GBR植骨相较于自体骨移植远期稳定性的优势
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摘要
患者缺牙后骨吸收所导致的牙槽骨骨量不足已经成为了口腔种植中较为常见的问题。自体骨移植技术和引导性骨再生技术都在解决种植患者骨量不足中具有良好的效果,二者都在种植骨增量中得到了广泛的应用。然而,骨增量技术中的骨改建和长期骨稳定性一直被视作影响口腔种植成功率的重要因素。两项技术虽然都在不同程度上进行了牙槽骨增量,但二者骨量能否维持长期稳定逐渐得到了更多关注。本文将对引导性骨再生技术相较于自体骨移植在远期稳定性方面的部分优势作一简要综述。
Insufficient alveolar bone volume caused by bone resorption has become a common problem for implant placement. Autogenous bone grafting and guided bone regeneration technique have shown good effects on the bone augmentation. These techniques have been widely used for overcoming hard-tissue defects in preprosthetic surgeries. However,the bone remodeling and the augmented bone stability are both considered to be the important factors of the success of the dental implant treatment. The volumetric extents of these two methods are clear,but their long-term stability of the bone blocks gradually attracts more attention. This review aims at demonstrating the advantages of guided bone regeneration compared with autogenous bone grafting in terms of long-term stability.
Insufficient alveolar bone volume caused by bone resorption has become a common problem for implant placement. Autogenous bone grafting and guided bone regeneration technique have shown good effects on the bone augmentation. These techniques have been widely used for overcoming hard-tissue defects in preprosthetic surgeries. However,the bone remodeling and the augmented bone stability are both considered to be the important factors of the success of the dental implant treatment. The volumetric extents of these two methods are clear,but their long-term stability of the bone blocks gradually attracts more attention. This review aims at demonstrating the advantages of guided bone regeneration compared with autogenous bone grafting in terms of long-term stability.
引文
[1] Hurley AL. The role of soft tissues in osteogenesis[J]. J Bone Joint Surg,1959,41(7):1243-1254.
[2] Bassett CA,Creighton DK. Stinchfield FE. Contributions of endosteum,cortex,and soft tissues to osteogenesis[J]. Surg Gynecol Obstet,1961,112:145-152.
[3] Dahlin C,Linde A,Gottlow J,et al. Healing of bone defects by guided tissue regeneration[J]. Plast Reconstr Surg,1988,81(5):672-676.
[4] Hürzeler MB. Strub JR. Guided bone regeneration around exposed implants:a new bioresorbable device and bioresorbable membrane pins[J]. Pract Periodontics Aesthet Dent,1995,7(9):37-47.
[5] Elgali I,Omar O,Dahlin C,et al. Guided bone regeneration:materials and biological mechanisms revisited[J]. Eur J Oral Sci,2017,125(5):315-337.
[6] Mcallister BS,Haghighat K. Bone augmentation techniques[J]. J Periodontol,2007,78(3):377-396.
[7] Schenk RK,Buser D,Hardwick WR,et al. Healing pattern of bone regeneration in membrane-protected defects:a histologic study in the canine mandible[J]. Int J Oral Maxillofac Implants,1994,9(1):13-29.
[8] Jung RE,Fenner N,Hmmerle CH,et al. Long-term outcome of implants placed with guided bone regeneration(GBR)using resorbable and non-resorbable membranes after 12-14 years[J].Clin Oral Implants Res,2013,24(10):1065-1073.
[9] Aghaloo TL,Moy PK. Which hard tissue augmentation techniques are the most successful in furnishing bony support for implant placement[J]. Int J Oral Maxillofac Implants,2007,22(Suppl):49-70.
[10] Jensen SS,Bosshardt DD,Gruber R,et al. Long-term stability of contour augmentation in the esthetic zone:histologic and histomorphometric evaluation of 12 human biopsies 14 to 80 months after augmentation[J]. J Periodontol,2014,85(11):1549-1556.
[11] Chappuis V,Rahman L,Buser R,et al. Effectiveness of contour augmentation with guided bone regeneration:10-year results[J]. J Dent Res,2018,97(3):266-274.
[12] Gultekin BA,Cansiz E,Borahan MO. Clinical and 3-dimensional radiographic evaluation of autogenous iliac block bone grafting and guided bone regeneration in patients with atrophic maxilla[J]. J Oral Maxillofac Surg,2017,75(4):709-722.
[2] Bassett CA,Creighton DK. Stinchfield FE. Contributions of endosteum,cortex,and soft tissues to osteogenesis[J]. Surg Gynecol Obstet,1961,112:145-152.
[3] Dahlin C,Linde A,Gottlow J,et al. Healing of bone defects by guided tissue regeneration[J]. Plast Reconstr Surg,1988,81(5):672-676.
[4] Hürzeler MB. Strub JR. Guided bone regeneration around exposed implants:a new bioresorbable device and bioresorbable membrane pins[J]. Pract Periodontics Aesthet Dent,1995,7(9):37-47.
[5] Elgali I,Omar O,Dahlin C,et al. Guided bone regeneration:materials and biological mechanisms revisited[J]. Eur J Oral Sci,2017,125(5):315-337.
[6] Mcallister BS,Haghighat K. Bone augmentation techniques[J]. J Periodontol,2007,78(3):377-396.
[7] Schenk RK,Buser D,Hardwick WR,et al. Healing pattern of bone regeneration in membrane-protected defects:a histologic study in the canine mandible[J]. Int J Oral Maxillofac Implants,1994,9(1):13-29.
[8] Jung RE,Fenner N,Hmmerle CH,et al. Long-term outcome of implants placed with guided bone regeneration(GBR)using resorbable and non-resorbable membranes after 12-14 years[J].Clin Oral Implants Res,2013,24(10):1065-1073.
[9] Aghaloo TL,Moy PK. Which hard tissue augmentation techniques are the most successful in furnishing bony support for implant placement[J]. Int J Oral Maxillofac Implants,2007,22(Suppl):49-70.
[10] Jensen SS,Bosshardt DD,Gruber R,et al. Long-term stability of contour augmentation in the esthetic zone:histologic and histomorphometric evaluation of 12 human biopsies 14 to 80 months after augmentation[J]. J Periodontol,2014,85(11):1549-1556.
[11] Chappuis V,Rahman L,Buser R,et al. Effectiveness of contour augmentation with guided bone regeneration:10-year results[J]. J Dent Res,2018,97(3):266-274.
[12] Gultekin BA,Cansiz E,Borahan MO. Clinical and 3-dimensional radiographic evaluation of autogenous iliac block bone grafting and guided bone regeneration in patients with atrophic maxilla[J]. J Oral Maxillofac Surg,2017,75(4):709-722.