Minichetti John C, D'Amore Joseph C, Hong Anna Y J
Englewood Hospital, NJ, USA.
J Oral Implantol. 2005;31(6):283-93. doi: 10.1563/0-757.1.
With clinicians placing more dental implants, it is becoming increasingly important to maintain bone volume after tooth extraction. This article reports the results of implants placed into extraction sites grafted with particulate mineralized bone allograft (Puros). A total of 313 extraction sites were grafted with mineralized bone graft during a 36-month period. A total of 252 Tapered Screw-Vent dental implants were placed into the grafted extraction sites after a 4- to 7-month healing period. All reentries revealed a bony hard structure acceptable for osteotomy preparation. A total of 244 of these implants have been restored with fixed prosthesis and 6 with removable overdentures for a total of 250 loaded implants. A total of 6 implants failed, which required their removal (2 implants before load and 4 after loading), resulting in a 97.6% implant success rate. We conclude that mineralized human allograft placed into extraction sites is clinically useful to maintain bone volume. This material provided a bony hard structure acceptable for implant placement with good success rates.
随着临床医生植入更多的牙种植体,拔牙后保持骨量变得越来越重要。本文报告了将种植体植入用颗粒状矿化骨同种异体移植物(Puros)移植的拔牙位点的结果。在36个月的时间里,共有313个拔牙位点用矿化骨移植物进行了移植。在4至7个月的愈合期后,共有252颗锥形螺纹通风式牙种植体被植入移植后的拔牙位点。所有再次手术均显示出适合进行截骨术准备的骨质坚硬结构。这些种植体中共有244颗已用固定修复体修复,6颗用可摘覆盖义齿修复,总共250颗种植体已负重。共有6颗种植体失败,需要将其取出(2颗在负重前,4颗在负重后),种植体成功率为97.6%。我们得出结论,将矿化人同种异体移植物置于拔牙位点在临床上有助于保持骨量。这种材料提供了适合种植体植入的骨质坚硬结构,成功率良好。