Arlin M L
Oral Health. 1994 Jul;84(7):27, 29, 31 passim; quiz 38.
This article has discussed and illustrated various applications of GTR associated with dental implants. At present, in the opinion of this author, the material of choice for these procedures is GTAM. Other barriers are currently available while still more are under development. It is not within the scope of this article to include a comprehensive discussion of all available materials but it is noteworthy that resorbable membranes such as GUIDOR (Butler) show promise. At present the predictability of the various GTAM techniques discussed in this article, in the experience of the author are as follows: a) There is good predictability with immediate implant placement in extraction sockets. b) There is fairly good predictability regenerating localized osseous ridge deformities prior to implant placement. c) There is fairly good predictability regenerating new bone at dehiscences and/or fenestration defects that are associated around initial implant placements. d) There is poorer predictability regenerating new bone i.e. "re-osseointegration" around "ailing" i.e. contaminated implants.
本文已讨论并阐述了引导骨组织再生（GTR）与牙种植体相关的各种应用。目前，在笔者看来，这些手术的首选材料是牙龈结缔组织移植材料（GTAM）。目前还有其他屏障可用，同时更多的仍在研发中。本文范围不包括对所有可用材料进行全面讨论，但值得注意的是，可吸收膜如GUIDOR（巴特勒）显示出前景。目前，根据笔者的经验，本文讨论的各种GTAM技术的可预测性如下：a）在拔牙窝中即刻植入种植体具有良好的可预测性。b）在植入种植体之前再生局部骨嵴畸形具有相当好的可预测性。c）在初始种植体周围的裂隙和/或骨窗缺损处再生新骨具有相当好的可预测性。d）在“患病”即受污染的种植体周围再生新骨即“再骨结合”的可预测性较差。
