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论文摘要

应用牙槽窝保存技术减少拔牙后骨吸收的研究进展

Research progress on reduction of bone resorption through alveolar ridge preservation after tooth extraction

作者:张勇综述 李昀生审校

Author:ZHANG Yong, LI Yun-sheng.

收稿日期:2010-08-06          年卷(期)页码:2011,38(3):288-291

期刊名称:国际口腔医学杂志

Journal Name:International Journal of Stomatology

关键字:牙槽窝保存, 口腔种植, 骨吸收, 牙拔除,

Key words:alveolar ridge preservation, implant, bone resorption, tooth extraction,

基金项目:

中文摘要

口腔种植作为一种缺失牙的修复方式已经被临床广泛地接受,然而,成功的种植修复需要有足够的牙 槽骨骨量和良好的牙槽嵴外形。患者的牙齿拔除后,骨吸收会造成牙槽嵴体积和外形的变化。若这种变化在临 床上较为明显,可以对种植修复或传统修复造成困难。牙槽嵴保存技术则可以使拔牙后的牙槽嵴吸收最小化, 可以保持足够的牙槽骨量,从而有助于获得理想的美学和功能修复。本文对牙槽窝保存技术、微创拔牙技术、 拔牙后的牙槽窝愈合模式以及骨移植材料和屏障膜的使用作一综述。

英文摘要

Implant therapy has become a widely recognized treatment alternative for replacing missing teeth. While successful implant therapy requires sufficient alveolar bone volume and favorable ridge architecture. After tooth extraction, dimensional changes of the alveolar ridge often occur due to bone resorption. These changes are usually clinically significant and can complicate restorations with implant or conventional prostheses. Preservation of alveolar dimension can minimize residual ridge resorption and can be essential to maintain adequate bone volume, thus be crucial to achieve optimal esthetic and functional prosthodontic results. This article reviewed the literature, presents socket preservation techniques, atraumatic tooth extraction, healing pattern of socket after tooth extraction as well as the use of bone grafting materials and barrier membranes.

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