Int J Periodontics Restorative Dent. 2021 May-Jun;41(3):375-381. doi: 10.11607/prd.4634.
This article describes a novel approach for horizontal guided bone regeneration (GBR) using a dehydrated amnion/chorion membrane (dHACM) in conjunction with a composite mixture of cortical autogenous particulate bone scrapings and mineralized bovine bone particulate in the anterior maxilla, allowing for placement of dental implants in a previously deficient alveolar ridge. The grafted region was reentered 8 months after GBR surgery, and a substantial increase in horizontal bone width was observed. Endosseous dental implants were placed with excellent primary stability in a prosthetically driven manner (which could not have been done prior to GBR) and successfully restored with a screw-retained bridge prosthesis. To the authors' knowledge, this is the first reported documentation of successful horizontal GBR using dHACM with subsequent implant placement and restoration, and the first to demonstrate the excellent clinical potential of this biomaterial.
本文介绍了一种在前上颌骨中使用脱水羊膜/胎盘膜(dHACM)与皮质自体颗粒骨屑和矿化牛骨颗粒的复合混合物进行水平引导骨再生(GBR)的新方法,可在先前牙槽嵴不足的情况下植入牙种植体。GBR 手术后 8 个月再次进入移植区域,观察到水平骨宽度显著增加。采用基于修复的方法(在 GBR 之前不可能进行)以获得出色的初始稳定性植入了口腔内种植体,并成功用螺丝固位桥修复体修复。据作者所知,这是首次报道使用 dHACM 成功进行水平 GBR 并随后进行种植体植入和修复的文献,也是首次证明这种生物材料具有出色的临床潜力。