口腔医学研究 ›› 2019, Vol. 35 ›› Issue (11): 1011-1015.DOI: 10.13701/j.cnki.kqyxyj.2019.11.001

• 特约述评 •    下一篇

个性化钛网在口腔种植骨增量中的应用

季平*, 杨生   

  1. 重庆医科大学附属口腔医院 口腔疾病与生物医学重庆市重点实验室重庆市高校市级口腔生物医学工程重点实验 重庆 400016
  • 收稿日期:2019-02-02 出版日期:2019-11-28 发布日期:2019-11-21
  • 通讯作者: 季平,E-mail:jiping@hospital.cqmu.edu.cn
  • 作者简介:季平,男,1962年出生,医学博士,主任医师,教授,博士生导师,现任重庆医科大学附属口腔医院院长。兼任中华口腔医学会口腔医学教育专委会、颌面外科专委会、种植专委会、口腔颌面-头颈肿瘤专委会、口腔医疗服务分会等常务委员,重庆市口腔医学会会长。担任《口腔医学研究》、《重庆医学》等多本杂志副主编、编委,任《口腔种植学词典》等多部著作副主编、编委。
  • 基金资助:
    国家自然科学基金(编号:31871464、81500894) 中国博士后基金资助面上项目(编号:2017M620417) 重庆市研究生导师团队建设项目(编号:dstd201806) 重庆市自然科学基金(编号:cstc2019jcyj-msxmX0366)

Application of Custom-made Titanium Mesh in Implant Dentistry for Bone Augmentation

JI Ping*, YANG Sheng   

  1. Stomatological Hospital of Chongqing Medical University, Chongqing Key Laboratory of Oral Diseases and Biomedical Sciences, Chongqing Municipal Key Laboratory of Oral Biomedical Engineering of Higher Education, Chongqing 400016, China
  • Received:2019-02-02 Online:2019-11-28 Published:2019-11-21

摘要: 引导骨组织再生(guided bone regeneration,GBR)一直以来是口腔种植修复研究领域的热点,也是临床难点技术问题之一。近年来,钛网因其良好的机械性能和固定支持作用在GBR治疗中应用广泛,但传统成品钛网无法完全贴合牙槽骨形态,易导致黏膜或伤口撕裂、钛网暴露等并发症。随着3D打印技术的发展,可利用计算机辅助设计/计算机辅助制造(computer aided manufacturing/computer aided design,CAD/CAM)技术设计制作特定形状、厚度及孔隙大小的个性化钛网,在拥有传统钛网优点的同时更加贴合骨缺损部位,极大缩短手术时长及降低钛网暴露率,尤其适用于大面积、解剖形态复杂的骨缺损病例。本文就个性化3D打印钛网在口腔种植骨增量中的应用和研究现状进行介绍。

关键词: 个性化钛网, 骨增量, 引导骨再生, 3D打印技术

Abstract: Guided bone regeneration (GBR) has always been the research hotspots in the field of dental implantology research, and it is also one of the difficulties in clinical technology. In recent years, titanium mesh has been widely used in GBR treatment owing to its good mechanical properties and structure support function. However, the traditional titanium mesh can not completely conform to the alveolar bone morphology, which may lead to mucosal or wound tearing, titanium mesh exposure, and other complications. With the rise of 3D printing technology, CAD/CAM technology can be used to design and manufacture custom-made titanium mesh with specific shape, thickness and pore size. Custom-made titanium mesh can better fit the bone defects and significantly reduce the surgery time and the exposure rate, especially suitable for large bone defect with complex anatomical morphology. This paper introduces the application and research status of custom-made titanium mesh used for bone augmentation in implant treatment.

Key words: custom-made titanium mesh, bone augmentation, guided bone regeneration, 3D printing technology