钛网支撑的引导骨再生的专家共识

doi:10.12337/zgkqzzxzz.2024.04.001

摘要/Abstract

摘要： 目前,钛网支撑的引导骨再生（尤其是3D打印个性化钛网支撑的引导骨再生）的临床应用越来越多,是许多骨缺损病例（尤其是复杂骨缺损病例）种植手术时骨增量的一种可靠解决方案。鉴于钛网支撑的引导骨再生技术敏感性较强,钛网暴露并发症的发生风险较高,目前国内外尚缺乏相关的指南或共识,《中国口腔种植学杂志》编辑部组织相关专家讨论并起草了本共识,以期为临床提供参考依据。

关键词: 引导骨再生, 传统钛网, 3D打印个性化钛网, 钛网支撑的引导骨再生

Abstract: Nowadays, the clinical application of titanium mesh supported guided bone regeneration (TMs-GBR), especially using 3D printing individualized titanium mesh (3D-PITM), is increasing, serving as a reliable solution for bone augmentation in various cases of bone defects, particularly complex ones encountered during implant surgery. Given the technical sensitivity of TMs-GBR and the higher risk of complications such as titanium mesh exposure, as well as the current lack of relevant guidelines or international consensus, the editorial board of the Chinese Journal of Oral Implantology organized discussions among relevant experts and drafted this consensus, aiming to provide clinical reference for practitioners.

Key words: Guided bone regeneration (GBR), Conventional titanium mesh (CTM), 3D printing individualized titanium mesh (3D-PITM), Titanium mesh supported guided bone regeneration (TMs-GBR)

《中国口腔种植学杂志》编辑部. 钛网支撑的引导骨再生的专家共识[J]. 中国口腔种植学杂志, 2024, 29(2): 95-100. DOI: 10.12337/zgkqzzxzz.2024.04.001

Editorial Board of Chinese Journal of Oral Implantology. Expert consensus on titanium mesh supported guided bone regeneration[J].Chinese Journal of Oral Implantology, 2024, 29(2): 95-100.DOI: 10.12337/zgkqzzxzz.2024.04.001.

参考文献

[1] 宿玉成. 口腔种植学词典[M]. 北京:人民卫生出版社,2020.
[2] 中华人民共和国国家质量监督检验检疫总局, 中国国家标准化管理委员会.增材制造术语:GB/T35351—2017[S]. 北京:中国标准出版社, 2017.
[3] Cordaro L, Terheyden H.口腔种植的牙槽嵴骨增量程序:分阶段方案[M].宿玉成译.沈阳:辽宁科学技术出版社,2016.
[4] Cucchi A, Sartori M, Aldini NN, et al.A proposal of pseudo-periosteum classification after GBR by means of titanium-reinforced d-PTFE membranes or titanium meshes plus cross-linked collagen membranes[J]. Int J Periodontics Restorative Dent, 2019,39(4):e157-e165. DOI: 10.11607/prd.e3598.
[5] Lim HC, Lee JS, Choi SH, et al.The effect of overlaying titanium mesh with collagen membrane for ridge preservation[J]. J Periodontal Implant Sci, 2015,45(4):128-135. DOI: 10.5051/jpis.2015.45.4.128.
[6] Giragosyan K, Chenchev I, Ivanova V, et al.Immunological response to nonresorbable barrier membranes used for guided bone regeneration and formation of pseudo periosteum: a narrative review[J]. Folia Med (Plovdiv), 2022,64(1):13-20. DOI: 10.3897/folmed.64.e60553.
[7] Zhang G, Miao X, Lin H, et al.A tooth-supported titanium mesh bending and positioning module for alveolar bone augmentation and improving accuracy[J]. J Esthet Restor Dent, 2023,35(4):586-595. DOI: 10.1111/jerd.13012.
[8] Chen D, Zheng L, Wang C, et al.Evaluation of surgical placement accuracy of customized CAD/CAM titanium mesh using screws-position-guided template: a retrospective comparative study[J]. Clin Implant Dent Relat Res, 2023,25(3):519-531. DOI: 10.1111/cid.13205.
[9] Danesh-Sani SA, Tarnow D, Yip JK, et al.The influence of cortical bone perforation on guided bone regeneration in humans[J]. Int J Oral Maxillofac Surg, 2017,46(2):261-266. DOI: 10.1016/j.ijom.2016.10.017.
[10] Torres J, Tamimi F, Alkhraisat MH, et al.Platelet-rich plasma may prevent titanium-mesh exposure in alveolar ridge augmentation with anorganic bovine bone[J]. J Clin Periodontol, 2010,37(10):943-951. DOI: 10.1111/j.1600-051X.2010.01615.x.
[11] Hartmann A, Seiler M.Minimizing risk of customized titanium mesh exposures - a retrospective analysis[J]. BMC Oral Health, 2020,20(1):36. DOI: 10.1186/s12903-020-1023-y.
[12] Wang X, Wang G, Zhao X, et al.Short-term evaluation of guided bone reconstruction with titanium mesh membranes and CGF membranes in immediate implantation of anterior maxillary tooth[J]. Biomed Res Int, 2021,2021:4754078. DOI: 10.1155/2021/4754078.
[13] Chen S,Buser D,Wismeijer D.上颌窦底提升的临床程序[M].宿玉成译.北京:人民军医出版社,2012.
[14] Giuseppe Corinaldesi,Francesco Pieri,Claudio Marchetti, et al.Histologic and histomorphometric evaluation of alveolar ridge augmentation using bone grafts and titanium micromesh in humans[J]. Journal of Periodontology. 2007,78(8):1477-1484. DOI:10.1902/jop.2007.070001.
[15] Lizio G, Corinaldesi G, Marchetti C.Alveolar ridge reconstruction with titanium mesh: a three-dimensional evaluation of factors affecting bone augmentation[J]. Int J Oral Maxillofac Implants, 2014,29(6):1354-1363. DOI: 10.11607/jomi.3417.
[16] 郭雪琪, 陈韵欣, 杨岚, 等. 3D打印个性化钛网修复严重牙槽骨缺损的短期效果观察[J].中国口腔种植学杂志,2021,26(6):368-375. DOI: 10.12337/zgkqzzxzz.2021.12.006.
[17] Hartmann A, Hildebrandt H, Schmohl JU, et al.Evaluation of risk parameters in bone regeneration using a customized titanium mesh: results of a clinical study[J]. Implant Dent, 2019,28(6):543-550. DOI: 10.1097/ID.0000000000000933.
[18] 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. DOI: 10.12337/zgkqzzxzz.2022.12.002.
[19] 周立波, 宿玉成, 李昕茹, 等. 比较个性化钛网与传统钛网在引导骨再生后暴露的系统综述[J].中国口腔种植学杂志,2022,27(2):112-118. DOI: 10.12337/zgkqzzxzz.2022.04.011.
[20] Sumida T, Otawa N, Kamata YU, et al.Custom-made titanium devices as membranes for bone augmentation in implant treatment: clinical application and the comparison with conventional titanium mesh[J]. J Craniomaxillofac Surg, 2015,43(10):2183-2188. DOI: 10.1016/j.jcms.2015.10.020.