Li J, Dong Y, Wang F, Xu K H, Wang C Y, Chen L, Niu L N
Department of Prosthodontics, School of Stomatology, The Fourth Military Medical University, State Key Laboratory of Oral & Maxillofacial Reconstruction and Regeneration, National Clinical Research Center for Oral Diseases, Shaanxi Key Laboratory of Stomatology, Xi'an 710032, China.
Zhonghua Kou Qiang Yi Xue Za Zhi. 2025 Feb 9;60(2):116-122. doi: 10.3760/cma.j.cn112144-20240721-00281.
To investigate the bone augmentation effects of domestic decellularized porcine small intestinal submucosa (PSIS) absorbable biomembrane and domestic bovine pericardium tissue (BPT) absorbable biomembrane in guided bone regeneration (GBR) for single-tooth implantation in diabetic patients. A prospective case-control study was conducted with 48 diabetic patients who received single-tooth implant restoration at the Department of Prosthodontics, School of Stomatology. The Fourth Military Medical University, between January 2023 and January 2024. Patients were randomly assigned to the study group (PSIS group) and the control group (BPT group) using a random number table, with 24 patients in each group. GBR was performed simultaneously with the implant surgery. Cone-beam CT was used to compare the buccal-side horizontal bone gain at 6 months post-operation between the two groups. Wound healing was evaluated at 1 and 4 weeks post-operation using wound healing scores. At 6 months post-operation, the buccal-side horizontal bone gain at 2 mm below the implant abutment in the study group [69.1 (55.2, 82.4) mm] and the control group [71.4 (59.8, 77.0) mm] showed no statistically significant difference (=-0.25, =0.805). The wound healing scores at 1 and 4 weeks post-operation in the study group did not differ significantly from those in the control group at the same time points (1 week: =-0.49, =0.627; 4 weeks: =-0.61, =0.539). The use of two types of domestic absorbable collagen membranes for GBR in single-tooth implantation in diabetic patients showed comparable buccal-side horizontal bone gain effects at 6 months post-operation and similar clinical outcomes for wound healing at 1 and 4 weeks post-operation in both groups. The GBR effects of PSIS and BPT are similar.
探讨国产脱细胞猪小肠黏膜下层(PSIS)可吸收生物膜和国产牛心包组织(BPT)可吸收生物膜在糖尿病患者单颗牙种植引导骨再生(GBR)中的骨增量效果。于2023年1月至2024年1月在第四军医大学口腔医学院口腔修复科对48例接受单颗牙种植修复的糖尿病患者进行了一项前瞻性病例对照研究。使用随机数字表将患者随机分为研究组(PSIS组)和对照组(BPT组),每组24例。GBR与种植手术同时进行。采用锥形束CT比较两组术后6个月时颊侧水平骨增量。术后1周和4周使用伤口愈合评分评估伤口愈合情况。术后6个月,研究组种植体基台下方2 mm处的颊侧水平骨增量为[69.1(55.2,82.4)mm],对照组为[71.4(59.8,77.0)mm],差异无统计学意义(=-0.25,=0.805)。研究组术后1周和4周的伤口愈合评分与对照组在相同时间点相比差异无统计学意义(1周:=-0.49,=0.627;4周:=-0.61,=0.539)。在糖尿病患者单颗牙种植的GBR中使用两种国产可吸收胶原膜,术后6个月时颊侧水平骨增量效果相当,两组术后1周和4周伤口愈合的临床结果相似。PSIS和BPT的GBR效果相似。