking or history of smoking,
Diabetes Mellitus,
a previous implant complication of any type,
as it can increase the risk for future complications,
and also different types of parafunction or bruxism.
Then the next item to focus
is the prosthesis itself.
Look at the design of the prosthesis,
and the emergence profile.
And make sure that the prosthesis allow the patient
to clean and clean efficiently.
Look at the veneering defects,
any type of cracks or defects in the porcelain
might actually be hints for trouble that is coming.
Also take a very close look at the components
of the implant and the prosthesis.
That you can do through a very well taken
Peri Apical Radiograph as we discussed in this Module.
Sometimes playing with the contrast and the exposure
of a digital radiograph can actually reveal the relation
between the different components of the implant prosthesis,
and give you hints about upcoming problems.
Finally, have a very close inspection of the peri-implant
and the periodontal tissues.
Look for plaque index and the bleeding index,
and also control for calculus,
or any signs of inflammation.
Probe around the implants and be very mindful
of any increase in probing depth as compared to your baseline.
And also register any other signs of soft tissue problems,
such as recessions.
Bone loss can be controlled radiographically, if necessary.
And with that, we're coming slowly to the end
of the 1st MOOC in Implant Dentistry
- the 1st Massive Open Online Course for Dental Implants.
The Friday sun is about to set here in Hong Kong.
And as Friday night is moving slowly around the globe,
we're about to complete this exciting five-week-long trip
in the world of dental implants.
It has been an amazing learning experience for all of us.
And I do hope that you have learned
at least as much as we have throughout this time,
that we had the opportunity, the pleasure,
and I would say the honour to interact with
so many students, colleagues, professionals, all over the globe,
and get to understand so much more
about how to practice,
how to teach and how to assess dental implants.
We will continue this journey,
and we will try to make it better and more efficient,
and more productive and more fruitful for everyone.
For now, I would like to express our sincere gratitude
to all of us,
students, learners, tutors,
teaching assistants, lecturers,
and everyone who has contributed to this amazing experience,
and I want to say that there is no end to that.
The network that we have established,
the communication, and the connection we have established,
will stay and will only grow with time.
And we'll meet again, online or in person.
Thank you all very much.
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