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使用基于细胞外基质的可吸收性牙膜进行拔牙窝牙槽嵴保存的比较、随机、双盲临床研究

Comparative, randomized, double-blind clinical study of alveolar ridge preservation using an extracellular matrix-based dental resorbable membrane in the extraction socket.

作者信息

Chang Hyeyoon, Kim Sulhee, Hwang Jin Wook, Kim Sungtae, Koo Ki-Tae, Kim Tae-Il, Seol Yang-Jo, Lee Yong-Moo, Ku Young, Lee Jong-Ho, Rhyu In-Chul

机构信息

Department of Periodontology, Seoul National University School of Dentistry, Seoul, Korea.

ESTeam Paris Sud, INSERM UMR-S 935, Paris-Sud University, Paris-Saclay University, Villejuif, France.

出版信息

J Periodontal Implant Sci. 2017 Jun;47(3):165-173. doi: 10.5051/jpis.2017.47.3.165. Epub 2017 Jun 28.

Abstract

PURPOSE

The aim of this study was to radiographically and clinically compare the effect of extracellular matrix (ECM) membranes on dimensional alterations following a ridge preservation procedure.

METHODS

One of 2 different ECM membranes was applied during a ridge preservation procedure. A widely used ECM membrane (WEM; Bio-Gide, Geistlich Biomaterials, Wolhusen, Switzerland) was applied in the treatment group and a newly developed ECM membrane (NEM; Lyso-Gide, Oscotec Inc., Seongnam, Korea) was applied in the control group. Cone-beam computed tomography (CBCT) scans and alginate impressions were obtained 1 week and 6 months after the ridge preservation procedure. Results were analyzed using the independent -test and the nonparametric Mann-Whitney test.

RESULTS

There were no significant differences between the ECM membranes in the changes in the dimension, width, and height of the extraction socket or the quantity of bone tissue.

CONCLUSIONS

The NEM showed comparable clinical and radiographic results to the WEM following the ridge preservation procedure.

摘要

目的

本研究旨在通过影像学和临床方法比较细胞外基质(ECM)膜在牙槽嵴保存术后对尺寸改变的影响。

方法

在牙槽嵴保存术中应用两种不同的ECM膜之一。治疗组应用一种广泛使用的ECM膜(WEM;Bio-Gide,盖氏生物材料公司,瑞士沃尔胡森),对照组应用一种新开发的ECM膜(NEM;Lyso-Gide,韩国城南Oscotec公司)。在牙槽嵴保存术后1周和6个月进行锥形束计算机断层扫描(CBCT)和藻酸盐印模。结果采用独立样本t检验和非参数曼-惠特尼检验进行分析。

结果

两种ECM膜在拔牙窝的尺寸、宽度、高度变化或骨组织量方面无显著差异。

结论

牙槽嵴保存术后,新型ECM膜(NEM)在临床和影像学结果上与广泛使用的ECM膜(WEM)相当。

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