L形技术联合浓缩生长因子应用于上颌前牙水平型骨缺损的临床效果观察
L-shape technique with concentrated growth factor for horizontal bone defects in the maxillary anterior region: a clinical and radiographic study
作者:史芮雯, 杨虎, 刘月, 史一林, 张圣锛, 刘煜, 宋丰, 兰晶
Author:Shi Ruiwen, Yang Hu, Liu Yue, Shi Yilin, Zhang Shengben, Liu Yu, Song Feng, Lan Jing
收稿日期:2024-07-22 年卷(期)页码:2025,43(1):76-76-83
期刊名称:华西口腔医学杂志
Journal Name:West China Journal of Stomatology
关键字:L形技术,骨缺损,引导骨再生,浓缩生长因子,上颌前牙,
Key words:L-shape technique,bone defect,guided bone regeneration,concentrated growth factor,maxillary anterior,
基金项目:
中文摘要
目的 探讨L形技术联合浓缩生长因子应用于上颌前牙水平型骨缺损的临床效果。 方法 选择行单颗上颌前牙种植同期植骨的25例患者的25颗种植体为研究对象,据植骨术式的不同,将患者分为试验组(L形技术引导性骨再生术联合浓缩生长因子,11例)、对照组(传统引导性骨再生术联合浓缩生长因子,14例)。对2组患者术后的早期不适、创口愈合、种植体周骨量、种植体周硬组织吸收量、影像灰度值、种植体稳定性等进行对比。 结果 2组术后早期不适、创口愈合及术后6个月的种植体稳定性、影像灰度值间的差异均无统计学意义(P>0.05)。术后6个月,试验组的垂直向种植体周骨量大于对照组,差异具有统计学意义(P<0.05)。术后6个月,试验组的水平向种植体周硬组织吸收量大于对照组,差异具有统计学意义(P<0.05)。 结论 L形技术联合浓缩生长因子应用于上颌前牙区种植同期垂直向骨增量效果更优,且在种植体稳定性、早期不适及创口愈合方面均可获得良好的临床效果。
英文摘要
ObjectiveTo study the clinical effect of the L-shape technique combined with concentrated growth factor on the horizontal bone defects of maxillary anterior teeth.MethodsTwenty-five implants from 25 patients who underwent single maxillary anterior tooth implantation with simultaneous bone grafting were selected as the study subjects. Based on the bone grafting techniques, the patients were divided into a test group (L-shaped technique with guided bone regeneration combined with concentrated growth factor, 11 cases) and a control group (traditional guided bone regeneration combined with concentrated growth factor, 14 cases). The early discomfort and wound healing conditions in the two groups at two weeks after surgery were compared. The horizontal bone thickness, vertical bone thickness, and grayscale values in the augmentation area were measured immediately postsurgery and six months after surgery. Implant stability, hard tissue resorption within six months, and grayscale values were compared between the two groups.ResultsDifferences in early discomfort, wound healing, implant stability, and grayscale values between the two groups were not statistically significant (P>0.05). Vertical bone thickness in the test group was significantly better than that in the control group at six months after surgery (P<0 .05). the variation in horizontal bone thickness in the test group was significantly higher than that in the control group (P<0 .05).ConclusionThe application of the L-shape technique with concentrated growth factor for horizontal bone defects in the anterior maxillary area yielded satisfactory short-term results in terms of bone augmentation, early discomfort, wound healing, and implant stability at six months after surgery.
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