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上颌窦提升术中矿化松质骨移植的组织形态计量学评估:4例病例报告

Histomorphometric evaluation of mineralized cancellous allograft in the maxillary sinus augmentation: a 4 case report.

作者信息

Sohn Dong-Seok, Lee Jung-Kwang, An Kyung-Mi, Shin Hong-In

机构信息

Department of Oral and Maxillofacial Surgery, Daegu Catholic University, Daegu 705-034, Republic of Korea.

出版信息

Implant Dent. 2009 Apr;18(2):172-81. doi: 10.1097/ID.0b013e318199045d.

Abstract

PURPOSE

The aim of this article is to report the histomorphometric analysis and clinical study of mineralized cancellous bone allografts in maxillary sinus augmentation procedures in 4 cases.

MATERIALS AND METHODS

Sinus bone augmentation, using a piezoelectric device and mineralized cancellous allografts, was performed in 3 patients. After an average of about 8 months of healing, a trephine core sample was gained from the lateral windows area for histomorphometric analysis. The mineralized cancellous allografts demonstrated normal healing of hard tissues.

RESULTS

Upon reentry for dental implant placement or secondary surgery, the graft materials showed hard bony structures within the maxillary sinus. Histomorphometric analysis of the cores revealed an average vital new bone content of 17.88%.

CONCLUSION

Mineralized cancellous allografts showed favorable bone regeneration histologically and was clinically useful in augmenting bone volume for implant placement in the sinus bone graft.

摘要

目的

本文旨在报告4例上颌窦提升术中矿化松质骨同种异体移植物的组织形态计量学分析及临床研究。

材料与方法

对3例患者采用压电装置和矿化松质骨同种异体移植物进行窦骨增量术。平均愈合约8个月后,从侧窗区域获取环钻芯样进行组织形态计量学分析。矿化松质骨同种异体移植物显示硬组织正常愈合。

结果

再次切开植入牙种植体或进行二次手术时,移植物材料在上颌窦内呈现硬骨结构。对芯样的组织形态计量学分析显示,新生有活力骨的平均含量为17.88%。

结论

矿化松质骨同种异体移植物在组织学上显示出良好的骨再生,在增加骨量以用于窦骨移植中种植体植入方面具有临床实用性。

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