用牛源骨移植联合钛箔修复受损拔牙槽位的牙槽嵴再生:前瞻性病例系列。

Danilo Maeda, Fernando Lima, Jonathan Meza, Danilo Lazzari Ciotti, Fabio Shiniti Mizutani, Helio Doyle, Marcelo Faveri
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引用次数: 0

摘要

目的:本研究旨在通过锥形束计算机断层扫描确定氧化钛箔(Tseal)联合牛骨(BB)移植损伤拔牙槽后牙槽嵴的尺寸变化。材料与方法:选择1颗牙牙壁脱落80%以上的患者15例,仔细拔除。用牛骨填充牙槽窝,修整并适应骨嵴。主要结局变量是拔牙后基线(T1)和6个月(T2)在腭骨嵴下1mm、3mm和5mm三个分析点的牙槽尺寸(AD)测量的变化。结果:观察到骨再生发生在基线评估AD的87%至116%之间。无统计学差异。平均AD值在1 mm处为7.82±2.75 mm (T1) ~ 8.02±2.43 mm (T2),在3 mm处为7.99±2.67 mm ~ 8.71±2.26 mm,在5 mm处为8.56±2.60 mm ~ 9.00±2.52 mm。结论:牛骨移植联合Tseal在术后6个月内实现了受损窝牙槽嵴的水平重建。
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Alveolar Ridge Regeneration of Damaged Extraction Sockets using a Bovine-derived Bone Graft in Association with a Titanium Foil: Prospective Case Series.

Aims: This study aimed to determine the dimensional change in the alveolar ridge after using an anodized titanium foil (Tseal) in association with bovine bone (BB) grafting in damaged extraction sockets by cone-beam computerized-tomography.

Materials and methods: Fifteen patients who had one hopeless tooth with over 80% of the buccal wall lost were selected and then the teeth were carefully extracted. The alveolar socket was filled with bovine bone and the Tseal was trimmed and adapted over the bone crest. The primary outcome variable was the change in the alveolar dimension (AD) measurements between baseline (T1) and 6 months (T2) after extraction in three points of analysis, 1mm, 3mm and 5mm below the palatal bone crest.

Results: Bone regeneration was observed to occur between 87% and 116% of the AD assessed at the baseline. No statistical differences were observed. The mean AD value varied from 7.82±2.75 mm (T1) to 8.02±2.43 mm (T2) in the 1 mm point, from 7.99±2.67 mm to 8.71±2.26 mm to 3 mm and 8.56±2.60 mm to 9.00±2.52 mm at 5 mm area.

Conclusion: Bovine bone graft in association with Tseal achieved horizontal reconstruction of the alveolar crest in compromised socket within 6 months after surgery.

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