| 宋飞翔,薛浩伟,潘涛,等.引导骨再生术结合骨挤压在单颗上颌前牙同期种植中的应用[J].安徽医药,2017,21(11):2005-2008. |
| 引导骨再生术结合骨挤压在单颗上颌前牙同期种植中的应用 |
| Clinical application of guided bone regeneration combined with bone condensing in implantation of single-tooth in anterior maxilla |
| 投稿时间：2016-12-16 |
| DOI： |
| 中文关键词: 引导骨再生术 骨挤压 牙种植 骨缺损 |
| 英文关键词: GBR Bone condensing Implant Bone defect |
| 基金项目:安徽医科大学临床科学研究项目(2015xkj090) |
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| 摘要点击次数: 2042 |
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| 中文摘要: |
| 目的 研究引导骨再生术(GBR)结合骨挤压应用于单颗上颌前牙同期种植的临床效果。方法 选取单颗上颌前牙缺失伴骨量不足患者19例,共植入19颗种植体。种植手术中联合应用GBR和骨挤压术以改善术区骨量不足的情况,同期植入种植体。4～6个月后复诊,行二期手术,2周后待牙龈形态恢复良好,修复缺失牙齿。牙冠修复完成后嘱患者3、6、12个月后复诊并拍摄CBCT或牙片,观察患者软硬组织及种植体骨结合情况。结果 19例患者共植入19颗种植体,术前牙槽嵴下方1 mm唇腭向平均宽度为(3.3±0.20)mm,术后4～6个月后平均宽度为(6.7±0.25)mm,差异有统计学意义(t=75.48,P<0.05)。所有种植体骨结合良好,种植成功率100%,患者对种植修复后的效果满意。结论 GBR联合骨挤压技术能够有效地解决种植术区骨量不足的问题,在修复单颗上颌前牙中取得了良好的临床效果,拓宽了种植修复的适应证。 |
| 英文摘要: |
| Objective To study the clinical effect of guided bone regeneration combined with bone condensing in implantation of single-tooth in anterior maxilla. Methods Selected 19 patients with single-tooth loss in anterior maxilla and bone defect were implanted 19 implants.Guided Bone Regeneration (GBR) and bone condensing were used to improve bone defect in the surgery area,and the implants were implanted in the same period.Stage Ⅱ surgeries were done 4-6 months later.After 2 weeks,completed dental crown restoration when the recovery of gingival.Then patients were instructed to take CBCT or dental film to observe the soft and hard tissue and the osseointegration of the implants at 3 months later,6 months later and 12 months later respectively. Results All the 19 implants in 19 patients were all firmed and the patients were satisfied with the effect of implants.Dental implants had a success rate of up to 100%.The mean width of the lip to palate in the 1 mm below the alveolar ridge was (3.3±0.20) mm,and of the postoperative alveolar crest was (6.7±0.25)mm after 4-6 months,whichthe difference was statistically significant (t=75.48,P<0.05). Conclusions GBR combined with bone condensing can effectively solve the problem of bone defect in the implantation area,and has achieved good clinical in repairing single-tooth in anterior maxilla and broadened the indications of implant. |
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