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可吸收膜对上颌窦植骨的影响:一项初步研究。

The effects of resorbable membrane on human maxillary sinus graft: a pilot study.

作者信息

Choi Kyung-Soo, Kan Joseph Y K, Boyne Philip J, Goodacre Charles J, Lozada Jaime L, Rungcharassaeng Kitichai

机构信息

Busan National University, School of Dentistry, Busan, Korea.

出版信息

Int J Oral Maxillofac Implants. 2009 Jan-Feb;24(1):73-80.

Abstract

PURPOSE

To investigate the effects of resorbable membrane on new bone formation in human maxillary sinus graft using anorganic bovine bone material histomorphometrically in a split-mouth study design.

MATERIALS AND METHODS

This prospective pilot study included six patients who required bilateral sinus augmentations prior to implant treatment. Each patient was grafted with anorganic bovine bone (Bio-Oss). The experimental side was covered with resorbable membrane (Bio-Gide) over the grafted sinus, and the control side was left uncovered. After 8 months of healing (range, 7 to 9 months), implants were placed. Biopsy samples were obtained from each side through the previously grafted sinus window and evaluated. Statistical analysis was performed using the Mann-Whitney U test at a significance level of alpha = .05.

RESULTS

The control side appeared to have a significantly greater amount of soft tissue than the experimental side (P = .026), whereas no significant differences in the amount of new bone were observed (P = .937).

CONCLUSION

Resorbable membranes significantly reduced the amount of soft tissue formed in the sinus grafted with anorganic bovine bone material but had no effect on new bone formation.

摘要

目的

采用分口研究设计,通过组织形态计量学研究可吸收膜对使用无机牛骨材料进行上颌窦植骨时新骨形成的影响。

材料与方法

这项前瞻性初步研究纳入了6例在种植治疗前需要双侧上颌窦增高的患者。每位患者均植入无机牛骨(Bio-Oss)。实验侧在植骨后的上颌窦上覆盖可吸收膜(Bio-Gide),对照侧不覆盖。愈合8个月(范围7至9个月)后植入种植体。通过先前的植骨窦窗从两侧获取活检样本并进行评估。使用Mann-Whitney U检验进行统计分析,显著性水平α = 0.05。

结果

对照侧的软组织量似乎明显多于实验侧(P = 0.026),而新骨量未观察到显著差异(P = 0.937)。

结论

可吸收膜显著减少了用无机牛骨材料进行上颌窦植骨时形成的软组织量,但对新骨形成没有影响。

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