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采用SLA表面种植体周围引导骨再生的组织形态计量学评价:一项在比格犬中的实验研究。

Histomorphometric evaluation of guided bone regeneration around implants with SLA surface: an experimental study in beagle dogs.

作者信息

de Vicente J C, Recio O, Martín-Villa L, Junquera L M, López-Arranz J S

机构信息

Department of Oral and Maxillofacial Surgery, Faculty of Health Sciences, School of Dentistry, University Hospital of Oviedo, Asturias, Spain.

出版信息

Int J Oral Maxillofac Surg. 2006 Nov;35(11):1047-53. doi: 10.1016/j.ijom.2006.06.008. Epub 2006 Sep 14.

Abstract

The aim of this study was to evaluate the efficacy of collagen membranes, either alone or combined with a human demineralized freeze-dried bone allograft (DFDBA) or natural bovine bone graft, in bone defects around dental implants with an SLA (sand-blasted, large grit, acid-etched) surface. The experiments were carried out in three beagle dogs using a split-mouth design. On one side of the jaw, three implants were placed and intra-bony defects were created and covered with a collagen membrane, randomly combined in two of the defects with human DFDBA or inorganic bovine bone graft. A control implant, without membrane covering or defect filling, was also placed. On the other side of the jaw, three implants were placed and the bone defects were treated in a similar fashion, but without membrane covering. The studied variables were the percentage of bone-to-implant contact within the limits of the initial bony defect and percentage of the original bony defect occupied by bone tissue. Although no statistically significant differences were found in this study between the membrane and nonmembrane groups, bone defects augmented with anorganic bovine bone and membranes showed the most promising results from a histological and histomorphometric perspective.

摘要

本研究的目的是评估胶原膜单独使用或与人类脱矿冻干骨同种异体移植物(DFDBA)或天然牛骨移植物联合使用,在具有SLA(喷砂、大颗粒、酸蚀)表面的牙种植体周围骨缺损中的疗效。实验采用分口设计,在三只比格犬身上进行。在颌骨的一侧植入三颗种植体,制造骨内缺损并用胶原膜覆盖,其中两个缺损随机联合使用人类DFDBA或无机牛骨移植物。还植入了一颗未覆盖膜或填充缺损的对照种植体。在颌骨的另一侧植入三颗种植体,以类似方式处理骨缺损,但不覆盖膜。研究变量为初始骨缺损范围内骨与种植体接触的百分比以及骨组织占据的原始骨缺损的百分比。尽管本研究中膜组和无膜组之间未发现统计学上的显著差异,但从组织学和组织形态计量学角度来看,用无机牛骨和膜增大的骨缺损显示出最有前景的结果。

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