口腔医学研究 ›› 2023, Vol. 39 ›› Issue (2): 151-155.DOI: 10.13701/j.cnki.kqyxyj.2023.02.012

• 口腔种植学研究 • 上一篇    下一篇

牙本质片在种植水平骨增量中的短期临床应用

曾婷雯, 赵莹琼, 张敬阳*   

  1. 长沙市口腔医院友谊路院修复科 湖南 长沙 410000
  • 收稿日期:2022-06-23 出版日期:2023-02-28 发布日期:2023-02-20
  • 通讯作者: * 张敬阳,E-mail:3040242526@qq.com
  • 作者简介:曾婷雯(1988~ ),女,湖南新邵人,硕士,主治医师,研究方向:口腔修复种植。
  • 基金资助:
    2020年度湖南省临床医疗技术创新引导项目(编号:2020SK53203)

Short-term Clinical Application of Dentin Slices in Horizontal Bone Augmentation

ZENG Tingwen, ZHAO Yingqiong, ZHANG Jingyang*   

  1. Department of Prosthetics, Youyi Road, Changsha Stomatological Hospital, Changsha 410000, China
  • Received:2022-06-23 Online:2023-02-28 Published:2023-02-20

摘要: 目的: 观察自体牙本质片技术在水平向牙槽骨严重不足情况下种植骨增量的临床疗效。方法: 将无法保留的自体牙或无功能的第三磨牙拔除,制作成牙本质薄片,联合骨替代材料用于重建水平向牙槽骨缺损,延期植入种植体,通过临床预后、影像学对比、种植体留存率及患者满意度来评估骨增量效果。结果: 骨轮廓恢复良好,骨缺损区骨宽度均明显增加,种植体6个月后可获得良好的骨结合,种植体留存率在观察期内为100%,患者满意度高。结论: 牙本质片技术行种植水平骨增量可以获得较好的临床效果,是一种有潜力的新型的重建骨缺损方式。

关键词: 牙槽骨增量, 引导骨再生, 自体牙本质片, 种植牙

Abstract: Objective: To observe the clinical effect of autogenous dentin slices technique in the case of severe shortage of horizontal alveolar bone. Methods: Dentin slices which made from useless autologous teeth or third molars were combined with bone alternative materials to reconstruct the horizontal alveolar bone defects. The implants were delay implanted. Clinical prognosis, imaging comparison, implant survival rate, and patient satisfaction were assessed after the bone augmentation surgery. Results: The bone contour recovered well, the bone width in the bone defect area increased significantly, the implant obtained good osseointegration, the implant survival rate was 100% during the observation period, and the patient's satisfaction was high. Conclusion: The dentin slices technique made a good performance in the bone horizontal augmentation, which is a potential new way to reconstruct bone defect.

Key words: alveolar bone augmentation, guide bone regeneration, autologous dentin slices, dental implants