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矿化骨移植块-牙槽窝增量术:原理与技术

Mineralized bone allograft-plug socket augmentation: rationale and technique.

作者信息

Wang Hom-Lay, Tsao Yi-Pin

机构信息

Department of Periodontics and Oral Medicine, School of Dentistry, University of Michigan, Ann Arbor, MI 48109-1078, USA.

出版信息

Implant Dent. 2007 Mar;16(1):33-41. doi: 10.1097/ID.0b013e318031ece6.

Abstract

BACKGROUND

Socket augmentation allows clinicians to preserve alveolar bone height. This, in turn, could maintain adjacent soft tissue (papillae) height to promote optimal implant esthetics.

MATERIALS AND METHODS

A new regimen for the socket augmentation technique (the mineralized bone allograft-plug technique) is introduced. It uses solvent-preserved mineralized cancellous allografts to fill the sockets up to 1-2 mm below the bone crest. This is covered with a bioabsorbable collagen wound dressing (CollaPlug; Zimmer Dental, Carlsbad, CA). Illustrations to demonstrate the technique are introduced. A case treated with this approach is presented.

RESULTS

This technique is easy to perform with minimal trauma. Both clinical observation and histological results showed excellent bone formation.

CONCLUSION

Our clinical experience, as well as histologic data, suggest that the mineralized bone allograft-plug is a suitable technique for socket augmentation.

摘要

背景

牙槽窝增高术可使临床医生保留牙槽骨高度。进而能够维持相邻软组织(龈乳头)高度,以促进种植体达到最佳美学效果。

材料与方法

介绍了一种牙槽窝增高术的新方案(矿化异体骨填充技术)。该技术使用经溶剂保存的矿化松质异体骨填充牙槽窝,填充至骨嵴下方1 - 2毫米处。然后用生物可吸收胶原伤口敷料(CollaPlug;美国加利福尼亚州卡尔斯巴德市的Zimmer Dental公司生产)覆盖。文中给出了该技术的操作示意图,并展示了一例采用此方法治疗的病例。

结果

该技术操作简便,创伤极小。临床观察和组织学结果均显示骨形成良好。

结论

我们的临床经验以及组织学数据表明,矿化异体骨填充技术是一种适用于牙槽窝增高的技术。

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