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两种异种生物材料在颊侧骨缺损的牙槽嵴保存中的应用评价:一项体内实验研究。

Evaluation of alveolar ridge preservation in sockets with buccal dehiscence defects using two types of xenogeneic biomaterials: An in vivo experimental study.

机构信息

Department of Periodontology, School of Dentistry and Dental Research Institute, Seoul National University and Seoul National University Dental Hospital, Seoul, Republic of Korea.

One-Stop Specialty Center, Seoul National University, Dental Hospital, Seoul, Republic of Korea.

出版信息

Clin Oral Implants Res. 2023 Nov;34(11):1289-1298. doi: 10.1111/clr.14169. Epub 2023 Sep 1.

Abstract

OBJECTIVES

Alveolar ridge preservation (ARP) has been extensively investigated in various preclinical and clinical studies, yielding favorable results. We aim to evaluate the effects of ARP using collagenated bovine bone mineral (CBBM) alone or particulated bovine bone mineral with a non-cross-linked collagen membrane (PBBM/NCLM) in tooth extraction sockets with buccal dehiscence in an experimental dog model.

MATERIALS AND METHODS

The mesial roots of three mandibular premolars (P2, P3, and P4) were extracted from six mongrel dogs 4 weeks after inducing dehiscence defects. ARP was randomly performed using two different protocols: 1) CBBM alone and 2) PBBM/NCLM. Three-dimensional (3D) volumetric, micro-computed tomography, and histological analyses were employed to determine changes over a span of 20 weeks.

RESULTS

In 3D volumetric and radiographic analyses, CBBM alone demonstrated similar effectiveness to PBBM/NCLM in ARP (p > .05). However, in the PBBM/NCLM group (3.05 ± 0.60 mm), the horizontal ridge width was well maintained 3 mm below the alveolar crest compared with the CBBM group (2.11 ± 1.01 mm, p = .002).

CONCLUSION

Although the radiographic changes in the quality and quantity of bone were not significant between the two groups, the use of PBBM/NCLM resulted in greater horizontal dimensions and more favorable maintenance of the ridge profile.

摘要

目的

牙槽嵴保存(ARP)在各种临床前和临床研究中得到了广泛的研究,结果令人满意。我们旨在通过胶原牛骨矿物质(CBBM)或非交联胶原膜(PBBM/NCLM)联合颗粒牛骨矿物质评估在颊侧骨开窗的拔牙窝中使用 ARP 的效果,实验犬模型。

材料与方法

在诱导骨开窗缺损 4 周后,从 6 只杂种犬的 3 颗下颌前磨牙(P2、P3 和 P4)的近中根进行提取。ARP 采用两种不同的方案随机进行:1)单独使用 CBBM 和 2)PBBM/NCLM。采用三维(3D)体积、微计算机断层扫描和组织学分析来确定 20 周内的变化。

结果

在 3D 体积和放射学分析中,CBBM 单独在 ARP 中的效果与 PBBM/NCLM 相似(p>0.05)。然而,在 PBBM/NCLM 组(3.05±0.60mm)中,与 CBBM 组(2.11±1.01mm,p=0.002)相比,牙槽嵴顶以下 3mm 处的水平嵴宽度得到了很好的维持。

结论

尽管两组之间在骨质量和数量的放射学变化没有显著差异,但使用 PBBM/NCLM 可获得更大的水平尺寸,并更有利于维持嵴轮廓。

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