国际口腔医学杂志 ›› 2016, Vol. 43 ›› Issue (2): 187-189.doi: 10.7518/gjkq.2016.02.016

• 综述 • 上一篇    下一篇

生物膜在位点保护中的应用

朱宸佑,邓佳,曹钰彬,刘孟轲,杨醒眉   

  1. 口腔疾病研究国家重点实验室 华西口腔医院种植科(四川大学) 成都 610041
  • 收稿日期:2015-03-16 修回日期:2015-07-07 出版日期:2016-03-01 发布日期:2016-03-01
  • 通讯作者: 杨醒眉,副主任医师,博士,Email:65167950@qq.com
  • 作者简介:朱宸佑,学士,Email:tn00992786@qq.com
  • 基金资助:
    国家自然科学基金(81200810)

Review of the application of biomembranes in socket/ridge preservation

Zhu Chenyou, Deng Jia, Cao Yubin, Liu Mengke, Yang Xingmei   

  1. State Key Laboratory of Oral Diseases, Dept. of Implantology, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, China)
  • Received:2015-03-16 Revised:2015-07-07 Online:2016-03-01 Published:2016-03-01

摘要: 由于拔牙后持续渐进的骨吸收,牙槽骨在高度和宽度上会有一定损失,从而影响种植体的植入和骨整合,同时也导致美学效果欠佳。而位点保护是在拔牙窝填塞骨替代材料来防止和减少骨流失的方式。但骨粉在拔牙窝直接填塞容易漏出,常需关闭创口。关闭拔牙创的方法包括采用游离牙龈组织(金标准)和转瓣手术,但游离牙龈以及转瓣需取患者自体牙龈,造成二次创伤。而利用胶原膜、致密聚四氟乙烯(dPTFE)膜等不同人工材料关闭创口可减少患者的不适,但在位点保护中是否采用生物膜仍存有争议。因此笔者综述位点保护中使用生物膜,以及其他不使用生物膜的方法,以期为临床操作提供参考。

关键词: 位点保护, 胶原膜, 生物膜, 骨再生, 位点保护, 胶原膜, 生物膜, 骨再生

Abstract: Given the ongoing and progressive bone resorption after tooth extraction, the alveolar ridge will demonstrate certain loss in height and width, thus affecting the successful placement and osseointegration of dental implants. Moreover, these changes can lead to a serious aesthetic problem. Socket preservation is a reliable way to prevent and reduce bone loss by filling bone grafts or suitable bone substitute materials into the extraction socket. However, the bone grafts will easily leak if the defect was not closed by a free gum tissue, which is the gold standard of flap transfer. Both materials from autologous gums may cause a secondary wound. The use of collagen, high-density polytetrafluoroethylene(dPTFE), or other membranes may address the above mentioned problem and reduce patients’ discomfort, but the application of biomembranes still needs to be discussed. Therefore, this article reviews the application of biomembranes in socket preservation, as well as other methods that do not require biomembranes to provide a reference for clinical operations.

Key words: socket preservation, biomembrane, collagen membrane, bone regeneration, socket preservation, biomembrane, collagen membrane, bone regeneration

中图分类号: 

  • R 783.4
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