国际口腔医学杂志

国际口腔医学杂志 ›› 2025, Vol. 52 ›› Issue (4): 428-435.doi: 10.7518/gjkq.2025044

• 口腔修复专栏 • 上一篇    下一篇

基于支撑结构位置的骨增量方法分类及应用展望

杨博1(),范震2,董强3,杨晓喻4,陈明1()   

  1. 1.首都医科大学附属北京口腔医院种植科 北京 100070
    2.上海市同济口腔医院种植科 同济大学口腔医学院;上海牙组织修复与再生工程技术研究中心 同济大学口腔医学研究所 上海 200072
    3.贵州医科大学附属口腔医院修复种植科 贵阳 550004
    4.南方医科大学口腔医院种植中心 广州 510280
  • 收稿日期:2024-07-26 修回日期:2024-12-27 出版日期:2025-07-01 发布日期:2025-06-20
  • 通讯作者: 陈明
  • 作者简介:杨博，副主任医师，博士，Email：516265633@qq.com
  • 基金资助:
    国家重点研发计划“诊疗装备与生物医用材料”重点专项(2021YFC2400400);国家自然科学基金(81400485)

Classification and application prospect of bone augmentation based on the position of supporting structure

Bo Yang1(),Zhen Fan2,Qiang Dong3,Xiaoyu Yang4,Ming Chen1()   

  1. 1.Dept. of Implantology, Beijing Stomatological Hospital, Capital Medical University, Beijing 100070, China
    2.Dept. of Implantology, Shanghai Tongji Stomatological Hospital, Dental School, Tongji University, Shanghai Engineering Research Center of Tooth Restoration and Regeneration, Tongji Research Institute of Stomatology, Shanghai 200072, China
    3.Dept. of Prosthodontics and Implantology, Affiliated Stomatological Hospital of Guizhou Medical University, Guiyang 550004, China
    4.Dept. of Implantology, Affiliated Stomatological Hospital of Southern Medical University, Guangzhou 510280, China
  • Received:2024-07-26 Revised:2024-12-27 Online:2025-07-01 Published:2025-06-20
  • Contact: Ming Chen
  • Supported by:
    Scientific Research Project of National Key Research and Development Program of China(2021-YFC2400400);National Nature Science Foundation of China(81400485)

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摘要：

骨增量在口腔种植患者中应用广泛，严重萎缩的牙槽嵴骨增量效果较差。本文通过文献总结及回顾，基于支撑结构位置的不同，将常用的骨增量手术分为4类，归纳各骨增量技术的优势和不足，并结合临床工作中所做的探索对其应用展望等方面进行阐述，笔者认为第二类第二亚类的间接中央支撑方式前景广阔，考虑基于“间接中央支撑”理念设计新的骨增量术式。对中央支撑式骨增量技术理念的探索、发展和应用，将有望增加骨增量术式，为骨增量的临床决策提供全新思路。

关键词: 骨增量, 支撑结构, 中央支撑, 口腔种植

Abstract:

Bone augmentation has been extensively used in dental implant treatments, but its effect on severely atrophied alveolar ridges is poor. On the basis of the literature review, we divide the commonly used bone augmentation surgery into four categories based on the different position of supporting structures, summarize the advantages and disadvantages of each bone augmentation technique, and elaborate on its application prospects in combination with clinical explorations. We believe that the indirect central support in the second subclass of the second category has broad prospects, and a new bone augmentation surgery based on the concept of “indirect central support” is considered to be designed. The exploration, development, and application of central support bone augmentation could increase the number of bone augmentation procedures, providing new surgical strategies for bone augmentation.

Key words: bone augmentation, supporting structure, central support, dental implant

中图分类号: 

  • R783.4

图 1

“中央支撑”理念和“外周支撑”理念示意图A：“直接中央支撑”理念；B：“间接中央支撑”理念；C：“外周支撑”理念。"

图 2

优化骨增量方案中的各耗材位置关系示意图"

《口腔医学美学》出版发行"

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