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下颌升支的部分厚度皮质骨移植:一种非侵入性获取技术。

Partial-thickness cortical bone graft from the mandibular ramus: a non-invasive harvesting technique.

作者信息

Hwang Kyung-Gyun, Shim Kwang-Sup, Yang Seung-Min, Park Chang-Joo

机构信息

Department of Dentistry/Oral and Maxillofacial Surgery, College of Medicine, Hanyang University, #17 Haengdang-dong, Seongdong-gu, Seoul, South Korea.

出版信息

J Periodontol. 2008 May;79(5):941-4. doi: 10.1902/jop.2008.070408.

DOI:10.1902/jop.2008.070408
PMID:18454675
Abstract

BACKGROUND

The conventional method of harvesting full cortical bone from the mandibular ramus was reported to have associated complications ranging from postoperative pain and swelling to impaired inferior alveolar nerve function.

METHODS

A modified ramal bone harvesting technique is described in which partial cortical-type bone is harvested from the mandibular ramus and used for an autogenous bone graft.

RESULTS

Partial-thickness cortical bone was harvested without paresthesia while reducing postoperative discomfort and complications. Sufficient bone was obtained for ridge augmentation and eventual implant placement.

CONCLUSION

Non-invasive partial cortical ramal bone harvesting is a reproducible and predictable technique for preventing nerve damage while providing sufficient block bone needed for a dental implant.

摘要

背景

据报道,从下颌支获取全皮质骨的传统方法会伴有多种并发症,从术后疼痛和肿胀到下牙槽神经功能受损。

方法

描述了一种改良的下颌支骨采集技术,即从下颌支采集部分皮质型骨并用于自体骨移植。

结果

获取了部分厚度的皮质骨,且未出现感觉异常,同时减少了术后不适和并发症。获得了足够的骨用于牙槽嵴增高及最终的种植体植入。

结论

非侵入性部分皮质下颌支骨采集是一种可重复且可预测的技术,可预防神经损伤,同时提供牙种植所需的足够块状骨。

相似文献

1
Partial-thickness cortical bone graft from the mandibular ramus: a non-invasive harvesting technique.下颌升支的部分厚度皮质骨移植:一种非侵入性获取技术。
J Periodontol. 2008 May;79(5):941-4. doi: 10.1902/jop.2008.070408.
2
Distance between external cortical bone and mandibular canal for harvesting ramus graft: a human cadaver study.取下颌支骨段时,测量外皮质骨与下颌管之间的距离:一项人体尸体研究。
J Periodontol. 2010 Feb;81(2):239-43. doi: 10.1902/jop.2009.090417.
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Autogenous bone graft from the mandibular ramus: a technique for bone augmentation.下颌升支自体骨移植:一种骨增量技术。
Int J Periodontics Restorative Dent. 2003 Jun;23(3):277-85.
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Re: "distance between external cortical bone and mandibular canal for harvesting ramus graft: a human cadaver study".关于:“用于获取下颌支骨块的外皮质骨与下颌管之间的距离:一项人体尸体研究”
J Periodontol. 2010 Aug;81(8):1103-4; author reply 1104-5. doi: 10.1902/jop.2010.100140.
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Multitier technique for bone augmentation using intraoral autogenous bone blocks.使用口腔内自体骨块进行骨增量的多层技术。
Implant Dent. 2007 Mar;16(1):5-12. doi: 10.1097/ID.0b013e3180327595.
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Mandibular cortical bone graft part 2: surgical technique, applications, and morbidity.下颌骨皮质骨移植术 第2部分:手术技术、应用及并发症
Compend Contin Educ Dent. 2007 May;28(5):274-80; quiz 281-2.
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Mandibular bone harvesting for alveolar reconstruction and implant placement: subjective and objective cross-sectional evaluation of donor and recipient site up to 4 years.下颌骨骨采集用于牙槽重建和种植体植入:供体和受区的主观和客观横断面评估,最长可达 4 年。
Clin Oral Implants Res. 2011 Nov;22(11):1320-6. doi: 10.1111/j.1600-0501.2010.02115.x. Epub 2011 Mar 28.
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The use of ramus autogenous block grafts for vertical alveolar ridge augmentation and implant placement: a pilot study.使用自体升支骨块移植进行垂直牙槽嵴增高和种植体植入:一项初步研究。
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Clinical, histological and histomorphometric evaluation of the healing of mandibular ramus bone block grafts for alveolar ridge augmentation before implant placement.临床、组织学和组织形态计量学评估种植体植入前牙槽嵴增高下颌升支骨块移植的愈合情况。
J Craniomaxillofac Surg. 2010 Apr;38(3):222-30. doi: 10.1016/j.jcms.2009.07.004. Epub 2009 Aug 3.

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