生长激素在减少种植体骨融合时间中的应用

A. Rego, J. Tresguerres, J. Tallon, P. Gomes
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引用次数: 0

摘要

本研究旨在评估生长激素治疗对老年人种植牙术后骨再生和骨整合的有益影响。本研究共调查了140名年龄在35岁至82岁之间接受牙科手术的患者,共接受402颗种植牙。所有人都签署了知情同意书。本组58例患者(男31例,女27例)共植入209颗种植体,术中在手术床上局部使用生长激素治疗,本组29例种植体,手术床更广,每日全身应用1个月。另外82名年龄在35 - 82岁之间的患者(39名男性,43名女性)也接受了种植手术,总共接受了193个种植体,未接受生长激素治疗。为了评估结果,使用了简单的根尖x线摄影。骨整合通过种植体线圈之间和周围的骨新生和密度来确定。研究表明,生长激素治疗能够诱导从手术入路到种植体骨整合之间的平均时间有统计学意义的减少。接受治疗的患者中位值为82天,而未接受治疗的患者中位值为140天。没有观察到性别或年龄组的差异。结论是,在所有年龄和性别组中,使用生长激素治疗可显著减少骨融合时间。
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Application of growth hormone to reduce osseointegration time in dental implants
This study pretends to evaluate the beneficial effects of the treatment with growth hormone (compassive off-label use) on bone regeneration and osseointegration of dental implant surgeries in elderly people. A total of 140 patients, between 35 and 82 years of age, undergoing dental surgery, receiving a total of 402 dental implants have been investigated. Informed consent was signed by all of them. From this group, 58 patients (31 males and 27 females) received a total of 209 implants and were treated with local growth hormone in the surgical bed during the procedure, and in 29 implants of this group, when surgical beds were more extensive also with daily systemic application for one month. Another 82 patients between 35 and 82 years of age (39 males and 43 female) were also submitted to implant surgery and received a total of 193 implants without growth hormone treatment. For the evaluation of results, a simple apical radiography was used. Osseointegration was determined by bone neoformation and density between and around the implant coils. Study showed that growth hormone treatment was able to induce a statistically significant decrease in the average time between the surgical approach and osseointegration of the implant. The median value for treated patients was 82 days whereas the untreated needed a median of 140 days. No differences were observed either regarding gender or groups of age. It was concluded that in all age and gender groups the reduction of the osseointegration time was very significant when growth hormone treatment was used.
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