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异体骨块联合引导骨再生用于上颌前牙区牙槽嵴三维增量:病例系列报告

Combined use of xenogenous bone blocks and guided bone regeneration for three-dimensional augmentation of anterior maxillary ridge: A case series.

作者信息

Talebi Mohammadreza, Janbakhsh Noushin

机构信息

Department of Periodontology, School of Dentistry, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

Department of Periodontology, School of Dentistry, Ilam University of Medical Sciences, Ilam, Iran.

出版信息

J Adv Periodontol Implant Dent. 2019 Dec 18;11(2):94-98. doi: 10.15171/japid.2019.015. eCollection 2019.

DOI:10.15171/japid.2019.015
PMID:35919487
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9327494/
Abstract

BACKGROUND

Bone augmentation ensures a favorable 3-dimensional position of implants. Onlay grafting is one of the techniques in ridge augmentation, which can be performed with the use of xenogenous blocks.

METHODS

Three cases of the vertical and horizontal ridge are discussed, which were augmented using xenogenous blocks. The blocks were shaped in a favorable size and puzzled along the grafting area. All the gaps were filled with granular xenografts. The flaps were coronally advanced to obtain primary closure.

RESULTS

An average of 4.2-mm gain in width and 4.2-mm gain in height of the ridge was observed at the implantation stage.

CONCLUSION

The outcomes of these cases could pave the way for suggesting xenograft blocks for augmenting wide areas of the alveolar ridge on average of 4 mm in width and height in selected cases as an alternative to standard autogenous blocks. Long-lasting xenograft ensures implant and lip support in the esthetic zone.

摘要

背景

骨增量可确保种植体获得良好的三维位置。外置植骨是牙槽嵴增量技术之一,可使用异种骨块进行。

方法

讨论3例垂直和水平牙槽嵴增量病例,采用异种骨块进行增量。将骨块修整成合适大小并沿植骨区域拼接。所有间隙均用颗粒状异种骨填充。将瓣向冠方推进以实现一期缝合。

结果

在种植阶段,牙槽嵴宽度平均增加4.2毫米,高度平均增加4.2毫米。

结论

这些病例的结果可为在特定病例中使用异种骨块平均增加牙槽嵴宽度和高度各4毫米的大面积增量提供依据,作为标准自体骨块的替代方法。长效异种骨可确保美学区域的种植体和唇部支撑。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e3f8/9327494/a7a25dbc51ab/japid-11-94-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e3f8/9327494/3efcec206f8c/japid-11-94-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e3f8/9327494/a7a25dbc51ab/japid-11-94-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e3f8/9327494/3efcec206f8c/japid-11-94-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e3f8/9327494/a7a25dbc51ab/japid-11-94-g002.jpg

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本文引用的文献

1
Guided Bone Regeneration for the Reconstruction of Alveolar Bone Defects.引导骨再生技术用于牙槽骨缺损的重建
Ann Maxillofac Surg. 2017 Jul-Dec;7(2):263-277. doi: 10.4103/ams.ams_76_17.
2
Cortical Bone Augmentation Versus Nerve Lateralization for Treatment of Atrophic Posterior Mandible: A Retrospective Study and Review of Literature.皮质骨增量术与神经移位术治疗萎缩性下颌后牙区:一项回顾性研究及文献综述
Clin Implant Dent Relat Res. 2016 Apr;18(2):342-59. doi: 10.1111/cid.12317. Epub 2015 Jun 17.
3
Vertical ridge augmentation of atrophic posterior mandible using an inlay technique with a xenograft without miniscrews and miniplates: case series.
采用无种植体支抗的嵌体技术对后缩下颌骨进行垂直嵴增高:病例系列研究。
Clin Oral Implants Res. 2011 Oct;22(10):1125-1130. doi: 10.1111/j.1600-0501.2010.02083.x. Epub 2011 Jan 20.
4
Interventions for replacing missing teeth: horizontal and vertical bone augmentation techniques for dental implant treatment.缺失牙修复干预措施:牙种植治疗的水平和垂直骨增量技术
Cochrane Database Syst Rev. 2009 Oct 7;2009(4):CD003607. doi: 10.1002/14651858.CD003607.pub4.
5
The efficacy of a double-layer collagen membrane technique for overlaying block grafts in a rabbit calvarium model.双层胶原膜技术用于兔颅骨模型中覆盖块状移植物的疗效。
Clin Oral Implants Res. 2009 Oct;20(10):1124-32. doi: 10.1111/j.1600-0501.2009.01744.x. Epub 2009 Jun 7.
6
Advances in bone augmentation to enable dental implant placement: Consensus Report of the Sixth European Workshop on Periodontology.骨增量技术在牙种植体植入中的进展:第六届欧洲牙周病学研讨会共识报告
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