中国组织工程研究

中国组织工程研究 ›› 2023, Vol. 27 ›› Issue (17): 2738-2744.doi: 10.12307/2023.112

• 组织构建综述 tissue construction review • 上一篇    

环状植骨修复牙列缺损伴骨量不足

齐昱晗1，石前会1，安哲庆1，廖  健1，2   

  1. 1贵州医科大学口腔医学院，贵州省贵阳市  550004；2贵州医科大学附属口腔医院修复种植科，贵州省贵阳市  550004
  • 收稿日期:2022-03-15 接受日期:2022-05-14 出版日期:2023-06-18 发布日期:2022-10-25
  • 通讯作者: 廖健，博士，教授，贵州医科大学口腔医学院，贵州省贵阳市 550004；贵州医科大学附属口腔医院修复种植科，贵州省贵阳市 550004
  • 作者简介:齐昱晗，女，1996年生，重庆市人，汉族，2022年贵州医科大学毕业，硕士，主要从事口腔修复种植医学研究。
  • 基金资助:
    中华口腔医学会健康促进与口腔医学发展西部临床科研基金(CSA-W2020-05)，项目负责人：廖健

Bone ring technique for restoration of dentition defects with bone deficiency

Qi Yuhan1, Shi Qianhui1, An Zheqing1, Liao Jian1, 2   

  1. 1School of Stomatology, Guizhou Medical University, Guiyan 550004, Guizhou Province, China; 2Department of Prosthetics and Dental Implantation, the Affiliated Stomatological Hospital of Guizhou Medical University, Guiyan 550004, Guizhou Province, China
  • Received:2022-03-15 Accepted:2022-05-14 Online:2023-06-18 Published:2022-10-25
  • Contact: Liao Jian, MD, Professor, School of Stomatology, Guizhou Medical University, Guiyan 550004, Guizhou Province, China; Department of Prosthetics and Dental Implantation, the Affiliated Stomatological Hospital of Guizhou Medical University, Guiyan 550004, Guizhou Province, China
  • About author:Qi Yuhan, Master, School of Stomatology, Guizhou Medical University, Guiyan 550004, Guizhou Province, China
  • Supported by:
    Western Clinical Research Fund for Health Promotion and Development of Stomatology of Chinese Stomatological Association, No. CSA-W2020-05 (to LJ)

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摘要：

文题释义：
环状植骨术：由德国学者GIESENHAGEN提出的一项改良自体骨移植技术，通过骨环钻提取中空的自体环形骨块，并将种植体置入骨块中央空心区域形成相互嵌合的复合结构，最终该复合结构植入骨缺损区以达到植骨同时种植体植入的技术。
骨增量：骨结合界面是维持种植义齿长期稳定的生理学基础，而充足的骨量及健康的骨质便是实现这一基础的必要前提。然而，因牙周炎、创伤等导致的牙缺失后骨量缺损较为普遍，因此需通过各类骨增量技术及骨增量材料的应用来实现种植位点牙槽骨的重建，以恢复缺牙区的美观及功能。
背景：目前，因牙周炎、创伤等原因导致的牙缺失后骨量缺损较为普遍，各类骨增量技术仅解决了一部分此类难题。目前常用的各类骨增量技术均存在不同程度的局限性。为改善上述问题，一项改良技术——环状植骨术的提出，为临床工作者提供更多骨增量方案选择。
目的：归纳环状植骨术相关研究动态，对环状植骨术的临床应用情况进行综述。
方法：由第一作者应用计算机检索PubMed、万方、维普、知网、CBM数据库，以“dentition defect，bone augmentation，dental implants，bone defect，bone graft material，bone ring technique”为英文关键词，以“牙列缺损，骨增量，牙种植体，骨缺损，骨移植材料，环状植骨术”为中文关键词，检索时限为1986年1月至2022年2月，共搜索到431篇文献，并进行筛选、归纳分析与总结，最终纳入60篇相关文献进行综述。
结果与结论：①环状植骨术并同期植入种植体具有缩短治疗时间、减少患者二次手术痛苦等优点，且因其良好的机械性能，更利于软硬组织形态的重建与恢复；②但其也存在固定不牢、自身供骨量无法满足严重骨量缺损、部分患者无法接受开辟第二术区等局限；③仍需要更多高质量、长时间、大样本的随访研究，不断改良环状植骨术，使其更好地应对各类牙列缺损伴骨缺损患者的种植治疗。
https://orcid.org/0000-0003-3519-4485(廖健)
中国组织工程研究杂志出版内容重点：组织构建；骨细胞；软骨细胞；细胞培养；成纤维细胞；血管内皮细胞；骨质疏松；组织工程

关键词: 牙列缺损, 牙种植, 骨缺损, 骨增量, 骨移植材料, 环状植骨术

Abstract: BACKGROUND: At present, bone defect after tooth loss due to periodontitis and trauma is common and the application of various kinds of bone augmentation techniques has partially solved these problems. However, various commonly used bone augmentation techniques have limitations to varying degrees. To alleviate the above-mentioned problems, an improved technique, bone ring technique, has been proposed to provide clinical workers with more options for bone augmentation.
OBJECTIVE: To summarize and review the related research trends of bone ring technique and its clinical application. 
METHODS: A computer-based search of PubMed, WanFang, VIP, and CBM was performed by the first author. The keywords were “dentition defect, bone augmentation, dental implants, bone defect, bone graft material, bone ring technique” in English and Chinese. The retrieval time was from January 1986 to February 2022. A total of 431 articles were initially retrieved followed by screening, analysis, and summarization, and 60 articles were finally included for literature review.
RESULTS AND CONCLUSION: Bone ring technique with concurrent dental implantation can shorten treatment time and avoid secondary operation in patients. Moreover, due to the good mechanical properties, this method is more conducive to the reconstruction and recovery of soft and hard tissue morphology. However, there are also some limitations, such as poor fixation, insufficient bone mass to meet the needs of patients with severe bone defects, and unacceptability of opening a second surgical area. Therefore, more high-quality, long-term and large-sample follow-up studies are still needed to continuously improve the bone ring technique so that it can better cope with dental implantation treatment for various types of dentition defects and bone defects.

Key words: dentition defect, dental implantation, bone defect, bone augmentation, bone graft material, bone ring technique

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