复杂牙槽骨缺损临床解决方案的探索与思考

doi:10.12337/zgkqzzxzz.2022.10.005

中国口腔种植学杂志 ›› 2022, Vol. 27 ›› Issue (5): 285-291.DOI: 10.12337/zgkqzzxzz.2022.10.005

复杂牙槽骨缺损临床解决方案的探索与思考

李晋蒙, 李笑班, 张健

天津市口腔医院种植科南开大学医学院天津市口腔功能重建重点实验室 300041

收稿日期:2022-07-04 出版日期:2022-10-30 发布日期:2022-11-01
通讯作者: 张健,Email: zhangstoma@hotmail.com,电话：022-27119191
作者简介:张健教授,天津市口腔医院（南开大学口腔医院）副院长,硕士研究生导师。中华口腔医学会口腔种植专业委员会常务委员,天津市口腔医学会口腔种植专业委员会主任委员,天津市口腔医学会常务理事,国际种植学会专家组成员,国际牙医师学院（ICD）院士,Clinical Implant Dentistry Related Research中文版特邀编委,The International Journal of Oral & Maxillofacial Implants中文版编委,《中国口腔种植学杂志》编委,《现代口腔医学杂志》常务编委。主持多项省部级课题,以第一作者或通讯作者发表临床论文和科研论文20余篇,获多项国家发明专利与实用新型专利。主编《数字化口腔种植外科技术》,主译《口腔种植临床问题解决方案》《口腔种植自体骨移植基础与要点》《引导骨再生策略与方法》。
基金资助:
天津市医学重点学科（专科）建设项目（TJYXZDXK-048A）; 天津市自然科学基金多元投入基金项目青年项目（21JCQNJC01820）

Exploration and consideration on clinical solutions for complex alveolar bone defects

Li Jinmeng, Li Xiaoban, Zhang Jian

Department of Implantology, Tianjin Stomatological Hospital, School of Medicine, Nankai University and Tianjin Key Laboratory of Oral and Maxillofacial Function Reconstruction, Tianjin 300041, China

Received:2022-07-04 Online:2022-10-30 Published:2022-11-01
Contact: Zhang Jian, Email: zhangstoma@hotmail.com, Tel: 0086-22-27119191
Supported by:
Tianjin Key Medical Discipline (Specialty) Construction Project (TJYXZDXK-048A); Tianjin Natural Science Foundation Multi-Investment Project for Youths (21JCQNJC01820)

摘要/Abstract

摘要： 临床上复杂牙槽骨缺损的重建对医生与患者双方而言,均是巨大的挑战。而针对复杂牙槽骨缺损,医生肩负着制定最合适手术方案的责任,这就要求其充分掌握现有骨增量技术的适应证与技术要点,进而选择合适的方法重建骨缺损,完成种植体植入与修复。笔者结合临床经验与文献回顾,概述牙槽骨缺损分类,并针对临床上最常用的骨增量技术,例如外置法骨移植术、骨片技术、香肠技术与应用不可吸收膜的GBR技术、利用钛网的GBR技术等进行复杂骨缺损重建的阐述与总结,供口腔种植医生参考与讨论。

关键词: 牙槽骨缺损, 骨增量, 种植, 手术方案

Abstract: Surgeons and patients find it challenging to reconstruct the complex alveolar bone defects clinically. For complex alveolar bone defects, surgeons are responsible for making the most appropriate surgical plan, which requires them to fully understand the indications and technical key points of the existing bone augmentation techniques, and then choose an appropriate method to complete the alveolar bone defect reconstruction and the following implant placement. Based on clinical experience and literature review, the author summarizes the classification of alveolar bone defects, and focuses on the most commonly used bone augmentation techniques during clinical practice, such as Onlay bone grafting, split bone block technique, sausage technique, GBR technique with non-resorbable membrane, and GBR technique using titanium mesh. This article aims to provide a reference for the reconstruction of complex alveolar bone defects for dental implant specialists.

Key words: Alveolar bone defects, Bone augmentation, Implant, Surgical plan

李晋蒙,等李笑班,等张健. 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. DOI: 10.12337/zgkqzzxzz.2022.10.005

Li Jinmeng, Li Xiaoban, Zhang Jian. Exploration and consideration on clinical solutions for complex alveolar bone defects[J].Chinese Journal of Oral Implantology, 2022, 27(5): 285-291.DOI: 10.12337/zgkqzzxzz.2022.10.005.

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复杂牙槽骨缺损临床解决方案的探索与思考

Exploration and consideration on clinical solutions for complex alveolar bone defects

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