上前牙位点保存的临床研究

doi:10.13701/j.cnki.kqyxyj.2016.09.021

口腔医学研究 ›› 2016, Vol. 32 ›› Issue (9): 978-982.DOI: 10.13701/j.cnki.kqyxyj.2016.09.021

上前牙位点保存的临床研究

刘颖,刘克礼,高晓,薛晓芳,王晴,孙兴坤,袁明志,王立军^*

武警总医院口腔种植颌面外科北京 100039

收稿日期:2016-02-04 出版日期:2016-09-26 发布日期:2016-09-26
通讯作者: 王立军,E-mail:13681180789@163.com
作者简介:刘颖(1989~ ),女,辽宁人,硕士,研究方向为口腔种植及种植后修复。

Clinical Study on Coral Hydroxyapatite Combined with Biological Collagen Material in Socket Preservation

LIU Ying, LIU Ke-li, GAO Xiao, XUE Xiao-fang, WANG Qing, SUN Xing-kun, YUAN Ming-zhi, WANG Li-jun^*

Department of Implant Surgery, General Hospital of Armed Police Forces, Beijing 100039, China

Received:2016-02-04 Online:2016-09-26 Published:2016-09-26

摘要/Abstract

摘要： 目的:探讨使用羟基磷灰石骨粉复合生物胶原材料进行拔牙位点保存的临床效果。方法:对30例拔除前牙的患者随机分组,试验组15例,拔牙同期在拔牙窝内植入羟基磷灰石骨粉,生物胶原材料覆盖表面关闭拔牙窝,临时义齿修复缺失牙并在位点处维持软组织形态;对照组15例,拔牙后常规处理,让拔牙窝内充满自然形成的血凝块。6个月后复诊,观察拔牙窝愈合情况,测量牙槽嵴的高度、宽度和牙间乳头的位置,采用两独立样本t检验进行统计学分析,使用SPSS17.0统计学软件分析处理数据。结果:试验组拔牙窝愈合良好,牙槽骨丰满,牙龈乳头形态得以保留,牙龈边缘连续一致;而对照组牙槽嵴吸收、萎缩,高度降低、宽度缩小明显,牙龈乳头萎缩甚至消失。实验组和对照组间牙槽嵴高度、宽度和牙间乳头的变化差异均具有统计学意义(P＜0.05)。结论:羟基磷灰石骨粉复合生物胶原材料起到了保存拔牙后牙槽骨骨量的作用,及时的临时义齿修复很好的维持了软组织形态。

关键词: 拔牙位点保存, 生物胶原材料, 羟基磷灰石骨粉, 临时修复体

Abstract: Objective: To study the clinical effect of coral hydroxyapatite combined with biological collagen material in socket preservation. Methods: Thirty patients were assigned into two groups in a randomized controlled clinical trial. Experimental group: socket preservation with coral hydroxyapatite combined with biological collagen material in the extraction socket. Control group: conventional treatment after tooth extraction. All the patients came back after 6 months since tooth extraction, and the height and width of the alveolar ridge were measured to observe the socket healing condition. The t-test was used to analyze the variations between the experimental group and the control group. Results: In the experimental group, the gingival color and shape were in coordination with the adjacent tooth. Whereas the control group showed alveolar ridge absorption and atrophy with decreased height and notably narrowed width. The mean value changes of alveolar ridge height, width and gingival were statistically significant different between two groups (P＜0.05). Conclusion: Coral hydroxyapatite combined with biological collagen material can preserve the bone quantity after tooth extraction for implant prosthesis and they were suitable materials for socket preservation.

Key words: Alveolar ridge, Socket preservation, Biological collagen material, Hydroxyapatite, Temporary denture

中图分类号:

R782.1

刘颖,刘克礼,高晓,薛晓芳,王晴,孙兴坤,袁明志,王立军. 上前牙位点保存的临床研究[J]. 口腔医学研究, 2016, 32(9): 978-982.

LIU Ying, LIU Ke-li, GAO Xiao, XUE Xiao-fang, WANG Qing, SUN Xing-kun, YUAN Ming-zhi, WANG Li-jun. Clinical Study on Coral Hydroxyapatite Combined with Biological Collagen Material in Socket Preservation[J]. Journal of Oral Science Research, 2016, 32(9): 978-982.

参考文献

[1] lekovic V, kenney E ,Weinlaender M, et al. A bone regenerative approach to alveolar ridge maintenance following tooth extraction [J]. J Periodont, 1997, 68(6)∶563-570
[2] Belser U C, Grutter L, Vailati F, et al. Outcome evaluation of early placed maxillary anterior single-tooth implants using objective esthetic criteria: across-sectional , retrospective study in 45 patients with a 2-to 4-year follow-up using pink and white esthetic scores [J]. J Periodont,2009,80(1)∶140-151
[3] Lindhe J,Cecchinato D,Donati M,et al. Ridge preservation with the use of deproteinized bovine bone mineral [J]. Clin Oral Implants Res,2013,32(5)∶589-594
[4] 王健,胡秀莲,林野.Bio-Oss 和 Bio-Oss 骨胶原保持牙槽嵴量的临床研究[J].现代口腔医学杂志,2009,23(1)∶4-6
[5] Ventura-Clapier R. Exercise training,energy metabolism,and heart failure [J]. Appl Physiol Nutr Metab,2009,34(3)∶336-339
[6] Monchamp T,Frishman WH. Exercise as a treatment modality for congestive heart failure [J]. Heart Dis,2002,4(2)∶110-116
[7] Perelman-Karmon M,Kozlovsky A,Liloy R,et al. Socket site preservation using bovine bone mineral with and without a bioresorbable collagen membrane [J]. Int J Periodontics Restorative Dent,2012,32(4)∶459-465
[8] Camargo P , lekovic V, Weinlaender M, et al. Influence of bioactive glass on changes in alveolar process dimensions after exodontias [J]. Oral surg Oral patho Oral Radio Endo, 2000, 90(5)∶581-586
[9] Kan JY, Rungcharassaeng K, Umezu K, et al. Dimensions of peri-implant mucosa: an evaluation of maxillary anterior single implants in humans [J]. J Periodontol, 2003, 74(5)∶557-62
[10] Spray JR,Black CG,Morris HF,et al. The influence of bone thickness on facial marginal bone response: Stage1 placement through stage2 uncovering [J]. Ann Periodontal, 2000, 5(1)∶119-128
[11] Vignoletti F,Matesanz P,Rodrigo D,et al. Surgical protocols for ridge preservation after tooth extraction. A systematic review [J]. Clin Oral Implants Res,2012,23(5)∶22-38
[12] Darby I, Chen ST, Buser D. Ridge preservation techniques for implant therapy [J]. Int J Oral Maxillofac Implants, 2009, 24∶260-271

[1]	何孔炎, 陈艳, 缪颖, 缪海梅. 改良不翻瓣微创种植术的临床应用观察[J]. 口腔医学研究, 2018, 34(2): 181-185.
[2]	王娜, 曲哲, 周宏志, 陈小冬. CGF在上颌窦外提升术中的临床应用效果评价[J]. 口腔医学研究, 2018, 34(2): 186-189.
[3]	程志芬, 崔连保, 玄延花. IL-6和Shh在种植体周围炎龈沟液中的表达及意义[J]. 口腔医学研究, 2018, 34(1): 87-89.
[4]	周菁, 孙晓琳, 齐曼霖, 丁鑫鑫, 李雪, 周延民. 富血小板纤维蛋白在后牙即刻种植中的应用1例[J]. 口腔医学研究, 2018, 34(1): 92-93.
[5]	张雨诗,邵艳琳,芦帅,钟科. 种植体周围黏膜炎在药物干预前后龈沟液的代谢组学分析[J]. 口腔医学研究, 2017, 33(12): 1306-1309.
[6]	曾小法,陈宁,尹颖. 上颌中切牙微创拔牙即刻种植联合牙龈诱导的美学效果[J]. 口腔医学研究, 2017, 33(12): 1323-1327.
[7]	唐学敏,左金华,高红,王丽芳. 上颌骨表皮样囊肿1例[J]. 口腔医学研究, 2017, 33(12): 1336-1337.
[8]	洪小伟，王志勇，王育新，赵苏峰. 下颌第三磨牙拔除术中不同操作过程对心率影响的临床研究[J]. 口腔医学研究, 2017, 33(10): 1103-1105.
[9]	罗婷苑，张森林. 浓缩生长因子促进骨再生的实验研究[J]. 口腔医学研究, 2017, 33(9): 954-957.
[10]	郑丽，陈铭晟，王璐，古秋华. 艾森克人格因素对颌骨囊肿开窗减压术后应用塞制器患者牙科焦虑症和疼痛的影响研究[J]. 口腔医学研究, 2017, 33(9): 978-981.
[11]	曹亚洲, 程伟, 胡勤刚. 钛表面RGD/仿生磷酸钙复合涂层对MC3T3-E1细胞黏附、增殖、分化的影响[J]. 口腔医学研究, 2017, 33(7): 693-697.
[12]	郭廷, 孟凡文. 热刺激取出骨结合种植体动物模型的建立[J]. 口腔医学研究, 2017, 33(7): 721-724.
[13]	周勇, 陈婉璐, 黄文秀, 吴东, 肖妍君, 林东, 郭建斌, 蒋剑晖, 何炳蔚, 陈江. 基于3D打印技术的种植手机引导导板的临床应用[J]. 口腔医学研究, 2017, 33(7): 766-769.
[14]	罗正文, 刘济远, 李佳, 潘剑. 引导组织再生生物膜应用于拔牙术后牙槽骨缺损修复的临床研究[J]. 口腔医学研究, 2017, 33(7): 782-786.
[15]	孙云, 王静. 微创环切术对种植修复效果影响的研究[J]. 口腔医学研究, 2017, 33(6): 671-674.

上前牙位点保存的临床研究

Clinical Study on Coral Hydroxyapatite Combined with Biological Collagen Material in Socket Preservation

PDF (PC)

可视化

被引次数

摘要/Abstract

引用本文

使用本文

参考文献

相关文章 15

编辑推荐

Metrics