Uckan Sina, Veziroglu Firdevs, Dayangac Emre
Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Baskent University, Ankara, Turkey.
Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2008 Oct;106(4):511-5. doi: 10.1016/j.tripleo.2008.03.011.
The aim of this study was to define the techniques and compare the complications and implant survival rates in localized alveolar deficiencies reconstructed by alveolar distraction osteogenesis (ADO) or autogenous onlay bone grafting (ABG). Thirty-six patients were treated with ADO or ABG harvested from the mandibular ramus. Twenty-four distractions in 22 patients (ADO group) and 18 ramus grafts in 14 patients (ABG group) were performed. Complications and implant survival rates were evaluated. The overall complication rates were 66.8% and 38.8% in the ADO and the ABG groups, respectively. Implant survival rates were 91.4% and 93.7% in the ADO and the ABG groups, respectively. The complication rate was higher in the ADO group, but the complications were mainly minor, and management was easier in this group than in the ABG group. Although follow-up was shorter, the implant survival rate was slightly higher in the ABG group compared with ADO group.
本研究的目的是确定技术，并比较通过牙槽骨牵张成骨术（ADO）或自体块状骨移植术（ABG）重建局部牙槽骨缺损时的并发症及种植体存活率。36例患者接受了取自下颌支的ADO或ABG治疗。对22例患者进行了24次牵张（ADO组），对14例患者进行了18次下颌支移植（ABG组）。评估了并发症和种植体存活率。ADO组和ABG组的总体并发症发生率分别为66.8%和38.8%。ADO组和ABG组的种植体存活率分别为91.4%和93.7%。ADO组的并发症发生率较高，但并发症主要为轻微并发症，且该组的处理比ABG组更容易。虽然随访时间较短，但ABG组的种植体存活率略高于ADO组。
