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应用自体牙黏骨膜瓣移植修复下颌第三磨牙含牙囊肿颌骨缺损。

Using autogenous tooth sticky bone graft repair mandibular third molar dentigerous cyst osseous defects.

机构信息

Department of Oral & Maxillofacial Surgery, Shanghai Stomatological Hospital & School of Stomatology, Fudan University, Shanghai, China.

Shanghai Key Laboratory of Craniomaxillofacial Development and Diseases, Fudan University, Shanghai, China.

出版信息

BMC Oral Health. 2024 Jan 7;24(1):39. doi: 10.1186/s12903-023-03673-w.

Abstract

BACKGROUND

Dentigerous cyst are most common odontogenic cyst and they frequently occur at the mandibular third molar. Their asymptomatic long medical history always resulted in severe bone resorption at the distal aspect of the adjacent second molar. BonMaker® ATB demonstrate an excellent autogenous bone graft candidacy. The aim of this study is to share a single team's experience of dentigerous cyst osseous defect repairing by applying autogenous tooth sticky bone graft.

METHOD

In total, 18 patients with dentigerous cyst, which was arised from mandibular third molar unilaterally, were enrolled in this study. Enucleation of dentigerous cyst was performed extracting with involving teeth under general anesthesia. Autogenous tooth sticky bone graft was prepared using extracted tooth and autogenous fibrin glue. Subsequently, grafting was performed above covering with concentrate growth factors. Patients were followed up at sixth months.

RESULTS

They were eleven male and seven female patients. Their ages ranged from 20 to 40 years, with a mean of 31 years. Primary wound healing of all sites was achieved in all the patients. Sixth months postoperative radiographic assessment show that dentigerous cysts osseous defects of seventeen patients were good bone filling and ossification. One patient occurred slight bone resorption at the distal aspect of the adjacent second molar.

CONCLUSION

Within the limitation of sample size and retrospective nature of the present study, autogenous tooth sticky bone graft demonstrates one of the best alternative alveolar bones repairing graft.

摘要

背景

含牙囊肿是最常见的牙源性囊肿,常发生在下颌第三磨牙区。由于其无症状的长期病史,常导致相邻第二磨牙远中骨吸收。BonMaker® ATB 具有良好的自体骨移植候选特性。本研究旨在分享一个单一团队应用自体牙黏附骨移植修复含牙囊肿骨缺损的经验。

方法

本研究共纳入 18 例单侧下颌第三磨牙萌出的含牙囊肿患者。在全身麻醉下,采用包括受累牙齿在内的完整牙切除术切除含牙囊肿。采用自体牙和自体纤维蛋白胶制备自体牙黏附骨移植物。随后,在覆盖浓缩生长因子的上方进行移植。患者在术后 6 个月进行随访。

结果

18 例患者中男性 11 例,女性 7 例,年龄 20~40 岁,平均 31 岁。所有患者的原发伤口均愈合良好。术后 6 个月的影像学评估显示,17 例患者的含牙囊肿骨缺损得到了良好的骨填充和骨化。1 例患者相邻第二磨牙远中出现轻微骨吸收。

结论

在本研究样本量有限且为回顾性研究的限制下,自体牙黏附骨移植是修复牙槽骨的最佳替代方法之一。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9d6d/10771700/3756ff0b92a0/12903_2023_3673_Fig1_HTML.jpg

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