中国组织工程研究 ›› 2012, Vol. 16 ›› Issue (16): 3033-3036.doi: 10.3969/j.issn.1673-8225.2012.16.041

• 生物材料临床实践 clinical practice of biomaterials • 上一篇    下一篇

不同类型骨移植材料修复牙周牙槽骨缺损

丁建勇1,魏  琳2,郭家平3   

  1. 1武汉市第三医院光谷院区口腔科,湖北省武汉市  430074;2 武汉市汉中街社区卫生服务中心,湖北省武汉市  430032;3解放军广州军区武汉总医院口腔科,湖北省武汉市   430079
  • 收稿日期:2011-10-29 修回日期:2011-12-05 出版日期:2012-04-15 发布日期:2012-04-15
  • 通讯作者: 郭家平,硕士,主任医师,解放军广州军区武汉总医院口腔科,湖北省武汉市 430079
  • 作者简介:丁建勇,男,1972年生,湖北省武汉市人,2005年武汉大学口腔医学院毕业,主治医师,主要从事口腔内科、外科修复的研究。 jyding72@ sina.cn

Different bone grafts for repair of periodontal alveolar bone defects

Ding Jian-yong1, Wei Lin2, Guo Jia-ping3   

  1. 1Department of Stomatology, Guanggu Branch of the Third Hospital of Wuhan, Wuhan  430074, Hubei Province, China; 2Health Service Center for Community of Hanzhong Street, Wuhan  430032, Hubei Province, China; 3Department of Stomatology, Wuhan General Hospital of Guangzhou Military Region, Wuhan  430079, Hubei Province, China
  • Received:2011-10-29 Revised:2011-12-05 Online:2012-04-15 Published:2012-04-15
  • Contact: Guo Jia-ping, Master, Chief physician, Department of Stomatology, Wuhan General Hospital of Guangzhou Military Region, Wuhan 430079, Hubei Province, China
  • About author:Ding Jian-yong, Attending physician, Department of Stomatology, Guanggu Branch of the Third Hospital of Wuhan, Wuhan 430074, Hubei Province, China jyding72@sina.cn

摘要:

景:植骨材料是影响植骨效果最主要的因素。
目的:评价不同骨移植材料修复牙周牙槽骨缺损时诱导活性与临床效果。
方法:回顾性分析24例存在牙周牙槽骨缺损患者的个体与治疗资料,均随访6个月以上,对比分析分别采用自体骨、Bio-oss骨粉及二者联合修复牙周牙槽骨缺损患者的情况,观察患者的牙周X射线片新生骨量及形态。
结果与结论:仅1例Bio-oss骨粉患者无效,无效率4%。与治疗前比较,治疗后患者牙齿松动度减轻,为无松动~Ⅱ度松动(P < 0.05)。X射线观察联合材料组骨充盈高度显著高于其他两组(P < 0.05)。提示以自体骨与Bio-oss骨粉联合应用能够互相弥补不足,起到移植效果的加成作用。
 

关键词: 骨移植, 牙周牙槽骨缺损, 牙周翻瓣刮治, 自体骨, Bio-oss骨粉

Abstract:

BACKGROUND: Bone graft material is the most important factor that affects the efficiency of bone grafting.
OBJECTIVE: To evaluate the inductive activities and clinical effects of different bone grafts for treatment of periodontal alveolar bone defects.
METHODS: A total of 24 patients with periodontal alveolar bone defect were repaired for retrospective analysis of individual and treatment information. All patients were followed-up for 6 months. Comparison of the clinical effects of autogenous bone, Bio-oss bone powder and their combination was performed. X-ray examination was performed to observe the amount and morphology of new bone in all patients.
RESULTS AND CONCLUSION: Only one case of Bio-oss bone powder was ineffective, and the ineffective rate was 4%. Tooth mobility of patients was decreased after treatment than before, the tooth mobility was no loose-loose at degree Ⅱ (P < 0.05). X-ray showed that bone filling height of the combined material group was obviously higher than that in the other two groups (P < 0.05). It is indicated that autogenous bone and Bio-oss bone powder combined application can make up their own disadvantages to achieve an additive effect during implantation.
 

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