Wallace Stephen, Gellin Robert
Private Practice, Wilmington, NC, USA.
Implant Dent. 2008 Jun;17(2):151-8. doi: 10.1097/ID.0b013e318177784a.
A number of grafting materials have been used in vertical and horizontal ridge augmentation to enable implant placement in optimal positions. Autogenous block grafts from intraoral or extraoral sites have been used with positive results. Allograft blocks with cortical bone are also used for ridge augmentation. In this case report, a cancellous allograft block was used for horizontal augmentation of the maxilla. The observed increase in ridge width allowed subsequent implant placement after a 5 month healing period. After 4 months the implant was uncovered and restored as a unit in a 4-unit fixed splinted implant reconstruction. The result suggests that cancellous block allografts may be a promising alternative to autogenous block grafts or cortical allograft blocks in treatment of deficient maxillary alveolar ridges to allow subsequent implant placement in optimal position.
许多移植材料已被用于垂直和水平牙槽嵴增高术,以使种植体能够放置在最佳位置。来自口腔内或口腔外部位的自体块状移植已被使用并取得了积极效果。带有皮质骨的同种异体骨块也用于牙槽嵴增高。在本病例报告中,一块松质骨同种异体骨块被用于上颌骨的水平增高。观察到的牙槽嵴宽度增加使得在5个月的愈合期后能够进行后续的种植体植入。4个月后,种植体暴露,并作为一个整体在一个4单位的固定夹板式种植体重建中进行修复。结果表明,在治疗上颌牙槽嵴缺损以允许后续种植体放置在最佳位置方面,松质骨块同种异体移植可能是自体块状移植或皮质骨同种异体骨块的一个有前景的替代方法。