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选择性激光熔化、选择性激光烧结和直接金属激光烧结制造的钛网对骨增量参数及并发症的影响:一项系统评价

Influence of SLM-, SLS-, and DMLS-Manufactured Titanium Meshes on Bone Gain Parameters and Complications: A Systematic Review.

作者信息

Savov Viktor, Peev Stefan, Yotsova Ralitsa, Rogova Varvara-Velika

机构信息

Department of Periodontology and Dental Implantology, Faculty of Dental Medicine, Medical University of Varna, 9002 Varna, Bulgaria.

Department of Oral Surgery, Faculty of Dental Medicine, Medical University of Varna, 9002 Varna, Bulgaria.

出版信息

Dent J (Basel). 2025 Aug 26;13(9):387. doi: 10.3390/dj13090387.

DOI:10.3390/dj13090387
PMID:41002660
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12468853/
Abstract

: Guided bone regeneration one of the most widely used techniques, relies on combining bone graft material with barrier membranes or meshes. The choice of the mesh material depends on the specific clinical situation. Among the available options, titanium membranes are recognized as one of the most effective in dental implantology. The latter can be categorized into two groups: commercial and individualized. Advancements in additive manufacturing make customized titanium meshes an attractive option for bone regeneration. Customized titanium meshes can be manufactured using three main methods: selective laser sintering (SLS), selective laser melting (SLM), and direct metal laser sintering (DMLS). This review aims to provide information about the differences between the production process and the clinical outcomes. : This systematic review was conducted by the Preferred Reporting Items for Systematic Reviews and Meta-Analysis for Scoping Reviews (PRISMA-ScR). Relevant articles were sought out in the Web of Science, PubMed, and Scopus databases. : A total of ten articles were included and thoroughly reviewed. The type of bone graft used, the manufacturing technique, the amount of bone gain, the healing time, and the intraoperative and postoperative complications are discussed. : All the relevant studies demonstrated good and predictable results using augmentation with individualized titanium meshes manufactured via SLS, SLM, or DMLS methods.

摘要

引导骨再生是最广泛使用的技术之一,它依赖于将骨移植材料与屏障膜或网片相结合。网片材料的选择取决于具体的临床情况。在可用的选项中,钛膜被认为是牙种植学中最有效的材料之一。后者可分为两类:商业用和定制的。增材制造的进步使定制钛网成为骨再生的一个有吸引力的选择。定制钛网可以使用三种主要方法制造:选择性激光烧结(SLS)、选择性激光熔化(SLM)和直接金属激光烧结(DMLS)。本综述旨在提供有关生产过程和临床结果差异的信息。:本系统综述由系统评价和范围综述的系统评价与Meta分析优先报告项目(PRISMA-ScR)进行。在科学网、PubMed和Scopus数据库中查找相关文章。:共纳入并彻底审查了10篇文章。讨论了所使用的骨移植类型、制造技术、骨增量、愈合时间以及术中及术后并发症。:所有相关研究均表明,使用通过SLS、SLM或DMLS方法制造的定制钛网进行增量手术可取得良好且可预测的结果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6704/12468853/4f4785a5e69f/dentistry-13-00387-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6704/12468853/81fd4083a80b/dentistry-13-00387-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6704/12468853/05e6ea074bb2/dentistry-13-00387-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6704/12468853/fa21fdfbef7a/dentistry-13-00387-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6704/12468853/4f4785a5e69f/dentistry-13-00387-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6704/12468853/81fd4083a80b/dentistry-13-00387-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6704/12468853/05e6ea074bb2/dentistry-13-00387-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6704/12468853/fa21fdfbef7a/dentistry-13-00387-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6704/12468853/4f4785a5e69f/dentistry-13-00387-g004.jpg

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本文引用的文献

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Application of 3D Printing Technology in Dentistry: A Review.3D打印技术在牙科中的应用:综述
Polymers (Basel). 2025 Mar 26;17(7):886. doi: 10.3390/polym17070886.
2
The Early Exposure Rate and Vertical Bone Gain of Titanium Mesh for Maxillary Bone Regeneration: A Systematic Review and Meta-Analysis.钛网用于上颌骨再生的早期暴露率和垂直骨增量:一项系统评价和Meta分析
Dent J (Basel). 2025 Jan 23;13(2):52. doi: 10.3390/dj13020052.
3
Linear bone gain and healing complication rate comparative outcomes following ridge augmentation with custom 3D printed titanium mesh vs Ti-reinforced dPTFE. A randomized clinical trial.
定制 3D 打印钛网与 Ti 增强 dPTFE 行牙槽嵴增高后线性骨增量和愈合并发症发生率的比较结果:一项随机临床试验。
Folia Med (Plovdiv). 2024 Aug 31;66(4):505-514. doi: 10.3897/folmed.66.e123766.
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Complication, vertical bone gain, volumetric changes after vertical ridge augmentation using customized reinforced PTFE mesh or Ti-mesh. A non-inferiority randomized clinical trial.使用定制增强聚四氟乙烯网片或钛网进行垂直牙槽嵴增高术后的并发症、垂直骨增量及体积变化。一项非劣效性随机临床试验。
Clin Oral Implants Res. 2024 Dec;35(12):1616-1639. doi: 10.1111/clr.14350. Epub 2024 Aug 23.
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Additive Manufacturing: A Comprehensive Review.增材制造:全面综述
Sensors (Basel). 2024 Apr 23;24(9):2668. doi: 10.3390/s24092668.
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Recent advances in additive manufacturing of patient-specific devices for dental and maxillofacial rehabilitation.用于口腔颌面修复的个体化定制设备的增材制造技术的最新进展。
Dent Mater. 2024 Apr;40(4):700-715. doi: 10.1016/j.dental.2024.02.006. Epub 2024 Feb 24.
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Biological Properties and Medical Applications of Carbonate Apatite: A Systematic Review.碳酸磷灰石的生物学特性及医学应用:一项系统综述
Pharmaceutics. 2024 Feb 18;16(2):291. doi: 10.3390/pharmaceutics16020291.
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Effect of the level of alveolar atrophy on implant placement accuracy in guided surgery for full-arch restorations supported by four implants: an in vitro study.四种植体支持全颌修复的引导骨再生术中牙槽嵴萎缩程度对种植体植入精度的影响:一项体外研究。
Head Face Med. 2023 Aug 30;19(1):40. doi: 10.1186/s13005-023-00387-w.
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