个性化增材制造钛网在口腔种植骨增量中的应用及研究进展

doi:10.12337/zgkqzzxzz.2023.10.012

摘要/Abstract

摘要： 引导骨再生（guided bone regeneration,GBR）是口腔种植常用的骨增量方法。近年来,钛网由于优异的机械性能和支持固定作用,在GBR中被广泛应用。然而,传统预制钛网存在不能与牙槽骨形态完全贴合、诱发创口撕裂、黏膜受损及术后钛网暴露等问题,限制了其应用。随着增材制造的发展,临床医生通过3D打印可以定制不同形状、厚度和孔隙的个性化钛网。这种个性化增材制造钛网不仅具有传统钛网出色的机械性能和良好的生物相容性,而且通过术前精确设计和数字化虚拟重建能够实现高精度的骨增量。这样不仅可以优化手术流程、缩短手术时间,还能减轻医生操作难度、减少患者创伤。个性化增材制造钛网虽然术后并发症相对少,但仍存在钛网暴露等问题,依然需高度关注。个性化增材制造钛网在临床上显示出了巨大的应用潜力,为优化其效果还需要后续深入研究。本文主要对个性化增材制造钛网在口腔种植骨增量中的临床应用及其研究进展进行综述。

关键词: 个性化制造钛网, 骨增量, 引导骨再生, 增材制造, 钛金属材料

Abstract: Guided bone regeneration (GBR) is a popular method for bone augmentation in oral implant restoration. Titanium mesh has become increasingly prevalent due to its excellent mechanical properties and support fixation. However, traditional prefabricated titanium mesh has limitations, such as poor fitting with the alveolar bone shape, which can result in complications such as wound tearing, mucosal damage, and titanium mesh exposure. Additive manufacturing technology, such as 3D printing, allows for the customization of customized titanium mesh with varying shapes, thicknesses, and porosity. This customized approach not only upholds the excellent mechanical properties and biocompatibility of traditional titanium meshes but also achieves high-precision bone grafting through meticulous preoperative design and digital virtual reconstruction. Such an approach not only streamlines the surgical procedure and shortens surgery time, but also simplifies the surgeon’s operations and reduces trauma to patients. However, in clinical application, even though postoperative complications have decreased, issues such as the exposure of the titanium mesh persist and require careful attention. Despite the considerable clinical potential of titanium mesh from customized manufacturing, in-depth subsequent research is crucial to enhance its effectiveness. This article provides an overview of the current clinical application and research status of customized additive manufactured titanium mesh.

Key words: Customized manufacturing of titanium mesh, Bone augmentation, Guided bone regeneration, Additive manufacturing technology, Titanium metal materials

王凌旭,等王芳芳,等王鹏来. 个性化增材制造钛网在口腔种植骨增量中的应用及研究进展[J]. 中国口腔种植学杂志, 2023, 28(5): 364-370. DOI: 10.12337/zgkqzzxzz.2023.10.012

Wang Lingxu, Wang Fangfang, Wang Penglai. Application and research progress of customized additive manufactured titanium mesh in bone augmentation for oral implantation[J].Chinese Journal of Oral Implantology, 2023, 28(5): 364-370.DOI: 10.12337/zgkqzzxzz.2023.10.012.

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