口腔医学研究

口腔医学研究 ›› 2019, Vol. 35 ›› Issue (2): 197-198.DOI: 10.13701/j.cnki.kqyxyj.2019.02.023

• 案例报告 • 上一篇    

自体牙本质颗粒应用于牙周炎患牙拔除后即刻种植1例

李鹏1,祝慧聪1,潘婷1,黄展宏2,黄达鸿1*   

  1. 1. 佛山科学技术学院附属口腔医院,佛山市口腔医院口腔颌面外科 广东 佛山 528000;
    2. 佛山市智能臻德齿科有限公司 广东 佛山 528000
  • 收稿日期:2018-05-29 出版日期:2019-02-18 发布日期:2019-02-25
  • 通讯作者: 黄达鸿,E-mail:fshuangdh@126.com
  • 作者简介:李鹏(1978~ ),男,四川人,博士,主治医师,主要从事口腔数字化技术和材料研究。
  • 基金资助:
    国家自然科学基金项目(编号:51672276) 广东省佛山科学技术学院2017学术基金项目 2017博士启动项目

Autogenous Dentin Matrix for Immediate Implantation in Periodontal Postextraction Site-A Case Report.

LI Peng1,ZHU Hui-cong1,PAN Ting1,HUANG Zhan-hong2,HUANG Da-hong1*   

  1. 1. School of Stomatology and Medicine, Foshan University, Foshan 528000, China;
    2. Foshan Perfect Zhende Denture Co., Ltd. Foshan 528000, China.
  • Received:2018-05-29 Online:2019-02-18 Published:2019-02-25

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摘要： 目的: 探讨自体牙本质颗粒在牙周炎患牙即刻种植中的应用效果。方法: 对1例因牙周炎拔除的下颌磨牙行即刻种植,将患牙制备成牙本质颗粒行引导骨组织再生,检测植体初期稳定性,随访1年。结果: 种植体初期稳定性ISQ值为52.7,术后半年X片和临床检查显示种植体达到骨整合,随访1年内种植牙功能良好。结论: 自体牙本质颗粒可以应用于牙周炎患牙即刻种植中骨缺损的充填,但其长期效果有待进一步观察。

关键词: 牙本质颗粒, 牙周炎, 即刻种植, 骨引导再生术

Abstract: Objective : To investigate the clinical efficacy of autologous dentin matrix granule in the immediate implantation in patients with severe periodontitis. Methods: One mandibular molar caused by periodontitis was pulled out and prepared into dentin matrix (DM). Dental implantation was performed immediately after the surgery. Autologous DM was used for guided bone regeneration. The stability of implant was detected. The panoramic radiograph and restoration were performed six months after surgery. Results: The ISQ value of implant was 52.7. The X-ray and clinical examination showed the bone integration half a year after surgery, and the function of implant was good at one-year follow-up. Conclusion: DM granule can be applied for the filling of bone defect in implantation, even in periodontitis case. But its long-term effect remains to be further observed.

Key words: Dentin matrix, Periodontitis, Immediate implantion, Guided bone regeneration