Guided bone regeneration technology used in upper anterior tooth restoration

doi:10.3969/j.issn.2095-4344.2015.07.028

Abstract

Abstract:

BACKGROUND: The membrane guided bone regeneration technique is based on the mechanical barrier theory of the membrane, which blocks the soft tissue ingrowth into the peri-implant bone defects that make osteoblasts grow well in the space under the membrane to form new bone and fill bone defects.

OBJECTIVE: To observe the clinical aesthetic effect of guided bone regeneration technique on anterior tooth implantation.

METHODS: Seventy-four patients with successful single dental implantation were divided into control group and observation group at random, with 37 cases in each group. The control group was treated with phase II anterior tooth implantation with no bone increment. The observation group was treated with anterior tooth implantation implemented by the guided bone regeneration technology, and then bone meal was implanted at initial stable stage after dental implantation. Pink aesthetic indexes and peri-implant bone levels were compared between the two groups on the day after surgery, at 6 and 12 months after implant loading.

RESULTS AND CONCLUSION: In both groups, the pink aesthetic indexes were significantly increased at 6 and 12 months after implant loading compared with the baseline levels (P < 0.05), but there was no difference between the two groups (P > 0.05). At 12 months after implant loading, in addition to the labial gingival margin levels and alveolar appearance, the rest pink aesthetic indexes were all increased significantly in the two groups compared with the baseline levels (P < 0.05), but there was no difference between the two groups (P > 0.05); there was also no difference in the marginal bone loss between the two groups (P > 0.05). Compared to normal bone implant restoration, the clinical application of guided bone regeneration technique in upper anterior tooth restoration can achieve better results, but there is no significant difference between the two restoration methods. therefore further research and analysis.

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

全文链接：

Key words: Dental Implantation, Esthetics, Dental, Guided Tissue Regeneration, Periodontal

CLC Number:

R318

Jiang Liu-hong, Dong Ying, Jing Xiang-dong. Guided bone regeneration technology used in upper anterior tooth restoration[J]. Chinese Journal of Tissue Engineering Research, 2015, 19(7): 1138-1142.

Figures/Tables 4

References

[1]杨光,严敏敏.上颌中切牙缺失牙槽嵴厚度不足的美学种植的临床研究[J].口腔医学,2013,33(4):245-247.
[2]陈波,邱立新,胡秀莲,等.上颌前牙区单牙种植钛膜引导成骨的美学效果观察[J].现代口腔医学杂志,2011,25(3):165-170.
[3]葛菲,姬晓炜,徐国强.即刻种植中异体脱细胞真皮基质引导的骨组织再生[J].中国组织工程研究,2012,16(16):2856-2860.
[4]李卓睿,柳忠豪,许胜,等.应用膜引导骨再生技术修复上颌侧切牙种植位点骨缺损的临床观察[J].上海口腔医学,2012,21(2): 190-193.
[5]戴文雍,周国兴,张晓真,等.前牙美学区种植义齿个体化修复及临床评价[J].上海口腔医学,2014,23(4):446-451.
[6]党骅.引导骨再生技术在即刻种植的临床应用[J].临床医学, 2013, 33(9):111-112.
[7]白果,胥春.膜引导骨再生技术在种植义齿美学修复中的应用[J].临床口腔医学杂志,2013,(9):573-575.
[8]贺刚,陈治清,王培志,等.改良式引导骨再生术+即刻修复技术在上前牙即刻种植中的应用评价[J].口腔医学, 2013,33(11):739-742.
[9]陶江丰,陈宁,禅祖权,等.上颌前牙种植美学修复46颗的临床评价[J].口腔医学,2010,30(11):646-648.
[10]史俊宇,赖红昌.美学区种植修复的软组织稳定性研究进展[J].中国口腔颌面外科杂志,2014,12(1):87-90.
[11]史俊宇,顾迎新,张志勇,等.上前牙区种植单冠修复的软组织改变和美学效果[J].中国口腔颌面外科杂志,2014,12(5):446-451.
[12]孙勇,邹廷前,罗铁柱,等.利用残根行种植牙周围组织重建的牙龈美学效果分析[J].临床口腔医学杂志,2014,30(10):627-629.
[13]祝媛,冮卫东,熊贵忠,等.引导骨再生技术应用于前牙美学区种植临床效果观察[J].临床口腔医学杂志,2014,30(3):171-173.
[14]谢苗苗,赵保东,王维英,等.口腔修复膜材料在牙种植中引导骨再生的效应[J].中国组织工程研究与临床康复,2010,14(16): 2911-2915.
[15]赵德强,郑光,张佐.引导骨再生技术在人工牙种植中的临床应用[J].宁夏医学杂志,2010,32(7):654-655.
[16]周静,邓蔡,张进锋.引导种植牙区骨再生的异种脱细胞真皮基质[J].中国组织工程研究,2013,17(25):4715-4720.
[17]黄勇,曹选平.即刻种植的发展和研究现状[J].口腔医学研究, 2012, 28(1):87-89.
[18]严晓东,毛钊,唐成忠,等.引导骨再生术对美学区种植体周软组织的影响[J].医学研究生学报,2012,25(1):47-50.
[19]胡秋荣,陈贵丰,刘小明,等.即刻牙种植与引导骨再生技术的临床应用[J].齐齐哈尔医学院学报,2009,30(7):801-802.
[20]芮宇欣.引导骨再生技术应用于上前牙种植骨缺损临床研究[J].山西医药杂志,2011,40(5):479-480.
[21]CUI jun,Xu Xin,Sun Kangning.Preparation and Characterization of Chitosan/β-GP Membranes for Guided Bone Regeneration. Journal of Wuhan University of Technology(Materials Science Edition).2011;26(2):242-246.
[22]Song JM, Shin SH, Kim YD, et al.Comparative study of chitosan/fibroin–hydroxyapatite and collagen membranes for guided bone regeneration in rat calvarial defects: micro-computed tomography analysis. Int J Oral Sci. 2014; 6(2):87-93.
[23]陈红亮,赵承初,孙勇,等.人引导骨再生修复颌骨缺损的组织学观察[J].中国组织工程研究,2012,16(46):8589-8592.
[24]Zhang GQ, Wang Y, Chen JY, et al. Management of Severe Femoral Bone Defect in Revision Total Hip Arthroplasty-A 236 Hip,6-14-year Follow-up Study. J Huazhong Univ Sci Technolog Med Sci. 2013 Aug;33(4):606-610.
[25]Zheng Z,Wang JL,Mi L.HUANG Bai-yun.Preparation of new tissue engineering bone-CPC/PLGA composite and its application in animal bone defects.Journal of Central South University of Technology,2010,17(2):202-210.
[26]Monteiro DR, Silva EV, Pellizzer EP,et al.Posterior partially edentulous jaws, planning a rehabilitation with dental implants. World J Clin Cases.2015;3(1):65-76.
[27]Belir Atalay,Hakan Bilhan,Onur Geckili,et al. Clinical evaluation of implants in patients with maxillofacial defects. World Journal of Stomatology,2013,2(3):48-55.
[28]Gao SS, Zhang YR, Zhu ZL, et al. Micromotions and combined damages at the dental implant/bone interface. Int J Oral Sci. 2012,8(4):182-188.
[29]Wang RL, Liu ZL,Zhang YF. The Behavior of New Hydrophilic Composite Bone Cements for Immediate Loading of Dental Implant. Journal of Wuhan University of Technology(Materials Science Edition).2013,28(3):627-633.
[30]Ilven Mutlu,Enver Oktay. Influence of Fluoride Content of Artificial Saliva on Metal Release from 17-4 PH Stainless Steel Foam for Dental Implant Applications.Journal of Materials Science & Technology.2013;29(6):582-588.
[31]Ebrahim Karamian,Mahmood Reza Kalantar Motamedi,Amirsalar Khandan,et al. An in vitro evaluation of novel NHA/zircon plasma coating on 316L stainless steel dental implant. Progress in Natural Science:Materials International.2014;24(2):150-156.