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[使用脱蛋白牛骨和硫酸钙对拔牙窝进行种植前准备]

[Preimplant preparation of the extraction alveolus with the deproteinized bovine bone and calcium-sulphate].

作者信息

Brković Bozidar, Radulović Milan, Danilović Vesna

机构信息

Stomatoloski fakultet, Klinika za oralnu hirurgiju, Beograd.

出版信息

Vojnosanit Pregl. 2006 Feb;63(2):181-5. doi: 10.2298/vsp0602181b.

Abstract

BACKGROUND

Different materials are used to prevent the resorption of alveolar bone. The aim of this report was to show the radiographical and histological results prior to implant insertion, when a deproteinized bovine bone mineral (BioOss) and calcium-sulphate were placed into the extraction socket immediatelly after the tooth removal.

CASE REPORT

A 22-year-old woman was scheduled for the removal of the second lower molar when the extraction socket was filled with BioOss covered with calcium-sulphate as a resorbable membrane. Primary closure of the surgical site was performed. Radiography was done 4 and 12 months later. One year after the surgery, when the implant was inserted, a biopsy of the new regenerated bone was obtained for the histological evaluation. The lamellar bone was evident using both materials. The resorption of BioOss was slow and the connective tissue was observed.

CONCLUSION

Both materials had biocompatible and oseoconductive properties. One year after the grafting procedure, we observed the lamellar bone and partial resorption of BioOss, while calcium-sulphate showed no significant effect as a resorbable membrane.

摘要

背景

不同材料用于防止牙槽骨吸收。本报告的目的是展示在拔牙后立即将脱蛋白牛骨矿物质(BioOss)和硫酸钙放入拔牙窝时,种植体植入前的影像学和组织学结果。

病例报告

一名22岁女性计划拔除下颌第二磨牙,拔牙窝用BioOss填充,表面覆盖硫酸钙作为可吸收膜。对手术部位进行了一期缝合。术后4个月和12个月进行了影像学检查。手术一年后,当植入种植体时,获取了新再生骨的活检样本进行组织学评估。两种材料均可见板层骨。BioOss的吸收缓慢,观察到了结缔组织。

结论

两种材料均具有生物相容性和骨传导性。移植手术后一年,我们观察到了板层骨和BioOss的部分吸收,而硫酸钙作为可吸收膜未显示出显著效果。

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