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正畸强制萌出对上颌美学区种植位点发育的影响:临床数据的系统评价

Effect of orthodontic forced eruption for implant site development in the maxillary esthetic zone: A systematic review of clinical data.

作者信息

Talebi Ardakani Mohammadreza, Kheiri Aida, Torabzadeh Majid, Mahmoudian Amirhosein, Talebi Mohammad Hossien, Talebi Amir

机构信息

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

Queen's Belfast Dental School, Belfast, Northern Ireland.

出版信息

J Adv Periodontol Implant Dent. 2024 Oct 7;16(2):173-178. doi: 10.34172/japid.2024.022. eCollection 2024.

Abstract

Dental implant placement in the esthetic zone is associated with challenges for clinicians. The best esthetic outcome of this procedure can be obtained through precise management of hard and soft tissue. Orthodontic forced eruption (OFE) has presented an alternative approach to augment hard and soft tissues, which can be applied rapidly or slowly. OFE of hopeless teeth with its periodontal attachment results in a favorable implant preparation site. Therefore, the present systematic review evaluated the effect of implant site preparation using OFE in hopeless teeth. A complete electronic search was performed in PubMed/MEDLINE, Scopus, and Google Scholar from June 2020 to November 2023. The search was limited to clinical English language studies. Studies were excluded if OFE was performed without implant placement. Finally, 15 studies with a total of 21 teeth, all located in the maxillary anterior region, were included in this study. In eight studies, bone grafting procedures were performed before implant placement. Using OFE could rapidly prepare the implant site by enhancing hard and soft tissues. However, additional interventions like guided bone regeneration should be considered case-dependent.

摘要

在美学区域植入牙种植体对临床医生来说是一项具有挑战性的工作。通过对软硬组织的精确管理,可以获得该手术的最佳美学效果。正畸强制萌出(OFE)提供了一种软硬组织增量的替代方法,可快速或缓慢应用。对预后无望的牙齿及其牙周附着进行正畸强制萌出可形成良好的种植体预备部位。因此,本系统评价评估了使用正畸强制萌出对预后无望的牙齿进行种植体部位预备的效果。于2020年6月至2023年11月在PubMed/MEDLINE、Scopus和谷歌学术上进行了全面的电子检索。检索仅限于临床英语研究。如果正畸强制萌出未与种植体植入同时进行,则排除相关研究。最终,本研究纳入了15项研究,共21颗牙齿,均位于上颌前部区域。在8项研究中,在种植体植入前进行了骨移植手术。使用正畸强制萌出可通过增强软硬组织快速预备种植体部位。然而,应根据具体情况考虑如引导骨再生等额外干预措施。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/09c3/11699265/1ec758b09b5e/japid-16-173-g001.jpg

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