Meyer C, Camponovo T, Euvrard E, Chatelain B
Service de chirurgie maxillo-faciale et de stomatologie, hôpital Jean-Minjoz, CHU de Besançon, boulevard Fleming, 25030 Besançon cedex, France.
Rev Stomatol Chir Maxillofac. 2012 Sep;113(4):212-30. doi: 10.1016/j.stomax.2012.06.008. Epub 2012 Aug 29.
The use of membranes in pre-implantation surgery is part of the guided bone regeneration (GBR) concept, one of the usual bone augmentation techniques. Membranes for GBR procedures have two main uses: a mechanical function to maintain bone regeneration space and a physical function as cellular barrier. The goal is to promote colonization of the regeneration space located under the membrane, by osteogenic cells from the residual bone walls. GBR was the subject of numerous publications and protocols since its first use in the 1980s. These protocols are mainly supported by team experience and the level of evidence is poor. Few indications are truly validated. The goal of our study was to review the recent literature on membrane use for pre-implantations surgery, and, in the absence of any consensus, to provide some arguments for their rational use.
在种植前手术中使用膜是引导骨再生(GBR)概念的一部分,GBR是常用的骨增量技术之一。用于GBR手术的膜有两个主要用途:维持骨再生空间的机械功能和作为细胞屏障的物理功能。目标是促进来自残余骨壁的成骨细胞对位于膜下方的再生空间进行定植。自20世纪80年代首次使用以来,GBR一直是众多出版物和方案的主题。这些方案主要基于团队经验,证据水平较低。很少有适应证得到真正验证。我们研究的目的是回顾关于种植前手术中使用膜的最新文献,并且在没有任何共识的情况下,为其合理使用提供一些依据。