根盾技术的临床应用与思考

doi:10.12439/kqhm.1005-4979.2026.04.001

《口腔颌面外科杂志》 ›› 2026, Vol. 36 ›› Issue (4): 265-275. doi: 10.12439/kqhm.1005-4979.2026.04.001

• 专家论坛 • 下一篇

根盾技术的临床应用与思考

周颖(), 曾子瑜, 范震()

上海市同济口腔医院口腔种植科，同济大学口腔医学院，上海牙组织修复与再生工程技术研究中心，同济大学口腔医学研究所，上海　200072

收稿日期:2026-07-02 接受日期:2026-07-25 出版日期:2026-08-28 上线日期:2026-09-02
通讯作者: 范震，主任医师. E-mail: miss.fanzhen@tongji.edu.cn

作者简介:

周颖，硕士研究生. E-mail: 2434127@tongji.edu.cn

专家简介：范震，上海市同济口腔医院（同济大学附属口腔医院）主任医师、副教授、博士生导师，口腔种植科主任。担任中华口腔医学会口腔种植专业委员会常务委员、上海口腔医学会口腔种植专业委员会副主任委员、上海口腔医学会口腔修复学专业委员会委员、全国卫生产业企业管理协会数字化口腔产业分会学术委员会常务委员。范震副教授长期从事口腔种植学相关临床与基础研究，担任“十三五”及“十四五”规划本科教材《口腔种植学》编委，《全国高级卫生专业技术资格考试指导—口腔医学》《口腔医学习题集》编委，口腔专科医师规范化培训规划教材《口腔种植专科分册》编委，《口腔颌面外科杂志》《中国口腔种植学杂志》《口腔医学》等杂志编委。先后主持国家级及省部级项目7项，参编、参译专著10余本，发表文章40余篇。

基金资助:
国家自然科学基金(81400485)

Clinical application and considerations of the socket-shield technique

ZHOU Ying(), ZENG Ziyu, FAN Zhen()

Shanghai Engineering Research Center of Tooth Restoration and Regeneration & Tongji Research Institute of Stomatology & Department of Oral Implantology, Shanghai Tongji Stomatological Hospital and Dental School, Tongji University, Shanghai 200072, China

Received:2026-07-02 Accepted:2026-07-25 Published:2026-08-28 Online:2026-09-02

摘要/Abstract

摘要：

如何维持前牙美学区种植修复后的轮廓一直是牙种植治疗中的难点问题。根盾技术（socket-shield technique，SST）作为一种通过保留部分牙根避免拔牙后牙槽骨吸收的新技术，近年来在临床中的应用日益广泛。本文就SST在牙种植修复中的发展、操作要点及研究进展进行归纳总结，以期为该技术的临床应用提供参考。

关键词: 根盾技术, 即刻种植, 牙槽嵴保存, 美学区

Abstract:

How to maintain the contour of the anterior aesthetic area after implant restoration has always been a difficult problem in dental implant treatment. As a new technique to avoid alveolar bone resorption after tooth extraction by retaining part of the root, the socket-shield technique (SST) has been widely used in clinical practice in recent years. This article summarizes the development, key operative points and research progress of SST in dental implant restoration, in order to provide reference for clinical application of this technology.

Key words: socket-shield technique, immediate implant, alveolar ridge preservation, aesthetic zone

周颖, 曾子瑜, 范震. 根盾技术的临床应用与思考[J]. 《口腔颌面外科杂志》, 2026, 36(4): 265-275.

ZHOU Ying, ZENG Ziyu, FAN Zhen. Clinical application and considerations of the socket-shield technique[J]. Journal of Oral and Maxillofacial Surgery(CN), 2026, 36(4): 265-275.

https://journal06.magtech.org.cn/Jweb_joms/CN/Y2026/V36/I4/265

图/表 3

图1 Gluckman上颌前牙位置分类 A.Ⅰ类，牙齿位于牙槽嵴中央；B.ⅡA类，牙齿舌倾，唇侧骨板较厚；C.ⅡB类，牙齿舌倾，唇侧骨板较薄；D.Ⅲ类，牙齿唇倾，腭侧骨板较厚，颊侧骨板较薄；E.Ⅳ类，牙根唇侧超过骨轮廓；F.Ⅴ类，牙齿的唇腭侧骨板均较薄。

Figure 1 Gluckman classification of maxillary anterior teeth position

图2 SST类型示意图 A.颊盾；B.全C根盾；C.半C根盾；D.桥体盾；E.邻牙根盾；F.舌（腭）根盾；G.多重颊盾。

Figure 2 Schematic diagram of SST classification

图3 根盾暴露示意图 A.根盾内暴露（箭头所指）；B.根盾外暴露（箭头所指）。

Figure 3 Schematic diagram of SST exposure

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