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

doi:10.12337/zgkqzzxzz.2023.04.005

中国口腔种植学杂志 ›› 2023, Vol. 28 ›› Issue (2): 97-101.DOI: 10.12337/zgkqzzxzz.2023.04.005

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

李效宇^1,2, 何捷^1,2, 王雪珂^1,2, 段静旖^1,2, 葛畅^1,2, 孟维艳¹

¹吉林大学口腔医院口腔种植科,长春 130021;
²吉林省牙发育及颌骨重塑与再生重点实验室,长春 130021

收稿日期:2022-12-20 出版日期:2023-04-30 发布日期:2023-05-04
通讯作者: 孟维艳,Email：mengwy@jlu.edu.cn,电话：0431-88796025
作者简介:李效宇,在读硕士研究生,研究方向：口腔种植学相关研究;孟维艳,主任医师、教授、博士研究生导师,研究方向：口腔种植学相关研究
基金资助:
吉林省产业技术研究与开发项目（2023C041-3）; 吉林省自然科学基金项目（YDZJ202201ZYTS244）; 吉林省科技发展计划项目（20200404108YY）

Application of Bio-Oss Collagen with tent pole procedure in vertical bone augmentation of edentulous maxillary posterior area: a case report

Li Xiaoyu^1,2, He Jie^1,2, Wang Xueke^1,2, Duan Jingyi^1,2, Ge Chang^1,2, Meng Weiyan¹

¹Department of Dental Implantology, Hospital of Stomatology, Jilin University, Changchun 130021, China;
²Jilin Provincial Key Laboratory of Tooth Development and Bone Remodeling , Changchun 130021, China

Received:2022-12-20 Online:2023-04-30 Published:2023-05-04
Contact: Meng Weiyan, Email: mengwy@jlu.edu.cn, Tel: 0086-431-88796025
Supported by:
Jilin Province Industrial Technology Research and Development Project (2023C041-3); Jilin Province Natural Science Foundation Project (YDZJ202201ZYTS244); Jilin Province Science and Technology Development Plan Project (20200404108YY)

摘要/Abstract

摘要： 垂直骨增量是口腔种植骨增量手术中最大的挑战之一。当骨缺损较大时,往往需要开辟第二术区进行块状自体骨移植,或应用钛网或钛增强支架联合使用颗粒状自体骨及骨替代材料,并发症发生率较高,手术创伤较大。本病例患者上颌后牙区连续多牙重度垂直骨缺损,使用骨胶原（Bio-Oss Collagen）结合钛钉及可吸收胶原膜进行垂直骨增量,于骨增量后6个月获得了平均6.57 mm的骨高度增加,满足了种植体植入需要,种植体周围骨组织在修复后随访过程中较为稳定。此术式骨增量效果可预期、操作简便、创伤较小,或可为临床垂直骨增量的术式选择提供参考。

关键词: 口腔种植, 引导骨再生, 垂直骨增量

Abstract: Vertical bone augmentation is one of the greatest challenges of bone regeneration in implant dentistry. When the bone defect is large, it is often necessary to open a second operative area for autologous bone block grafting or to use titanium mesh or non-absorbable membrane in combination with autologous bone blocks or particulates. The incidence of complications is high and the surgical trauma is significant. In this case, the patient had a severe vertical bone defect in the posterior maxillary region. Bio-Oss Collagen combined with titanium tent poles and absorbable collagen membrane were used for vertical bone augmentation. The average bone height increased by 6.57 mm at 6 months after bone grafting, which met the need of implant implantation. The bone tissue around the implant was relatively stable during the follow-up after restoration. Due to the predictable effect of bone augmentation, the simpler operation procedure and the less invasive results, this operation can provide a reference for the clinical selection of vertical bone augmentation.

Key words: Dental implants, Guided bone regeneration, Vertical bone augmentation

李效宇,何捷,王雪珂,等. 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. DOI: 10.12337/zgkqzzxzz.2023.04.005

Li Xiaoyu, He Jie, Wang Xueke, Duan Jingyi, Ge Chang, Meng Weiyan. Application of Bio-Oss Collagen with tent pole procedure in vertical bone augmentation of edentulous maxillary posterior area: a case report[J].Chinese Journal of Oral Implantology, 2023, 28(2): 97-101.DOI: 10.12337/zgkqzzxzz.2023.04.005.

参考文献

[1] Misch CM, Basma H, Misch-Haring MA, et al.An updated decision tree for vertical bone augmentation[J]. Int J Periodontics Restorative Dent, 2021,41(1):11-21. DOI: 10.11607/prd.4996.
[2] Urban IA, Montero E, Monje A, et al. Effectiveness of vertical ridge augmentation interventions: a systematic review and meta-analysis[J]. J Clin Periodontol, 2019,46 Suppl 21:319-339. DOI: 10.1111/jcpe.13061.
[3] Elangovan S.Dental implants placed in alveolar ridge augmented using guided bone regeneration procedure performed using resorbable collagen membranes and particulate bone grafts using simultaneous or staged approach exhibit a high survival rate[J]. J Evid Based Dent Pract, 2018,18(2):173-175. DOI: 10.1016/j.jebdp.2018.03.010.
[4] Amir LR, Becking AG, Jovanovic A, et al.Formation of new bone during vertical distraction osteogenesis of the human mandible is related to the presence of blood vessels[J]. Clin Oral Implants Res, 2006,17(4):410-416. DOI: 10.1111/j.1600-0501.2006.01258.x.
[5] 张富贵, 宿玉成, 邱立新, 等. 牙槽骨缺损骨增量手术方案的专家共识[J].口腔疾病防治,2022,30(4):229-236. DOI: 10.12016/j.issn.2096-1456.2022.04.001.
[6] Soldatos NK, Stylianou P, Koidou VP, et al.Limitations and options using resorbable versus nonresorbable membranes for successful guided bone regeneration[J]. Quintessence Int, 2017,48(2):131-147. DOI: 10.3290/j.qi.a37133.
[7] Fugazzotto PA.Ridge augmentation with titanium screws and guided tissue regeneration: technique and report of a case[J]. Int J Oral Maxillofac Implants, 1993,8(3):335-339.
[8] Le B, Rohrer MD, Prasad HS.Screw "tent-pole" grafting technique for reconstruction of large vertical alveolar ridge defects using human mineralized allograft for implant site preparation[J]. J Oral Maxillofac Surg, 2010,68(2):428-435. DOI: 10.1016/j.joms.2009.04.059.
[9] Farias D, Caceres F, Sanz A, et al.Horizontal bone augmentation in the posterior atrophic mandible and dental implant stability using the tenting screw technique[J]. Int J Periodontics Restorative Dent, 2021,41(4):e147-e155. DOI: 10.11607/prd.5137.
[10] Simon BI, Chiang TF, Drew HJ.Alternative to the gold standard for alveolar ridge augmentation: tenting screw technology[J]. Quintessence Int, 2010,41(5):379-386.
[11] Isik G,Günbay T,Uyanikgil Y,et al.Comparison of autogenous block bone graft and screw tent-pole techniques for vertical bone augmentation in the posterior mandible: a split-mouth randomized controlled study[J]. J Advanced Oral Research,2021,12:159-169. DOI:10.1177/2320206820976010
[12] 徐丹, 姚淳, 顾敏. Bio-Oss骨粉和Bio-Oss骨胶原位点保存的效果评价[J].上海口腔医学,2020,29(4):414-417. DOI: 10.19439/j.sjos.2020.04.016.
[13] Blatt S, Thiem D, Kyyak S, et al.Possible implications for improved osteogenesis? The combination of platelet-rich fibrin with different bone substitute materials[J]. Front Bioeng Biotechnol, 2021,9:640053. DOI: 10.3389/fbioe.2021.640053.

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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

Application of Bio-Oss Collagen with tent pole procedure in vertical bone augmentation of edentulous maxillary posterior area: a case report

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