中国口腔种植学杂志 ›› 2021, Vol. 26 ›› Issue (6): 349-353.DOI: 10.12337/zgkqzzxzz.2021.12.003

• 专家笔谈 • 上一篇    下一篇

一种用于重建严重吸收牙槽嵴的技术介绍与改良思路:栅栏技术

满毅, 刘菁晶   

  1. 口腔疾病研究国家重点实验室 国家口腔疾病临床医学研究中心 四川大学华西口腔医院种植科,成都 610041
  • 收稿日期:2021-10-16 发布日期:2022-01-07
  • 通讯作者: 满毅,Email: manyi780203@126.com,电话:028-85503579
  • 作者简介:满毅 教授,四川大学华西口腔医院种植科主任,种植教研室主任,博士研究生导师; 中华口腔医学会口腔种植专委会常委、口腔数字化产业分会副会长,四川省口腔种植专委会主任委员,国际骨再生基金Osteology Foundation中国区执行委员会(NOG China)会长,国际口腔种植牙医师协会ICOI中国专家委员会会长, Clinical Implant Dentistry Related Research中文版副主编,Implant Dentistry编审委,国际牙医师学院专家组成员(ICD fellow),国际种植学会专家组成员(ITI fellow)、国际种植牙专科医师学会专家组成员(ICOI Diplomate); 2020年第四届人民日报“国之名医-青年新锐”; 2007年四川大学华西口腔医学院获博士学位,导师宫苹教授; 2010-2012在美国Tufts大学牙学院被聘为临床讲师,2011-2012美国哈佛大学访问学者; 改良多种种植外科和修复技术已发表在国际口腔种植学、外科学和修复学杂志,多次受邀在国际会议上发表演讲,发表临床论文和科研论文50余篇,主持多项国际、国家、省部级课题

Introduction of a technique for severely atrophic alveolar ridge reconstruction: modified fence technique

Man Yi, Liu Jingjing   

  1. State Key Laboratory of Oral Diseases & National Clinical Research Center for Oral Diseases & Department of Oral Implantology, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, China
  • Received:2021-10-16 Published:2022-01-07
  • Contact: Man Yi, Email: manyi780203@126.com, Tel: 0086-28-85503579

摘要: 在口腔种植临床治疗中,骨增量尤其是垂直骨增量一直是治疗中的难点和挑战。虽然目前作为“金标准”的块状骨移植技术以及多种骨增量技术被广泛应用和研究,但是各种技术也有一定的局限性,目前尚无广泛被认可的最佳垂直骨增量技术。因此,对垂直骨增量技术的探究也需要不断进行。本文将介绍一种目前仍较新的垂直骨增量技术——栅栏技术,这是一种将钛板弯制成型固定于骨缺损区域支撑成骨空间,配合使用可吸收胶原膜的引导骨再生技术。作为一种新技术,不可避免地存在一些缺陷和限制,本文同样对这项技术提出了改进,采用数字化设计,将流程简化和标准化,为垂直骨增量增添一种新的思路和方法。

关键词: 垂直骨增量, 数字化技术, 栅栏技术

Abstract: Bone augmentation, especially vertical bone augmentation, has always been a difficulty and challenge in the clinical treatment of implantation. Although the bone block technique, which is now considered as the “golden standard” for massive bone grafting, and various bone augmentation techniques have been widely used and studied, every technique has some limitations, and there is no widely recognized optimal vertical bone augmentation technique at present. Therefore, the exploration of vertical bone augmentation technology also needs to be continued. In this paper, we will introduce a new vertical bone augmentation technique, the fence technique, which is a kind of guided bone regeneration technique by bending a titanium plate and fixing it on the bone defect area to support the osteogenic space. As a new technique, it inevitably has some disadvantages and limitations. In this paper, we also put forward an improvement of this technique, adopting full digital design and process to simplify and standardize this technique, adding a new idea and method for vertical bone augmentation..

Key words: Vertical bone augmentation, Digital technique, Fence technique