炎性拔牙位点保存与口腔种植

doi:10.12337/zgkqzzxzz.2024.10.010

中国口腔种植学杂志 ›› 2024, Vol. 29 ›› Issue (5): 453-458.DOI: 10.12337/zgkqzzxzz.2024.10.010

炎性拔牙位点保存与口腔种植

邵智文¹, 朱含九², 宋应亮³

¹陕西中医药大学附属医院口腔科,咸阳 713000;
²商南县中医医院口腔科,商洛 726300,陕西;
³口颌系统重建与再生全国重点实验室国家口腔疾病临床医学研究中心陕西省口腔生物工程工程技术中心空军军医大学第三附属医院口腔种植科,西安 710032

收稿日期:2024-05-08 出版日期:2024-10-30 发布日期:2024-10-30
通讯作者: 宋应亮,Email：songyingliang@163.com,电话：029-84776465
作者简介:邵智文,主治医师、口腔医学硕士研究生,研究方向：口腔种植修复、种植体周炎;宋应亮,教授、主任医师、博士研究生导师、口腔修复学博士,研究方向：糖尿病患者的口腔种植与激光
基金资助:
国家自然科学基金（82170991）

Alveolar ridge preservation in inflammatory extraction sites and implant surgery

Shao Zhiwen¹, Zhu Hanjiu², Song Yingliang³

¹Shaanxi University of Traditional Chinese Medicine Hospital, Xianyang 713000, China;
²Shangnan County Hospital of Traditional Chinese Medicine Department of Stomatology, Shangluo 726300, Shaanxi, China;
³National Key Laboratory of Reconstruction and Regeneration of Oral and Maxillofacial, System National Clinical Medical Research Center for Oral Diseases, Shaanxi Provincial Oral Bioengineering Technology Center, Department of Oral Implantology, The Third Affiliated Hospital of Air Force Medical University, Xi'an 710032, China

Received:2024-05-08 Online:2024-10-30 Published:2024-10-30
Contact: Song Yingliang, Email: songyingliang@163.com, Tel: 0086-29- 84776465
Supported by:
National Natural Science Foundation of China (82170991)

摘要/Abstract

摘要： 拔牙位点保存可有效降低拔牙窝愈合过程中牙槽骨吸收及软组织塌陷的风险,进而避免后期复杂的软硬组织增量手术,为二期手术提供良好的软硬组织条件。近年来临床上常规拔牙位点保存广泛应用并取得了可预期的效果,但对因牙周炎和/或根尖周炎而拔除患牙的拔牙位点保存,即炎性拔牙位点保存,目前仍缺乏统一标准。要提高炎性拔牙位点保存的成功率,就需要了解炎性拔牙位点保存的影响因素。本文就炎性拔牙窝拔牙位点保存的适应证、炎性拔牙窝对拔牙位点保存的影响、炎性拔牙位点保存的操作要点、炎性拔牙位点保存后的口腔种植时机等进行经验介绍与技术交流。

关键词: 炎性拔牙位点保存, 牙周炎, 根尖周炎, 骨再生

Abstract: Alveolar ridge preservation after tooth extraction can reduce or even prevent alveolar bone resorption and soft tissue collapse during the healing process. This helps avoid complex soft and hard tissue augmentation procedures and provides good soft and hard tissue conditions for implant surgery. While conventional alveolar ridge preservation techniques have been widely applied and have shown predictable outcomes, there is still no standardized protocol for alveolar ridge preservation in cases where teeth are extracted due to periodontitis or periapical inflammation. To improve the success rate of alveolar ridge preservation in these inflammatory extraction sites, it is necessary to understand the various influencing factors of alveolar ridge preservation. This review discusses the indications for alveolar ridge preservation in inflammatory extraction sites, the impact of inflammation on alveolar ridge preservation, the key steps of this technique, and the timing of implant placement. It also shares experiences and techniques to optimize treatment outcomes.

Key words: Alveolar ridge preservation in inflammatory extraction sites, Periodontitis, Periapical diseases, Bone regeneration

邵智文,等朱含九,等宋应亮. 炎性拔牙位点保存与口腔种植[J]. 中国口腔种植学杂志, 2024, 29(5): 453-458. DOI: 10.12337/zgkqzzxzz.2024.10.010

Shao Zhiwen, Zhu Hanjiu, Song Yingliang. Alveolar ridge preservation in inflammatory extraction sites and implant surgery[J].Chinese Journal of Oral Implantology, 2024, 29(5): 453-458.DOI: 10.12337/zgkqzzxzz.2024.10.010.

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炎性拔牙位点保存与口腔种植

Alveolar ridge preservation in inflammatory extraction sites and implant surgery

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