上海口腔医学 ›› 2020, Vol. 29 ›› Issue (4): 414-147.doi: 10.19439/j.sjos.2020.04.016

• 论著 • 上一篇    下一篇

Bio-Oss骨粉和Bio-Oss骨胶原位点保存的效果评价

徐丹1, 姚淳2, 顾敏1   

  1. 1.苏州大学附属第三医院,常州市第一人民医院 口腔科,江苏 常州 213003;
    2.江苏大学附属人民医院,镇江市第一人民医院 口腔科,江苏 镇江 212000
  • 收稿日期:2019-02-25 修回日期:2019-05-06 出版日期:2020-08-25 发布日期:2020-09-11
  • 通讯作者: 顾敏,E-mail:gumin106@163.com
  • 作者简介:徐丹(1984-),女,硕士,主治医师,E-mail:xudan1984318@163.com
  • 基金资助:
    常州市卫计委青年人才科技项目(QN201708); 镇江市卫生局科技创新市重点研发计划(社会发展)(SH2017041)

Clinical study of Bio-Oss powder and Bio-Oss collagen for site preservation during implantology

XU Dan1, YAO Chun2, GU Min1   

  1. 1. Department of Stomatology, The Third Affiliated Hospital of Soochow University, The First People's Hospital of Changzhou City. Changzhou 213003;
    2. Department of Stomatology, The People's Hospital Affiliated to Jiangsu University, The First People's Hospital of Zhenjiang City. Zhenjiang 212000, Jiangsu Province, China
  • Received:2019-02-25 Revised:2019-05-06 Online:2020-08-25 Published:2020-09-11

摘要: 目的:研究Bio-Oss 骨粉+胶原膜(海奥)和骨胶原在位点保存中的临床效果。方法:选取患牙26颗,随机分为 2 组。骨粉组13例,于拔牙窝内植入Bio-Oss骨粉,表面覆盖胶原膜(海奥);骨胶原组13例,于拔牙窝内仅植入Bio-Oss 骨胶原。3个月后复查,观察2组患牙牙槽窝愈合情况,于位点保存术后即刻和术后3个月进行锥形束 CT(CBCT)检查 ,测量牙槽骨垂直向高度与水平颊舌向厚度、CBCT灰度值的变化,临床观察新骨外形轮廓的改变,评价位点保存的临床效果。采用 SPSS 17.0 软件包对数据进行处理。结果: 2组在新骨外形轮廓方面无显著差异(P>0.05);术后3个月,2组牙槽骨高度、厚度均减低,灰度值升高,均有统计学差异(P均<0.01),但2组疗效无显著差异(P均>0.05)。结论:2种材料用于位点保存时效果无显著差异,但使用骨胶原的位点保存技术操作简单,创伤小,费用低。

关键词: 牙槽骨, 位点保存, 锥形束CT

Abstract: PURPOSE: To investigate the effect of Bio-Oss bone powder combined with Heal-All Oral repair membrane and Bio-Oss collagen on site preservation during implantology. METHODS: A total of 26 cases were randomly divided into 2 groups. In Bio-Oss bone powder group (13 cases), the sockets were filled with Bio-Oss bone powder, covering with Heal-All Oral repair membrane on the surface. In Bio-Oss collagen group (13 cases), the sockets were filled with Bio-Oss collagen only. The changes in alveolar bone density,height,width and new bone contour were evaluated with cone-beam CT(CBCT) after site preservation. The data were analyzed with SPSS 17.0 software package. RESULTS: There was no significant difference in new bone contour between 2 groups(P>0.05). The changes in height, width and grey level of alveolar bone between the two groups were significantly different after 3 months of follow-up(P<0.01), but the curative effect was similar(P>0.05). CONCLUSIONS: There is no significant difference in the efficacy of site preservation between the two materials. However, the site preservation technique using collagen is simple, less invasive and less costly.

Key words: Alveolar bone, Site preservation, Cone-beam CT

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