前牙区GBR后种植体唇侧颈部骨增量材料吸收及原因分析

doi:10.12337/zgkqzzxzz.2022.06.005

中国口腔种植学杂志 ›› 2022, Vol. 27 ›› Issue (3): 156-160.DOI: 10.12337/zgkqzzxzz.2022.06.005

前牙区GBR后种植体唇侧颈部骨增量材料吸收及原因分析

王美洁, 邓悦

青岛市口腔医院 266001

收稿日期:2022-01-19 出版日期:2022-06-30 发布日期:2022-07-06
通讯作者: 邓悦,Email：754735101@qq.com,电话：0532-67756206
基金资助:
青岛市医疗卫生重点学科建设项目（2020-2022）

Resorption of bone graft materials in labial neck of implant after guided bone regeneration in anterior teeth area: a case report and cause analysis

Wang Meijie, Deng Yue

Qingdao Stomatological Hospital, Qingdao, Shandong 266001, China

Received:2022-01-19 Online:2022-06-30 Published:2022-07-06
Contact: Deng Yue, Email: 754735101@qq.com, Tel: 0086-532-67756206
Supported by:
Qingdao Key Health Discipline Development Fund（2020-2022）

摘要/Abstract

摘要： 本文报道1例常规种植同期GBR,术后6个月种植体唇侧骨增量效果良好,但颈部区域骨增量材料吸收明显,二期手术同期行游离结缔组织移植,最终获得了良好的软组织轮廓的病例。通过分析前牙区GBR后种植体唇侧颈部骨增量材料吸收的原因,总结前牙区骨增量的操作注意事项。前牙区进行GBR应充分考虑生物膜及骨增量材料的稳定性和空间维持能力,可使用膜钉辅助固位,或使用空间维持能力较强的屏障膜。当骨增量无法达到预期效果时,可通过软组织增量进行补偿,以获得良好的软组织轮廓及理想的美学效果。

关键词: GBR, 骨吸收, 骨增量

Abstract: The paper reports a case with good effect of bone augmentation after 6 months following conventional implant placement and guided bone generation (GBR), but the resorption of bone graft materials at the labial side of the implant neck was obvious. Therefore, free connective tissue graft was carried out at the same time during the second stage of operation and an ideal soft tissue contour was finally obtained. We also analyze the causes of bone graft materials resorption at the labial side of the implant neck after GBR in the anterior teeth area and summarize operation precautions of bone augmentation in the anterior teeth area. The stability and space maintenance ability of biomembrane and bone graft material should be fully considered when GBR is performed in the anterior tooth area. Titanium pins or barrier membranes with strong space maintenance ability can be used to assist retention. When the bone augmentation cannot achieve the expected effect, it can be compensated by the soft tissue graft to obtain a good soft tissue contour and ideal aesthetic effect.

Key words: Guided bone regeneration, Bone resorption, Bone augmentation

王美洁,等邓悦. 前牙区GBR后种植体唇侧颈部骨增量材料吸收及原因分析[J]. 中国口腔种植学杂志, 2022, 27(3): 156-160. DOI: 10.12337/zgkqzzxzz.2022.06.005

Wang Meijie, Deng Yue. Resorption of bone graft materials in labial neck of implant after guided bone regeneration in anterior teeth area: a case report and cause analysis[J].Chinese Journal of Oral Implantology, 2022, 27(3): 156-160.DOI: 10.12337/zgkqzzxzz.2022.06.005.

参考文献

[1] Nyman S, Lindhe J, Karring T, et al.New attachment following surgical treatment of human periodontal disease[J]. J Clin Periodontol, 1982,9(4):290-296. DOI: 10.1111/j.1600-051x.1982.tb02095.x.
[2] 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. DOI: 10.1097/00006534-198805000-00004.
[3] Buser D, Dula K, Belser U, et al.Localized ridge augmentation using guided bone regeneration. 1. surgical procedure in the maxilla[J]. Int J Periodontics Restorative Dent, 1993,13(1):29-45.
[4] Jung RE, Fenner N, Hämmerle 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. DOI: 10.1111/j.1600-0501.2012.02522.x.
[5] 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. DOI: 10.1177/0022034517737755.
[6] Benic GI, Ge Y, Gallucci GO, et al.Guided bone regeneration and abutment connection augment the buccal soft tissue contour: 3-year results of a prospective comparative clinical study[J]. Clin Oral Implants Res, 2017,28(2):219-225. DOI: 10.1111/clr.12786.
[7] Wang HL, Boyapati L."Pass" principles for predictable bone regeneration[J]. Implant Dent, 2006,15(1):8-17. DOI: 10.1097/01.id.0000204762.39826.0f.
[8] Urban IA, Monje A, Lozada J, et al.Principles for vertical ridge augmentation in the atrophic posterior mandible: a technical review[J]. Int J Periodontics Restorative Dent, 2017,37(5):639-645. DOI: 10.11607/prd.3200.
[9] Oh TJ, Meraw SJ, Lee EJ, et al.Comparative analysis of collagen membranes for the treatment of implant dehiscence defects[J]. Clin Oral Implants Res, 2003,14(1):80-90. DOI: 10.1034/j.1600-0501.2003.140111.x.
[10] Dahlin C, Andersson L, Linde A.Bone augmentation at fenestrated implants by an osteopromotive membrane technique. A controlled clinical study[J]. Clin Oral Implants Res, 1991,2(4):159-165. DOI: 10.1034/j.1600-0501.1991.020401.x.
[11] Wen SC, Fu JH, Wang HL.Effect of deproteinized bovine bone mineral at implant dehiscence defects grafted by the sandwich bone augmentation technique[J]. Int J Periodontics Restorative Dent, 2018,38(1):79-85. DOI: 10.11607/prd.2931.
[12] Wang HL, Misch C, Neiva RF."Sandwich" bone augmentation technique: rationale and report of pilot cases[J]. Int J Periodontics Restorative Dent, 2004,24(3):232-245.
[13] Ciocca L, Fantini M, De Crescenzio F, et al.CAD-CAM prosthetically guided bone regeneration using preformed titanium mesh for the reconstruction of atrophic maxillary arches[J]. Comput Methods Biomech Biomed Engin, 2013,16(1):26-32. DOI: 10.1080/10255842.2011.601279.
[14] César Neto JB, Cavalcanti MC, Sapata VM, et al.The positive effect of tenting screws for primary horizontal guided bone regeneration: a retrospective study based on cone-beam computed tomography data[J]. Clin Oral Implants Res, 2020,31(9):846-855. DOI: 10.1111/clr.13630.
[15] Benic GI, Eisner BM, Jung RE, et al.Hard tissue changes after guided bone regeneration of peri-implant defects comparing block versus particulate bone substitutes: 6-month results of a randomized controlled clinical trial[J]. Clin Oral Implants Res, 2019,30(10):1016-1026. DOI: 10.1111/clr.13515.
[16] Urban IA, Monje A.Guided bone regeneration in alveolar bone reconstruction[J]. Oral Maxillofac Surg Clin North Am, 2019,31(2):331-338. DOI: 10.1016/j.coms.2019.01.003.
[17] Jiang X, Zhang Y, Di P, et al.Hard tissue volume stability of guided bone regeneration during the healing stage in the anterior maxilla: a clinical and radiographic study[J]. Clin Implant Dent Relat Res, 2018,20(1):68-75. DOI: 10.1111/cid.12570.
[18] Puzio M, Hadzik J, Błaszczyszyn A, et al.Soft tissue augmentation around dental implants with connective tissue graft (ctg) and xenogenic collagen matrix (xcm). 1-year randomized control trail[J]. Ann Anat, 2020,230:151484. DOI: 10.1016/j.aanat.2020.151484.
[19] Eghbali A, Seyssens L, De Bruyckere T, et al.A 5-year prospective study on the clinical and aesthetic outcome of alveolar ridge preservation and connective tissue graft at the buccal aspect of single implants.[J]. J Clin Periodontol, 2018,45(12):1475-1484. DOI: 10.1111/jcpe.13018.
[20] Poli PP, Maridati PC, Stoffella E, et al.Influence of timing on the horizontal stability of connective tissue grafts for buccal soft tissue augmentation at single implants: a prospective controlled pilot study[J]. J Oral Maxillofac Surg, 2019,77(6):1170-1179. DOI: 10.1016/j.joms.2019.02.030.

前牙区GBR后种植体唇侧颈部骨增量材料吸收及原因分析

Resorption of bone graft materials in labial neck of implant after guided bone regeneration in anterior teeth area: a case report and cause analysis

PDF (PC)

可视化

摘要/Abstract

引用本文

使用本文

参考文献

相关文章 15

编辑推荐

Metrics

[1]	周延民, 秦秋月. 上颌窦三维成骨模式促进上颌窦内成骨的临床意义[J]. 中国口腔种植学杂志, 2023, 28(2): 69-76.
[2]	李效宇, 何捷, 王雪珂, 段静旖, 葛畅, 孟维艳. 应用骨胶原结合帐篷技术行上颌后牙连续缺失垂直骨增量一例[J]. 中国口腔种植学杂志, 2023, 28(2): 97-101.
[3]	程熠, 黄海涛. 牙槽骨增量中3D打印个性化支架材料的研究现状[J]. 中国口腔种植学杂志, 2023, 28(2): 114-118.
[4]	中华口腔医学会口腔种植专业委员会. 上颌窦底提升骨增量材料的专家共识：骨代用品[J]. 中国口腔种植学杂志, 2023, 28(1): 3-8.
[5]	周延民, 朱悦萌. 上颌窦三维成骨模式构建[J]. 中国口腔种植学杂志, 2023, 28(1): 9-18.
[6]	中华口腔医学会口腔种植专业委员会. 上颌窦底提升中骨增量材料的专家共识：生物活性制剂、细胞疗法与不植入骨增量材料的上颌窦底提升[J]. 中国口腔种植学杂志, 2022, 27(6): 329-333.
[7]	季平. 3D打印个性化钛网用于复杂骨缺损增量治疗的研究进展[J]. 中国口腔种植学杂志, 2022, 27(6): 334-339.
[8]	中华口腔医学会口腔种植专业委员会. 上颌窦底提升中骨增量材料的专家共识：自体骨[J]. 中国口腔种植学杂志, 2022, 27(5): 269-273.
[9]	李晋蒙, 李笑班, 张健. 复杂牙槽骨缺损临床解决方案的探索与思考[J]. 中国口腔种植学杂志, 2022, 27(5): 285-291.
[10]	张启航, 龚佳明, 苟萍, 余佳颖, 薄磊, 余占海. 种植体间距对种植体周骨吸收影响的Meta分析[J]. 中国口腔种植学杂志, 2022, 27(5): 304-311.
[11]	皮雪敏, 刘倩, 陈德平, 任斌, 潘红, 宿玉成. 上颌窦底提升方案的决策原则（一）[J]. 中国口腔种植学杂志, 2022, 27(5): 322-326.
[12]	王婷婷, 王凤, 吴轶群. 3D打印数字化个性化钛网在牙槽嵴引导骨再生中的临床应用[J]. 中国口腔种植学杂志, 2022, 27(4): 208-216.
[13]	杨德钊, 许滢洁, 汤正婷, 马玉霄, 李光成, 孟凡文. 拉力螺钉技术在牙槽嵴块状骨移植中的应用[J]. 中国口腔种植学杂志, 2022, 27(4): 217-223.
[14]	庞莉苹, 钟心兰, 王伟岸, 李水根. 采用胶原膜固定法引导骨再生技术行牙槽嵴水平增量的临床试验研究[J]. 中国口腔种植学杂志, 2022, 27(4): 224-228.
[15]	邓磊, 程熠, 赵楠, 陈岗, 黄海涛. 胶原蛋白海绵在穿牙槽嵴上颌窦底提升中应用效果的研究[J]. 中国口腔种植学杂志, 2022, 27(3): 147-155.