美学种植修复同期应用异种骨引导再生术对唇侧骨板及骨吸收情况的研究分析
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摘要
目的探讨美学种植修复同期应用异种骨引导再生术对唇侧骨板及骨吸收情况的影响。方法将2016年2月至2018年3月进行美学种植修复的82例(128颗)患者根据是否进行异种骨引导再生术分组,A组41例(62颗)进行美学种植修复,B组41例(66颗)美学种植修复同期应用异种骨引导再生术,以异种骨为骨移植材料将种植体全长覆盖,取一层可吸收性膜横向覆盖于骨移植材料表面,膜在冠方跨过种植位点的唇侧和腭侧,对两组植体唇侧牙槽骨厚度、吸收情况、美学评分进行观察,采用iCAT Vision数字化软件对种植体颈部肩台下2mm、体部中点及根尖处唇侧骨板进行测量,测量线与种植体长轴垂直,将纵切线向近中及远中各移动1mm,的得到新的纵切面,以同样方法对唇侧骨板厚度进行测量并记录数值。结果B组修复后3个月、6个月的种植体唇侧牙槽骨厚度明显优于A组(P <0.05);B组种植体肩台下2mm、体部中点、根尖处平均骨吸收值均较A组低(P <0.05)。结论美学种植修复同期应用异种骨引导再生术可减少骨吸收,近远期效果理想,值得推广。
Objective To investigate the effects of aesthetic implants and repairs on the lateral bone plate and bone resorption in the same period.Methods 82(128) patients who underwent aesthetic implant restoration from February 2016 to March 2018 were grouped according to whether or not heterogeneous bone-guided regeneration was performed.41 patients(62) in group A were treated with aesthetic implants.In group B, 41 cases(66) of aesthetic implants were repaired simultaneously with xenogenic bone-guided regeneration.The alveolar bone thickness, absorption and aesthetic scores of the two groups of implants were observed.Results The alveolar bone thickness of the implants at 3 months and 6 months after repair in group B was significantly better than that in group A(P < 0.05).The average bone resorption values of the2 mm, the midpoint of the body and the apex of the implants in group B were lower than those in group A(P < 0.05)..Conclusion Aesthetic implant restoration and simultaneous application of xenogenic bone guided regeneration can reduce bone resorption and is worth promoting.
Objective To investigate the effects of aesthetic implants and repairs on the lateral bone plate and bone resorption in the same period.Methods 82(128) patients who underwent aesthetic implant restoration from February 2016 to March 2018 were grouped according to whether or not heterogeneous bone-guided regeneration was performed.41 patients(62) in group A were treated with aesthetic implants.In group B, 41 cases(66) of aesthetic implants were repaired simultaneously with xenogenic bone-guided regeneration.The alveolar bone thickness, absorption and aesthetic scores of the two groups of implants were observed.Results The alveolar bone thickness of the implants at 3 months and 6 months after repair in group B was significantly better than that in group A(P < 0.05).The average bone resorption values of the2 mm, the midpoint of the body and the apex of the implants in group B were lower than those in group A(P < 0.05)..Conclusion Aesthetic implant restoration and simultaneous application of xenogenic bone guided regeneration can reduce bone resorption and is worth promoting.
引文
[1]黄会杰,陈贵丰.口腔种植修复与常规修复治疗牙列缺失的效果比较[J].广东医学,2016,37(4):583-584.
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[9]陶安军,杨细虎,范广宇等.引导再生术用于下颌第三磨牙拔除后牙槽骨再生的疗效评估[J].口腔医学,2016,36(11):1017-1019.
[10]Hung-Yin Tai,Earl Fu,Liao-Ping Cheng et al.Fabrication of asymmetric membranes from polyhydroxybutyrate and biphasic calcium phosphate/chitosan for guided bone regeneration[J].Journal of Polymer Resear ch,2014,21(5):421-1-421-11.
[11]张楚南,倪杰,莫嘉骥等.美学区种植同期应用异种骨行引导骨再生术后愈合期间唇侧骨改建的临床研究[J].中国口腔颌面外科杂志,2018,16(1):29-33.DOI:10.19438/j.cjoms.2017.06.006.
[12]李康,陈淑萍,谢春等.引导骨组织再生技术种植修复口腔颌面部创伤后牙缺失伴骨缺损的临床研究[J].中国口腔种植学杂志,2016,21(3):124-127.
[13]Guzmán-Morales,J.,Lafantaisie-Favreau,C.-H.,Chen,G.et al.Subchondral chitosan/blood implant-guided bone plate resorption and woven bone repair is coupled to hyaline cartilage regeneration from microdrill holes in aged rabbit knees[J].Osteoarthritis and cartilage,2014,22(2):323-333.
[14]Beolchini,Marco,Lang,Niklaus P.,Ricci,Emanuele et al.Influence on alveolar resorption of the buccal bony plate width in the edentulous ridge expansion(ERE)-an experimental study in the dog[J].Clinical oral implants research,2015,26(1):109-114.
[15]王峻.引导骨再生膜技术在种植义齿美学修复中的临床分析[J].中国美容医学,2018,27(5):77-80.
[2]彭冲,项琳怡.膜引导骨再生技术联合3I种植系统在前牙种植中的应用[J].中国基层医药,2016,23(7):990-993.DOI:10.3760/cma.j.issn.1008-6706.2016.07.008.
[3]Deliberador,Tatiana Miranda,Vieira,Juliana Souza,Bonacin,Rodrigo et al.Connective tissue graft combined with autogenous bone graft in the treatment of peri-implant soft and hard tissue defect[J].Quintessence international,2015,46(2):139-144.
[4]史燕萍,徐天舒,杨煦等.All-on-4种植即刻修复牙列缺失的疗效及并发症观察[J].贵州医药,2018,42(7):841-842.
[5]Mitchell,A.,Kim,B.,Cottrell,J.et al.Development of a guided bone regeneration device using salicylic acidpoly(anhydride-ester)polymers and osteoconductive scaffolds[J].Journal of biomedical materials research,Part A,2014,102A(3):655-664.
[6]李彦.牙列缺损种植修复的咬合评估与设计[J].中华口腔医学杂志,2016,51(4):219-223.DOI:10.3760/cma.j.issn.1002-0098.2016.04.007.
[7]罗佳,杨艳.口腔种植修复牙列缺损的美学价值及临床效果研究[J].河北医学,2016,22(12):1971-1973.DOI:10.3969/j.issn.1006-6233.2016.12.014.
[8]唐恩厚.应用膜引导骨再生技术修复上颌侧切牙种植位点骨缺损的临床分析[J].中国医药指南,2017,15(15):146-147.
[9]陶安军,杨细虎,范广宇等.引导再生术用于下颌第三磨牙拔除后牙槽骨再生的疗效评估[J].口腔医学,2016,36(11):1017-1019.
[10]Hung-Yin Tai,Earl Fu,Liao-Ping Cheng et al.Fabrication of asymmetric membranes from polyhydroxybutyrate and biphasic calcium phosphate/chitosan for guided bone regeneration[J].Journal of Polymer Resear ch,2014,21(5):421-1-421-11.
[11]张楚南,倪杰,莫嘉骥等.美学区种植同期应用异种骨行引导骨再生术后愈合期间唇侧骨改建的临床研究[J].中国口腔颌面外科杂志,2018,16(1):29-33.DOI:10.19438/j.cjoms.2017.06.006.
[12]李康,陈淑萍,谢春等.引导骨组织再生技术种植修复口腔颌面部创伤后牙缺失伴骨缺损的临床研究[J].中国口腔种植学杂志,2016,21(3):124-127.
[13]Guzmán-Morales,J.,Lafantaisie-Favreau,C.-H.,Chen,G.et al.Subchondral chitosan/blood implant-guided bone plate resorption and woven bone repair is coupled to hyaline cartilage regeneration from microdrill holes in aged rabbit knees[J].Osteoarthritis and cartilage,2014,22(2):323-333.
[14]Beolchini,Marco,Lang,Niklaus P.,Ricci,Emanuele et al.Influence on alveolar resorption of the buccal bony plate width in the edentulous ridge expansion(ERE)-an experimental study in the dog[J].Clinical oral implants research,2015,26(1):109-114.
[15]王峻.引导骨再生膜技术在种植义齿美学修复中的临床分析[J].中国美容医学,2018,27(5):77-80.