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Efficacy of demineralized bone matrix for maxillary sinus lift with implant-retained prosthetic rehabilitation: A prospective evaluation 脱矿骨基质用于上颌窦提升与种植体保留修复的疗效:一项前瞻性评估
Pub Date : 2021-01-01 DOI: 10.4103/jdi.jdi_13_20
R. Krishnaprabhu, R. Shadamarshan, S. R. Roy Chowdhury
Context: Several materials have been used for maxillary sinus augmentation for subsequent implant-supported prosthetic rehabilitation. No perfect material has been identified for the purpose. Aims: The aim of the study is to clinically and radiographically evaluate the use of Sterile Demineralized bone matrix (Osseograft™) for maxillary sinus augmentation and subsequent implant-supported prosthetic rehabilitation. Subject and Methods: Sinus augmentation and implant placement were carried out in twenty patients with Osseograft™. Using intraoral periapical radiographs, radiographic implant length (rIL), residual bone height at the mesial (mRBH) and residual bone height at the distal (dRBH) aspects of the implant, and height of the graft apically (aGH) were measured. Residual bone height (RBH) = Mean of mRBH and dRBH, implant penetration (IP) =difference between rIL and RBH, Extent of the sinus lift (SL) = sum of IP and aGH were calculated and a qualitative assessment of maturation was performed using the Sinus Grafting Remodeling Index (SGRI). Statistical Analysis Used: Descriptive statistics. Results: The mean residual bone height immediately after surgery was 6.81 mm. The mean IP length was 5.45 mm. The mean aGH was 3.21 mm. The mean extent of the SL was 8.89 mm. At 3 months and 6 months, the mean aGH was 2.68 mm and 2.57 mm. The mean SL at 3 months and 6 months was 7.84 mm and 7.73 mm. The SGRI was 1 in all cases immediately postsurgery; between 1 and 2 at the end of 3 months; 2 in 15 cases and 1 in 4 cases at the end of 6 months. Conclusion: Osseograft™ can be used as an effective material for sinus augmentation with minimal complications and morbidity to the patient.
背景:几种材料已被用于上颌窦增强,用于随后的种植体支持假肢康复。目前还没有找到适合这一目的的完美材料。目的:本研究的目的是临床和影像学评估无菌脱矿骨基质(osograft™)在上颌窦增强和随后种植体支持的假肢康复中的应用。对象和方法:对20例使用骨移植的患者进行鼻窦隆胸和种植体植入。使用口腔内根尖周x线片,测量种植体的x线长度(rIL)、种植体的中端残余骨高度(mRBH)和远端残余骨高度(dRBH)以及种植体的根尖高度(aGH)。计算残余骨高度(RBH) = mRBH和dRBH的平均值,种植体渗透(IP) = rIL和RBH的差值,窦提升程度(SL) = IP和aGH的总和,并使用窦移植重塑指数(SGRI)对成熟度进行定性评估。统计分析使用:描述性统计。结果:术后即刻平均残骨高度为6.81 mm。平均IP长度为5.45 mm。平均aGH为3.21 mm。SL的平均长度为8.89 mm。3个月和6个月时,平均aGH分别为2.68 mm和2.57 mm。3个月和6个月的平均SL分别为7.84 mm和7.73 mm。所有病例术后即刻SGRI均为1;3个月后1至2个月;15例2例,6个月末4例1例。结论:骨移植是一种有效的鼻窦隆胸材料,其并发症和发病率均较低。
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引用次数: 0
COVID-19 and dental health fallout: Time to take the bull by the horn COVID-19和牙齿健康的影响:是时候迎难而上了
Pub Date : 2021-01-01 DOI: 10.4103/jdi.jdi_9_21
S. Shetty
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引用次数: 0
Bone regeneration associated with low-level laser therapy in implantology 骨再生与低水平激光治疗在种植学中的应用
Pub Date : 2021-01-01 DOI: 10.4103/jdi.jdi_6_20
Karina R Teixeira, J. Mendonca, M. Rosa, R. Huebner, M. Cortés, Marcus L Ferreira
Several therapies for tissue regeneration in implantology have been explored for their ability to enhance bone regeneration such as low-level laser therapy (LLLT), also known as photobiomodulation. This technique has been shown to reduce inflammation and edema, induce analgesia, and promote healing in a range of musculoskeletal pathologies with cost-effective for healing therapy. The endothelial progenitor and hematopoietic stem cells, together with LLLT improving their capacity to induce angiogenesis, recruit other cells to a site of injury and secrete growth factors and cytokines that have a paracrine effect on surrounding cells. A critical review and comprehensively analyze of tissue regeneration associated to newer regenerative techniques as LLLT, platelet derivatives and mesenchymal stem cells (MSCs) at preimplant sites was released. An electronic search in PubMed via Medline and Embase was conducted of publications from the previous 10 years. English language articles related to the subject were found using selected keywords. We summarize the photobiomodulation properties and its relation with platelet derivatives and MSCs and discuss the efficacy of these therapies for tissue repair. The LLLT is well-documented therapy but further research studies relating LLLT to tissue regeneration in periodontics and implantology are needed.
种植学中组织再生的几种治疗方法已经被探索用于增强骨再生的能力,如低水平激光治疗(LLLT),也被称为光生物调节。该技术已被证明可以减少炎症和水肿,诱导镇痛,促进一系列肌肉骨骼病变的愈合,具有成本效益的愈合治疗。内皮祖细胞和造血干细胞与LLLT一起提高了它们诱导血管生成的能力,招募其他细胞到损伤部位,并分泌对周围细胞具有旁分泌作用的生长因子和细胞因子。发表了一篇重要的综述和全面分析与较新的再生技术相关的组织再生,如LLLT,血小板衍生物和植入前部位的间充质干细胞(MSCs)。通过Medline和Embase在PubMed中对过去10年的出版物进行了电子检索。使用选定的关键词找到与主题相关的英语文章。我们总结了光生物调节特性及其与血小板衍生物和间充质干细胞的关系,并讨论了这些治疗方法在组织修复中的效果。LLLT是一种有充分证据的治疗方法,但需要进一步研究LLLT与牙周病和种植学组织再生的关系。
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引用次数: 0
Evaluation of stress distribution in maxillary anterior bone from three different tapered implant thread designs with two angulated abutments: A 3-dimensional finite element analysis study 三种不同锥形种植牙线设计与两角基牙的上颌前骨应力分布评估:三维有限元分析研究
Pub Date : 2021-01-01 DOI: 10.4103/jdi.jdi_32_20
V. Attargekar, Girish Galagali, E. Reddy, Prakash Nidawani, R. Harsha, Satyanarayana Naik
Background: Tapered implants imitate the natural form of the root. They are known to enhance primary stability by providing pressure on the cortical bone of regions with poor bone qualities and also has a good survival rate as it directs stresses away from the crestal cortical bone while transferring it to the cancellous bone. Purpose: Maxillary anatomic constraints sometimes make it necessary to surgically position implants at angles that are not optimal for prosthetic restorations or by positioning the implant in the area with the greatest available bone, with the intention of correcting the implant alignment at the time of prosthetic restoration. This is made possible, in carefully planned cases with the use of angulated abutments. Materials and Methods: Three tapered implants with triangular, square, and buttress thread designs having a 15° and 25° angulated abutment were created. The implant models were positioned in anterior maxillary bone D2 and D3 and clinical loading conditions simulated. The maximum equivalent von Mises stress values were recorded and analyzed using ANSYS software. Results: The finite element analysis carried out showed less stresses from tapered implant square thread design in D2 and D3 bone with 15° angulated abutment, while buttress thread design performed better in D2 and D3 bone with 25° abutment angulation on axial and nonaxial loading. Conclusion: Bone type is an important factor that affects stress distribution. More stress occurred in D3 bone compared to D2 bone type. Thus, bone type should be carefully considered when choosing the most appropriate implant design.
背景:锥形种植体模仿根的自然形态。众所周知,它们通过对骨质量差的区域的皮质骨施加压力来增强初级稳定性,并且由于将压力从嵴皮质骨转移到松质骨,因此具有良好的存活率。目的:上颌解剖限制有时需要将种植体定位在不适合假体修复的角度,或者将种植体定位在可用骨最大的区域,目的是在假体修复时纠正种植体的对齐。这是可能的,在精心规划的情况下,使用成角的基台。材料和方法:制作了三种锥形种植体,具有三角形,方形和支撑螺纹设计,具有15°和25°的成角基台。种植体模型定位于上颌前骨D2和D3,模拟临床负荷情况。利用ANSYS软件记录并分析了最大等效von Mises应力值。结果:有限元分析显示更少的压力从锥形D2和D3骨植入方螺纹设计15°斜肩,虽然偏梯形螺纹设计表现的更好在D2和D3骨25°桥台在轴向和nonaxial加载测角。结论:骨类型是影响应力分布的重要因素。与D2骨型相比,D3骨型出现更多的应力。因此,在选择最合适的种植体设计时应仔细考虑骨类型。
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引用次数: 0
Randomize clinical trial of the effect of machined and rough surface of implant collar on crestal bone level and surrounding soft tissue 种植体环面加工及表面粗糙对牙冠骨水平及周围软组织影响的随机临床试验
Pub Date : 2021-01-01 DOI: 10.4103/jdi.jdi_26_20
Anshul Chugh, S. Rani, A. Gupta
Statement of Problem: The importance of implant collar/neck in crestal bone area triggered the need to understand the influence of its design/surface topography on surrounding hard and soft tissues. Purpose: This study analyzed the effect of machined and rough surface of implant collar on bone level at crestal region and surrounding soft tissues in maxillary and mandibular anterior region. Materials and Methods: The clinical study was conducted on 20 participants (15 males and 5 females) based on the inclusion and exclusion parameters. Participants were broadly divided into two groups with 10 dental implants in Group R (implant with rough collar design) and Group M (implant with machined collar design). The participants were evaluated at baseline (within 1 week after implant placement), 3 months, and 6 months for crestal bone level and soft tissue parameters (pink esthetic score [PES]). Results: All implants showed clinically acceptable bone loss at interval of 6 months, i.e., 0.68 and 0.74 on mesial and distal aspect of R group implants, respectively, and 1.15 and 0.83 at mesial and distal aspect of R group implants, respectively. And also, the PES of all implants observed was above the clinical acceptability level, i.e., 6.15 and 6.05 for R and M groups implants, respectively. Conclusion: It can be concluded from the present study that there is no significant difference statistically in bone level at crestal region and soft tissues parameters in two different implant collar designs used in the study although the loss of bone observed was higher in machined group in comparison to rough group of implants and the PES observed was also more in R group in comparison to M group.
问题陈述:由于种植体领/颈在嵴骨区的重要性,因此需要了解其设计/表面形貌对周围硬软组织的影响。目的:分析种植体领面加工和表面粗糙对上颌下颌前牙区嵴区骨水平及周围软组织的影响。材料与方法:根据纳入和排除参数对20例受试者进行临床研究,其中男性15例,女性5例。受试者大致分为两组,每组10颗种植体:R组(采用粗齿环设计)和M组(采用机械齿环设计)。在基线(种植体放置后1周内)、3个月和6个月对参与者进行牙冠骨水平和软组织参数(粉红色美学评分[PES])的评估。结果:所有种植体在间隔6个月时均表现出临床可接受的骨质流失,R组种植体近端和远端骨质流失分别为0.68和0.74,R组种植体近端和远端骨质流失分别为1.15和0.83。观察到的所有种植体PES均高于临床可接受水平,R组为6.15,M组为6.05。结论:从本研究可以得出,尽管机械加工组观察到的骨损失高于粗种植体组,R组观察到的PES也高于M组,但本研究中采用的两种不同种植体环设计在牙冠区骨水平和软组织参数上均无统计学差异。
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引用次数: 0
A comparative study to evaluate the retention of conventional retention sleeve material versus retention.sil 600 in implant-retained overdentures: In vitro study 一项评估传统固位套筒材料与固位的比较研究。种植保留覆盖义齿:体外研究
Pub Date : 2020-07-01 DOI: 10.4103/jdi.jdi_14_20
S. Khan, G. Issar, Siddharth Bansal, H. Jagadeesh, S. Tyagi
Purpose: The aim of this study was to assess and evaluate the retention of conventional retentive sleeve material versus retention.sil in implant-retained overdentures. Methodology: Custom-designed models of uniform dimensions were made from heat-polymerized polymethyl methacrylate resin. The model had two components which comprised a lower member (matrix) and an upper member (patrix). The lower member (matrix) was embedded with two ADIN implant analogs attachment (Adin Implant System Ltd. Israel) of 3.75 mm × 10 mm with prefabricated ball attachment at an interimplant distance of 20 mm. The upper member was prepared to receive two different retention sleeve materials, conventional retentive/plastic sleeve attachment (Adin Implant System Ltd. Israel), and retention.sil 600 (Bredent medical GmbH and Co. KG). Using a universal testing machine, each of the models was subjected to 100 pulls each to dislodge the upper member from the lower member, and the force values as indicated on the digital indicator were tabulated. Statistical Analysis Used: Statistical analysis comprised Kolmogorov–Smirnov test, Friedman test, Mann–Whitney test, and Wilcoxon signed-rank test. Results: The statistical model revealed that when subjected to vertically directed forces, the conventional retentive/plastic sleeve attachment (Adin Implant System Ltd. Israel) developed higher retentive force as compared to the retention.sil 600 (Bredent medical GmbH and Co. KG). Conclusions: The conventional retentive sleeve material maintains their retentive capacity longer than the retention.sil 600. Further research is required to increase the retentive force in retention.sil material, thereby increasing denture retention and stability.
目的:本研究的目的是评估传统固位套筒材料与固位材料的固位效果。仍然在种植保留覆盖义齿。方法:采用热聚合聚甲基丙烯酸甲酯树脂制作统一尺寸的定制模型。该模型由下成员(矩阵)和上成员(矩阵)组成。下部构件(基质)嵌入两个ADIN植入物类似物附件(ADIN implant System Ltd.)。以色列)3.75 mm × 10 mm,在种植体间距离为20 mm的预制球附着体。上肢准备接受两种不同的固位套筒材料,传统的固位/塑料套筒附件(Adin Implant System Ltd.)。以色列)和保留率。sil600 (Bredent medical GmbH and Co. KG)。使用万能试验机,每个模型都受到100次拉力,每次拉力使上构件从下构件中脱落,并将数字指示器上显示的力值制成表格。统计分析方法:统计分析包括Kolmogorov-Smirnov检验、Friedman检验、Mann-Whitney检验和Wilcoxon sign -rank检验。结果:统计模型显示,当受到垂直方向的力时,传统的固位体/塑料套管附着体(Adin Implant System Ltd.)。以色列的留存力比美国的留存力高。sil600 (Bredent medical GmbH and Co. KG)。结论:常规固位套筒材料比固位套筒材料保持固位能力更长。银600。提高固位力的方法有待进一步研究。Sil材料,从而增加义齿固位和稳定性。
{"title":"A comparative study to evaluate the retention of conventional retention sleeve material versus retention.sil 600 in implant-retained overdentures: In vitro study","authors":"S. Khan, G. Issar, Siddharth Bansal, H. Jagadeesh, S. Tyagi","doi":"10.4103/jdi.jdi_14_20","DOIUrl":"https://doi.org/10.4103/jdi.jdi_14_20","url":null,"abstract":"Purpose: The aim of this study was to assess and evaluate the retention of conventional retentive sleeve material versus retention.sil in implant-retained overdentures. Methodology: Custom-designed models of uniform dimensions were made from heat-polymerized polymethyl methacrylate resin. The model had two components which comprised a lower member (matrix) and an upper member (patrix). The lower member (matrix) was embedded with two ADIN implant analogs attachment (Adin Implant System Ltd. Israel) of 3.75 mm × 10 mm with prefabricated ball attachment at an interimplant distance of 20 mm. The upper member was prepared to receive two different retention sleeve materials, conventional retentive/plastic sleeve attachment (Adin Implant System Ltd. Israel), and retention.sil 600 (Bredent medical GmbH and Co. KG). Using a universal testing machine, each of the models was subjected to 100 pulls each to dislodge the upper member from the lower member, and the force values as indicated on the digital indicator were tabulated. Statistical Analysis Used: Statistical analysis comprised Kolmogorov–Smirnov test, Friedman test, Mann–Whitney test, and Wilcoxon signed-rank test. Results: The statistical model revealed that when subjected to vertically directed forces, the conventional retentive/plastic sleeve attachment (Adin Implant System Ltd. Israel) developed higher retentive force as compared to the retention.sil 600 (Bredent medical GmbH and Co. KG). Conclusions: The conventional retentive sleeve material maintains their retentive capacity longer than the retention.sil 600. Further research is required to increase the retentive force in retention.sil material, thereby increasing denture retention and stability.","PeriodicalId":212982,"journal":{"name":"Journal of Dental Implants","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126008179","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The efficacy of synthetic allograft and bioresorbable xenograft in immediate implant procedures: A comparative clinical study 合成同种异体移植物和生物可吸收异体移植物在即刻植入手术中的疗效:一项比较临床研究
Pub Date : 2020-07-01 DOI: 10.4103/jdi.jdi_12_20
D. Daniel, V. Shetty, Jerin Jose, A. Kumar, B. Santosh, S. Saikrrupa
Aim: Immediate placement of an implant into the fresh extraction socket often leaves a space between the implant periphery and the surrounding bone, and the space between the implant and the bone is required to be filled with a biocompatible material such as a graft. This study aimed to compare the efficacy of synthetic bioactive glass allograft and dried freeze bovine bone grafts in the immediate implant site. Materials and Methods: The study comprised a total of thirty individuals in the age group between 16 and 60 years with at least one tooth indicated for extraction. The thirty participants were further divided into two groups. Group A comprised 15 participants who underwent extraction and buccal plate preservation (BPP), followed by immediate implant placement using synthetic allograft material (PerioGlas). Group B comprised 15 participants who underwent extraction and BPP, followed by immediate implant placement using xenograft as the graft material (Bio-Oss). The participants were evaluated both clinically and radiographically for 3 months, 6 months, and 1 year. The level of significance was set at P < 0.05. Results: PerioGlas and Bio-Oss in immediate implant site showed excellent osseointegration around the immediate implant site. However, the difference between the groups was not statistically significant. Conclusion: Both synthetic allograft and bioresorbable xenograft are promising and equally potential in bone formation around the immediate implant site.
目的:将种植体立即放置到新鲜的拔牙槽中,通常会在种植体周围和周围骨之间留下空间,并且种植体和骨之间的空间需要用诸如移植物之类的生物相容性材料填充。本研究的目的是比较合成生物活性玻璃异体骨和干冻牛骨在即刻种植部位的效果。材料和方法:本研究共包括30名年龄在16至60岁之间,至少有一颗牙齿需要拔除的个体。这30名参与者被进一步分为两组。A组包括15名参与者,他们接受拔牙和颊板保存(BPP),随后使用合成同种异体移植物材料(PerioGlas)立即植入种植体。B组包括15名参与者,他们接受拔牙和BPP,随后使用异种移植物作为移植物材料(Bio-Oss)立即植入。参与者分别在3个月、6个月和1年进行临床和影像学评估。P < 0.05为显著性水平。结果:即刻种植体周围的PerioGlas和Bio-Oss具有良好的骨整合性。然而,组间差异无统计学意义。结论:人工合成同种异体移植物和生物可吸收异体移植物在即刻种植部位周围骨形成方面都具有良好的前景和同等的潜力。
{"title":"The efficacy of synthetic allograft and bioresorbable xenograft in immediate implant procedures: A comparative clinical study","authors":"D. Daniel, V. Shetty, Jerin Jose, A. Kumar, B. Santosh, S. Saikrrupa","doi":"10.4103/jdi.jdi_12_20","DOIUrl":"https://doi.org/10.4103/jdi.jdi_12_20","url":null,"abstract":"Aim: Immediate placement of an implant into the fresh extraction socket often leaves a space between the implant periphery and the surrounding bone, and the space between the implant and the bone is required to be filled with a biocompatible material such as a graft. This study aimed to compare the efficacy of synthetic bioactive glass allograft and dried freeze bovine bone grafts in the immediate implant site. Materials and Methods: The study comprised a total of thirty individuals in the age group between 16 and 60 years with at least one tooth indicated for extraction. The thirty participants were further divided into two groups. Group A comprised 15 participants who underwent extraction and buccal plate preservation (BPP), followed by immediate implant placement using synthetic allograft material (PerioGlas). Group B comprised 15 participants who underwent extraction and BPP, followed by immediate implant placement using xenograft as the graft material (Bio-Oss). The participants were evaluated both clinically and radiographically for 3 months, 6 months, and 1 year. The level of significance was set at P < 0.05. Results: PerioGlas and Bio-Oss in immediate implant site showed excellent osseointegration around the immediate implant site. However, the difference between the groups was not statistically significant. Conclusion: Both synthetic allograft and bioresorbable xenograft are promising and equally potential in bone formation around the immediate implant site.","PeriodicalId":212982,"journal":{"name":"Journal of Dental Implants","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115531692","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 5
Lateral incisors versus canine areas for two implant placements used to retain mandibular overdenture: Periodic monitoring of ridge base contact relation 下颌覆盖义齿固定两种种植位置的侧切牙与犬齿区:脊基接触关系的周期性监测
Pub Date : 2020-07-01 DOI: 10.4103/jdi.jdi_26_19
Khloud E Mourad, Radwa Kamal Emera, W. Ahmed, A. Habib
Purpose: This study aimed to compare the effect of two different implants' position (lateral incisors and canine areas) to retain mandibular complete overdenture on the ridge base contact relation after 6 months of overdenture use. Materials and Methods: Ten completely edentulous patients were selected from the Outpatient Clinic of Removable Prosthodontics Department, Faculty of Dentistry, Mansoura University. According to the position of implant placement, patients were randomly classified into two equal groups; Group I where two implants were placed in the lateral incisors' area and Group II where two implants were placed in the canines' area. Positioner attachment was connected to the implant fixture to retain the mandibular implant overdenture. Periodic monitoring of ridge base contact relation was carried out at the time of insertion (T0) and 6 months (T6) later using cone-beam computed tomography (the dual scan technique procedures). Results: There was a statistically insignificant difference between the two groups (lateral incisors' position group and canines' position group) regarding the ridge base contact relationship. Conclusion: Within the limitations of this study (patient number and study period), the ridge base relationship of two implants retained mandibular overdenture is maintained regardless of the implants' position.
目的:比较两种种植体位置(侧切牙区和犬齿区)对下颌全口覆盖义齿使用6个月后牙基接触关系的影响。材料与方法:选取曼苏拉大学牙科学院活动义齿科门诊全牙缺牙患者10例。根据种植体放置位置,将患者随机分为两组;第一组在侧门牙区放置两颗种植体,第二组在犬齿区放置两颗种植体。将定位器连接到种植固定装置上以固定下颌种植覆盖义齿。在插入时(T0)和6个月后(T6)使用锥形束计算机断层扫描(双重扫描技术程序)进行脊基接触关系的定期监测。结果:两组(侧切牙体位组和犬科犬体位组)牙脊基接触关系差异无统计学意义。结论:在本研究的限制(患者数量和研究时间)内,无论种植体的位置如何,两种种植体下颌覆盖义齿的牙基关系都是保持不变的。
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引用次数: 2
Dental implantology: Time to reflect in the shadows of COVID-19 牙科种植:是时候在COVID-19的阴影下反思了
Pub Date : 2020-07-01 DOI: 10.4103/jdi.jdi_33_20
S. Shetty
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引用次数: 0
The clinical outcome of bone cement in dental implant insertion – A systematic review 骨水泥在牙种植体插入中的临床效果综述
Pub Date : 2020-07-01 DOI: 10.4103/jdi.jdi_11_20
M. Shah
Introduction: To accelerate the process of restoring dental implants, achieving primary stability is of prime importance for effective osseointegration. The various bone substitute materials such as autograft (golden standard), allograft, xenograft, and alloplast are used to improve the stability of an implant and also as an aid in bone formation. The use of bone cements, among the alloplast material, is a relatively new premise in oral implantology. These have been extensively used in orthopedic surgery to secure an implanted prosthesis and to replace or bind bone fragments, resulting from trauma, and to fill cavities. This article aims to review the literature for the use of bone cements in oral implantology and evaluate its prospective use in future to secure dental implants. Materials and Methods: PubMed search was carried out using keywords such as “Bone Cements,” “Oral Implantology,” “Cements Fix Implants with Bone,” and “Cements to Grow Bone.” Of the 1422 articles, 1015 were selected after eliminating the duplicates. After applying the inclusion and exclusion criteria, 383 abstracts were assessed for relevance, of which 17 full-text articles were selected. Five articles were excluded with reasons and 12 eligible articles were included in the systematic review. Results: Eight studies out of the 12 concluded that bone cement could be a viable alternative to allogenic or other graft materials tested. Four articles were inconclusive or showed no significant difference. However, the quality of available evidence was poor as 10 out of the 12 studies were animal trials and 2 were in vitro studies. Due to considerable heterogeneity of data, meta-analysis could not be done. Conclusion: Bone cements can be considered a possible alternative to the existing graft materials. However, further research including controlled trials with human subjects needs to be undertaken to establish its potential.
为了加速牙种植体的修复过程,获得初级稳定性对有效的骨整合至关重要。各种骨替代材料,如自体移植物(黄金标准)、同种异体移植物、异种移植物和同种异体被用来提高种植体的稳定性,也作为骨形成的辅助。在同种异体材料中,骨水泥的使用是口腔种植的一个相对较新的前提。在骨科手术中,它们被广泛用于固定植入的假体,替换或粘合因创伤而产生的骨碎片,以及填充腔体。本文旨在回顾骨水泥在口腔种植中的应用,并评估其在未来固定种植体中的应用前景。材料和方法:使用“骨水泥”、“口腔种植学”、“骨水泥固定种植体”和“骨水泥生长”等关键词进行PubMed搜索。在1422篇文献中,剔除重复文献后筛选出1015篇。应用纳入和排除标准对383篇摘要进行相关性评估,其中选取了17篇全文文章。排除了5篇有原因的文章,12篇符合条件的文章纳入系统评价。结果:12项研究中有8项得出结论,骨水泥可以替代同种异体或其他移植材料。四篇文章不确定或没有显示显著差异。然而,现有证据的质量很差,因为12项研究中有10项是动物试验,2项是体外研究。由于数据的异质性较大,无法进行meta分析。结论:骨水泥是一种可以替代现有骨移植材料的材料。然而,需要进行进一步的研究,包括对人类受试者进行对照试验,以确定其潜力。
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引用次数: 2
期刊
Journal of Dental Implants
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