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三维牙槽窝保存:一种软组织增量联合牙槽窝植骨的技术。

Three dimensional socket preservation: a technique for soft tissue augmentation along with socket grafting.

作者信息

Gholami Gholam Ali, Aghaloo Maryam, Ghanavati Farzin, Amid Reza, Kadkhodazadeh Mahdi

机构信息

Dept, of Periodontics, Dental School, Shahid beheshti Medical University, Tehran, Iran.

出版信息

Ann Surg Innov Res. 2012 Apr 27;6(1):3. doi: 10.1186/1750-1164-6-3.

DOI:10.1186/1750-1164-6-3
PMID:22540920
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3447717/
Abstract

BACKGROUND

A cursory review of the current socket preservation literatures well depicts the necessity of further esthetic considerations through the corrective procedures of the alveolar ridge upon and post extraction. A new technique has been described here is a rotational pedicle combined epithelialized and connective tissue graft (RPC graft) adjunct with immediate guided tissue regeneration (GBR) procedure.

RESULTS

We reviewed this technique through a case report and discuss it's benefit in compare to other socket preservation procedures.

CONCLUSION

The main advantages of RPC graft would be summarized as follows: stable primary closure during bone remodeling, saving or crating sufficient vestibular depth, making adequate keratinized gingiva on the buccal surface, and being esthetically pleasant.

摘要

背景

对当前牙槽窝保存文献的粗略回顾清楚地表明,通过拔牙时及拔牙后的牙槽嵴矫正程序进行进一步美学考量的必要性。本文描述了一种新技术,即旋转带蒂联合上皮化和结缔组织移植(RPC移植)辅助即刻引导组织再生(GBR)程序。

结果

我们通过一例病例报告回顾了该技术,并讨论了其与其他牙槽窝保存程序相比的优势。

结论

RPC移植的主要优点可总结如下:骨重塑过程中实现稳定的一期关闭,保留或创造足够的前庭深度,在颊侧表面形成足够的角化龈,且美观性良好。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5a22/3447717/d9f1bbb61b6a/1750-1164-6-3-4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5a22/3447717/3de539cabedb/1750-1164-6-3-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5a22/3447717/727b226a19f8/1750-1164-6-3-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5a22/3447717/4af3495bb227/1750-1164-6-3-3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5a22/3447717/d9f1bbb61b6a/1750-1164-6-3-4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5a22/3447717/3de539cabedb/1750-1164-6-3-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5a22/3447717/727b226a19f8/1750-1164-6-3-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5a22/3447717/4af3495bb227/1750-1164-6-3-3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5a22/3447717/d9f1bbb61b6a/1750-1164-6-3-4.jpg

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本文引用的文献

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Beta-tricalcium phosphate/type I collagen cones with or without a barrier membrane in human extraction socket healing: clinical, histologic, histomorphometric, and immunohistochemical evaluation.β-磷酸三钙/Ⅰ型胶原圆锥体联合或不联合屏障膜在人拔牙窝愈合中的临床、组织学、组织形态计量学和免疫组织化学评价。
Clin Oral Investig. 2012 Apr;16(2):581-90. doi: 10.1007/s00784-011-0531-1. Epub 2011 Mar 3.
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The feasibility of demineralized bone matrix and cancellous bone chips in conjunction with an extracellular matrix membrane for alveolar ridge preservation: a case series.
Int J Periodontics Restorative Dent. 2011 Feb;31(1):39-47.
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Crestal ridge width changes when placing implants at the time of tooth extraction with and without soft tissue augmentation after a healing period of 6 months: report of 24 consecutive cases.拔牙时即刻种植并于6个月愈合期后进行或不进行软组织增量,嵴顶宽度的变化:24例连续病例报告
Int J Periodontics Restorative Dent. 2011 Feb;31(1):9-17.
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Effect of socket preservation therapies following tooth extraction in non-molar regions in humans: a systematic review.拔牙后非磨牙区牙槽窝保存治疗效果的系统评价。
Clin Oral Implants Res. 2011 Aug;22(8):779-88. doi: 10.1111/j.1600-0501.2010.02064.x. Epub 2010 Nov 22.
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The Healing of Free Gingival Autografts for Socket-seal Surgery: a Case Report.用于牙槽窝封闭手术的游离牙龈自体移植愈合:病例报告
Eur J Esthet Dent. 2010 Winter;5(4):358-68.
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Esthetic alveolar ridge preservation with calcium phosphate and collagen membrane: preliminary report.使用磷酸钙和胶原膜进行美学牙槽嵴保存:初步报告。
Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2010 Nov;110(5):e24-36. doi: 10.1016/j.tripleo.2010.06.006.
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Buccal plate augmentation: a new alternative to socket preservation.颊侧骨板增量术:一种牙槽窝保存的新方法。
J Oral Maxillofac Surg. 2010 Oct;68(10):2503-6. doi: 10.1016/j.joms.2010.05.044.
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Healing of extraction socket grafted with deproteinized bovine bone and acellular dermal matrix: histomorphometric evaluation.脱蛋白牛骨和去细胞真皮基质移植修复拔牙窝的愈合:组织形态计量学评价。
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