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正畸牙齿移动中牙槽骨缺损的骨移植材料

Bone Graft Materials for Alveolar Bone Defects in Orthodontic Tooth Movement.

机构信息

Key Lab. of Oral Diseases Research of Anhui Province, Stomatological Hospital and College, Anhui Medical University, Hefei, China.

School of Stomatology, Tongji University, Shanghai, China.

出版信息

Tissue Eng Part B Rev. 2022 Feb;28(1):35-51. doi: 10.1089/ten.TEB.2020.0212. Epub 2021 Mar 11.

Abstract

Clinically, orthodontic tooth movement (OTM) across the narrow alveolar ridge area inevitably entails some adverse reactions such as limited movement and periodontal tissue damage. Hence, it is essential to reconstruct the morphology of the alveolar crest before the tooth movement. Unlike the routine reconstruction of alveolar ridge in the field of implant, the orthodontic practices are distinctive, which require dental movement across the constructed alveolar ridge with safety and stability. Herein, we addressed the pros and cons of reconstruction of the defected orthodontic alveolar ridge with different bone graft materials. Attention is also paid to other factors such as the postgraft initiation time of OTM that can substantially influence the bone reconstruction and tooth movement effect. Rather, considering the lack of a unified standard in orthodontic clinics related to bone reconstruction for OTM, we provide some recommendations and guidance for OTM through alveolar ridge defect area. Impact statement Re-establishment of the atrophic alveolar bone before orthodontic tooth movement (OTM) is important for safe and efficient tooth movement. The most prevalent approach to regenerate alveolar bone in the defect rests on the application of bone grafts. This review evaluates the application of different bone graft materials to the reconstruction of alveolar ridge defects, and provides some recommendations and guidance for OTM through alveolar ridge defect area.

摘要

临床上,正畸牙移动(OTM)跨越狭窄的牙槽嵴区域不可避免地会引起一些不良反应,如运动受限和牙周组织损伤。因此,在牙齿移动之前重建牙槽嵴的形态是很有必要的。与种植领域常规的牙槽嵴重建不同,正畸的做法是独特的,它需要牙齿安全稳定地跨越构建的牙槽嵴移动。在此,我们讨论了使用不同骨移植材料重建缺损性正畸牙槽嵴的优缺点。同时,还关注了其他因素,如 OTM 后的启动时间,这会对骨重建和牙齿移动效果产生实质性影响。然而,考虑到正畸临床中与 OTM 相关的骨重建缺乏统一标准,我们通过牙槽嵴缺损区域为 OTM 提供了一些建议和指导。

声明:在进行正畸牙移动(OTM)之前重建萎缩的牙槽骨对于安全高效的牙齿移动非常重要。再生牙槽骨的最常见方法是应用骨移植。本综述评估了不同骨移植材料在牙槽嵴缺损重建中的应用,并为通过牙槽嵴缺损区域进行 OTM 提供了一些建议和指导。

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