慢速扩孔技术在种植手术中的应用前景及研究进展

doi:10.13701/j.cnki.kqyxyj.2024.10.001

摘要/Abstract

摘要： 临床上口腔医师通常选择使用常规扩孔技术(高速钻孔附加冲洗冷却系统)进行种植窝洞预备。随着口腔种植学的发展,一种称为“慢速扩孔技术(low-speed drilling)”的低转速种植窝预备理念出现,有可能成为传统窝洞预备程序替代方案。慢速扩孔技术,又称为生物学扩孔技术(biologic drilling),相较于常规扩孔技术拥有无需冷却液冲洗、避免自体骨材料流失等优点。本文通过总结体外实验、动物实验和临床实验3种类型的多项研究,从术中温度变化及对骨结合、操作精度、操作时间的影响等多方面进行分析,以期为其临床应用提供参考。

关键词: 慢速扩孔技术, 骨结合, 初期稳定性, 自体骨

Abstract: Preparation of hard tissues for the implants is usually performed by conventional drilling (drilling at high-speed with irrigation). With the development of modern oral implantology, a new concept of low-speed drilling without irrigation shown the potential to be an alternative to the conventional drilling. Low-speed drilling also named as biologic drilling, comparing with conventional drilling which has many advantages, such as no irrigation, more precise, and avoiding autogenous bone loss. This article reviews the related literatures including in vitro, animal, and clinical studies to analyze the low-speed drilling from temperature change, osseointegration, drilling precision, and drilling time, in order to provide reference for further research and clinical application.

Key words: low-speed drilling, osseointegration, primary stability, autogenous bone

刘腾达, 王淑红. 慢速扩孔技术在种植手术中的应用前景及研究进展[J]. 口腔医学研究, 2024, 40(10): 851-854.

LIU Tengda, WANG Shuhong. Research Progress and Application Potential of Low-speed Drilling in Implant Surgery[J]. Journal of Oral Science Research, 2024, 40(10): 851-854.

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