Li Xiao-Mei, Bao Ji-Bo, Xie Zhi-Gang
Dept. of Implantology, The Affiliated Stomatological Hospital of Kunming Medical University, Kunming 530102, China.
Hua Xi Kou Qiang Yi Xue Za Zhi. 2020 Jun 1;38(3):338-342. doi: 10.7518/hxkq.2020.03.019.
Adequate bone volume is the primary condition for successful dental implants. However, sufficient bone volume is often encountered in the vertical direction, but the bone volume in the buccolingual direction is insufficient, making it less suitable to be implanted. If the traditional spitting technique is used in the mandible, fracture and necrosis can easily occur in the labial (buccal) bone plate due to the absence of elasticity, thick cortical bone, poor blood supply, and anastomotic branch. The two-stage ridge splitting technique can be used in patients with narrow alveolar ridge in the mandible. This study summarizes the principles and conditions of application, operational points, clinical efficacy, and analysis of the causes of buccal bone plate absorption.
充足的骨量是牙种植成功的首要条件。然而,垂直方向上骨量通常充足,但颊舌向骨量不足,使其不太适合植入。在下颌骨中若采用传统的劈开技术,由于唇(颊)侧骨板缺乏弹性、皮质骨厚、血供差及吻合支,很容易发生骨折和坏死。两阶段牙槽嵴劈开技术可用于下颌骨牙槽嵴狭窄的患者。本研究总结了其应用原则和条件、操作要点、临床疗效以及颊侧骨板吸收原因分析。