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屏障膜对保存牙槽嵴的临床及组织学软硬组织愈合效果的比较

A Comparison of the Effect of Barrier Membranes on Clinical and Histologic Hard and Soft Tissue Healing with Ridge Preservation.

作者信息

Ovcharenko Natalia, Greenwell Henry, Katwal Diksha, Patel Abhishek, Hill Margaret, Shumway Brian, Cockerham Bobby Lee

出版信息

Int J Periodontics Restorative Dent. 2020 May/Jun;40(3):365-371. doi: 10.11607/prd.4120.

Abstract

Twenty patients completed this randomized, controlled, blinded clinical trial comparing ridge preservation with a bioabsorbable polylactic acid membrane (PLA group) compared to an acellular dermal matrix membrane guided bone regeneration (ADMG group). An intrasocket corticocancellous allograft plus a facial overlay xenograft was used for both groups. Final crestal ridge width was significantly greater for the ADMG group ( < .05). Soft tissue thickness, conversely, was thicker for the PLA group. Vertical ridge height change increased significantly for the midbuccal site of the ADMG group. Histologic evaluation showed high percentages of vital bone for both groups.

摘要

20名患者完成了这项随机、对照、双盲临床试验,该试验比较了使用生物可吸收聚乳酸膜的牙槽嵴保存(PLA组)与使用脱细胞真皮基质膜引导骨再生(ADMG组)的效果。两组均使用牙槽窝内皮质松质骨同种异体移植物加面部覆盖异种移植物。ADMG组的最终牙槽嵴宽度明显更大(P<0.05)。相反,PLA组的软组织厚度更厚。ADMG组颊中部位点的垂直牙槽嵴高度变化显著增加。组织学评估显示两组的活性骨百分比都很高。

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