使用新型异种/同种异体骨移植治疗垂直骨缺损:病例报告

IF 0.9 Q3 DENTISTRY, ORAL SURGERY & MEDICINE Clinical Advances in Periodontics Pub Date : 2023-06-30 DOI:10.1002/cap.10256
Bassam M. Kinaia, Omar Daweri, Roksolana Gala, Ashleigh Turows, Abdulkareem Harunani, Anthony L. Neely
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引用次数: 0

摘要

背景:引导组织再生(GTR)是一种常见的治疗方式,用于矫正沟槽的垂直或骨质缺损。引导组织再生术中使用多种材料,其中异体移植物和异种移植物使用最为广泛。每种材料都具有影响再生潜力的独特特性。一种新的异种/同种骨移植组合可提供空间维持(异种)和骨诱导潜能(同种),从而改善 GTR 的效果。本病例报告旨在根据临床和影像学结果评估新型异种/异体联合材料的疗效:一名 34 岁的健康男性在 9 号和 10 号之间的近侧出现垂直骨质流失。临床检查显示探诊深度为 8 毫米,无移动。影像学检查显示,垂直骨缺损宽而深,骨质流失达 30%-50%。采用异种/同种异体骨移植和胶原膜分层技术对缺损进行了治疗:6个月和12个月的随访显示,探查深度和放射学骨填充明显减少:结论:使用异种/同种异体骨移植和胶原膜分层技术进行 GTR,可适当矫正深而宽的垂直骨缺损。12 个月的随访显示牙周健康,探诊深度和骨水平正常。
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Management of vertical bony defect using novel xenogeneic/allogeneic bone graft: A case report

Background

Guided tissue regeneration (GTR) is a common treatment modality for correcting vertical or bony defects in furcations. Multiple materials are used in GTR with allografts and xenografts being the most widely used. Each material has distinctive properties affecting the regenerative potential. A new bone graft combination of xenogeneic/allogeneic may improve the outcome of GTR by providing space maintenance (Xenograft) and osteoinductive potential (Allograft). The aim of this case report is to evaluate the efficacy of the new combined xenogeneic/allogeneic material based on clinical and radiographic outcomes.

Methods

A 34-year-old healthy male presented with vertical bone loss interproximally between #’s 9 and 10. Clinical exam revealed 8 mm probing depth without mobility. The radiographic exam revealed a wide and deep vertical bony defect of 30%–50% bone loss. The defect was treated using a layering technique with xenogeneic/allogeneic bone graft and collagen membrane.

Results

The 6- and 12-month follow-ups revealed a significant reduction in probing depths and radiographic bone fill.

Conclusions

GTR using a layering technique of xenogeneic/allogeneic bone graft and collagen membrane showed proper correction of a deep and wide vertical bony defect. The 12-month follow-up revealed healthy periodontium with normal probing depths and bone level.

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来源期刊
Clinical Advances in Periodontics
Clinical Advances in Periodontics DENTISTRY, ORAL SURGERY & MEDICINE-
CiteScore
1.60
自引率
0.00%
发文量
40
期刊最新文献
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