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粘性骨在各类牙槽骨缺损治疗中的作用:一项系统评价

Role of Sticky Bone in the Management of Various Alveolar Bone Defects: A Systematic Review.

作者信息

Sareen Vidhuta, K Santhi, Saxena Isha, Selvaraj Uvashri, P Vijayabharathi, Chauhan Shalini, M Gunasekaran

机构信息

Dentistry, Sri Guru Ram Das Institute of Dental Sciences and Research, Amritsar, IND.

Pediatrics, Karur Government Medical College and Hospital, Karur, IND.

出版信息

Cureus. 2024 Jul 1;16(7):e63561. doi: 10.7759/cureus.63561. eCollection 2024 Jul.

Abstract

AIM

This systematic review aimed to evaluate the effectiveness of sticky bone in managing various alveolar bone defects, examining both its benefits and drawbacks.

MATERIALS AND METHODS

The review adhered to PRISMA guidelines and employed a thorough search strategy using major databases, medical subject headings (MeSH) keywords, and Boolean operators. As a result, the systematic review identified 12 studies focusing on the efficacy of sticky bone in treating alveolar bone defects. Inclusion criteria consisted of randomized controlled trials and case series reporting on the outcomes of sticky bone use for bone defect treatment. Two examiners meticulously performed screening, data extraction, and bias assessment, with the risk of bias evaluated using the Cochrane tool.

RESULT

The findings indicated significant improvements in bone quality, width, height, and volume, with enhanced predictability in socket preservation and implant placement. Sticky bone was particularly effective in ridge augmentation, guided bone regeneration, and filling periodontal defects, often outperforming alternatives like concentrated growth factors (CGFs) and autologous fibrin glue (AFG). It simplified procedures and reduced resorption during healing, underscoring its value as a versatile adjunct in bone reconstruction surgery.

CONCLUSION

Sticky bone demonstrated exceptional results in various oral surgeries, effectively addressing issues such as furcation defects, bone loss, and ridge augmentation, with significant clinical and radiographic improvements. Further research is needed to explore its full potential and refine protocols for broader oral surgery and periodontics applications.

摘要

目的

本系统评价旨在评估粘性骨在处理各种牙槽骨缺损中的有效性,探讨其利弊。

材料与方法

本评价遵循PRISMA指南,采用全面的检索策略,利用主要数据库、医学主题词(MeSH)关键词和布尔运算符。结果,该系统评价确定了12项关注粘性骨治疗牙槽骨缺损疗效的研究。纳入标准包括随机对照试验和报告粘性骨用于骨缺损治疗结果的病例系列。两名审查员精心进行筛选、数据提取和偏倚评估,使用Cochrane工具评估偏倚风险。

结果

研究结果表明,在骨质量、宽度、高度和体积方面有显著改善,在牙槽窝保存和种植体植入方面的可预测性增强。粘性骨在牙槽嵴增高、引导骨再生和填充牙周缺损方面特别有效,通常优于浓缩生长因子(CGF)和自体纤维蛋白胶(AFG)等替代物。它简化了手术过程,减少了愈合过程中的吸收,突显了其作为骨重建手术中一种多功能辅助材料的价值。

结论

粘性骨在各种口腔手术中显示出优异的效果,有效解决了根分叉缺损、骨质流失和牙槽嵴增高等问题,在临床和影像学上有显著改善。需要进一步研究以探索其全部潜力,并完善方案以用于更广泛的口腔外科和牙周病应用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/40ac/11290384/aef872521b6f/cureus-0016-00000063561-i01.jpg

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