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使用下颌骨联合移植修复上颌牙槽骨缺损以进行牙种植:初步手术报告

Reconstruction of maxillary alveolar defects with mandibular symphysis grafts for dental implants: a preliminary procedural report.

作者信息

Misch C M, Misch C E, Resnik R R, Ismail Y H

机构信息

Oral Implantology Center, University of Pittsburgh School of Dental Medicine, PA 15261.

出版信息

Int J Oral Maxillofac Implants. 1992 Fall;7(3):360-6.

PMID:1289262
Abstract

Partially edentulous patients with alveolar defects contraindicating implant placement were treated with bone grafts obtained from the mandibular symphysis. Complications encountered were minor and uneventful. Evaluation 4 months after surgery revealed minimal graft resorption, thus implant placement was possible in all potential sites. Advantages of the symphysis graft include easy access, availability of greater quantities of bone over other intraoral donor sites, low morbidity, no hospitalization, minimal discomfort, no alteration in ambulation, and no cutaneous scar. Compared with other bone regenerative methods for implant placement, a superior quality of bone was found and a shorter healing period is required. Results of this preliminary clinical investigation demonstrate that chin grafts offer a viable alternative for reconstruction of alveolar defects prior to dental implant placement.

摘要

患有牙槽骨缺损且禁忌种植体植入的部分牙列缺失患者,采用取自下颌骨联合处的骨移植进行治疗。所遇到的并发症轻微且平稳。术后4个月的评估显示移植骨吸收极少,因此在所有可能的部位都可以进行种植体植入。联合处骨移植的优点包括易于获取、比其他口腔内供骨部位能提供更多的骨量、发病率低、无需住院、不适轻微、不影响行走且无皮肤瘢痕。与其他用于种植体植入的骨再生方法相比,发现骨质量更优且愈合期更短。这项初步临床研究的结果表明,颏部骨移植为牙种植体植入前牙槽骨缺损的重建提供了一种可行的替代方法。

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