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软组织移植对减少在受损牙槽窝中即刻种植和临时修复后种植体周围改变的影响

Impact of Soft Tissue Grafts to Reduce Peri-implant Alterations After Immediate Implant Placement and Provisionalization in Compromised Sockets.

作者信息

Frizzera Fausto, de Freitas Rubens Moreno, Muñoz-Chávez Oscar Fernando, Cabral Guilherme, Shibli Jamil Awad, Marcantonio Elcio

出版信息

Int J Periodontics Restorative Dent. 2019 May/June;39(3):381–389. doi: 10.11607/prd.3224. Epub 2018 Apr 20.

DOI:10.11607/prd.3224
PMID:29677227
Abstract

This study evaluated the impact of soft tissue grafts to reduce marginal peri-implant recession (MPR) after 1 year of follow-up. A total of 24 patients with one single failing maxillary incisor presenting facial bone dehiscence and receiving an immediate implant, bone graft, and provisional were randomly divided into three groups (n = 8 in each group): control (CTL), collagen matrix (CM), and connective tissue graft (CTG). Clinical, photographic, and tomographic analyses were performed to evaluate tissue alterations. The use of a CTG avoided MPR (P < .05) and provided better contour of the alveolar ridge (P < .01) and greater thickness (P < .05) of the soft tissue at the implant facial aspect.

摘要

本研究评估了软组织移植对减少种植体周围边缘骨吸收(MPR)的影响,随访1年。共有24例单颗上颌切牙种植失败且存在面部骨缺损的患者,接受了即刻种植、骨移植和临时修复,随机分为三组(每组n = 8):对照组(CTL)、胶原基质组(CM)和结缔组织移植组(CTG)。进行临床、摄影和断层扫描分析以评估组织变化。使用结缔组织移植可避免种植体周围边缘骨吸收(P < 0.05),并使牙槽嵴轮廓更佳(P < 0.01),种植体面部软组织厚度更大(P < 0.05)。

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