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使用胶原蛋白海绵和异种骨移植物对磨牙拔牙窝进行牙槽嵴保存。

Ridge preservation of the molar extraction socket using collagen sponge and xenogeneic bone grafts.

机构信息

Department of Oral and Maxillofacial Surgery, Section of Dentistry, Seoul National University Bundang Hospital, Seoul, Korea.

出版信息

Implant Dent. 2011 Aug;20(4):267-72. doi: 10.1097/ID.0b013e3182166afc.

Abstract

OBJECTIVE

The purpose of this study was to evaluate the efficacy of the alveolar ridge preservation technique using collagen sponge and xenograft after extraction.

STUDY DESIGN

Twenty patients were divided into the control group and the experimental group, which contained about 10 patients each. The control group patients were planned 3-unit bridge without performing implant and without special treatments for the extraction socket, and prosthetic treatments were performed after 3 months. In the experimental group, using collagen sponge and xenogeneic bone graft, alveolar ridge preservation was performed simultaneously with tooth extraction; implants were placed after 3 months. Clinical and histological evaluations and statistical analysis were performed.

RESULTS

The resorption rate of the width of alveolar bone 3 mm below the alveolar ridge of the control group was shown to be 20.74% and of the experimental group was an average of 14.26%, approximately a difference of 6% was observed, and it was statistically significant. New bone formation in the vicinity of bone graft materials was achieved well, and inflammation findings were not observed.

CONCLUSION

The results indicated that in the ridge preservation using collagen sponge and xenograft, xenograft prevents the horizontal resorption of the alveolar ridge, and the upper collagen sponge blocks the infiltration of soft tissues to the lower area, and thus it has the advantage of the enhancement of bone fill.

摘要

目的

本研究旨在评估拔牙后使用胶原海绵和异种骨进行牙槽嵴保存的效果。

研究设计

将 20 名患者分为对照组和实验组,每组约 10 名患者。对照组患者计划进行 3 单位桥接,不进行种植体植入,也不对拔牙窝进行特殊处理,3 个月后进行修复治疗。实验组在拔牙的同时使用胶原海绵和异种骨进行牙槽嵴保存,3 个月后放置种植体。进行临床和组织学评估及统计分析。

结果

对照组牙槽嵴 3mm 以下骨宽度的吸收率为 20.74%,实验组平均为 14.26%,观察到约 6%的差异,具有统计学意义。骨移植材料附近的新骨形成良好,未见炎症表现。

结论

结果表明,在使用胶原海绵和异种骨进行牙槽嵴保存中,异种骨可防止牙槽嵴的水平吸收,而上层胶原海绵可阻止软组织向下渗透,从而具有增强骨填充的优势。

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