本文選題：種植牙 + 引導(dǎo)骨再生術(shù)��； 參考：《大連醫(yī)科大學(xué)》2017年碩士論文

【摘要】：目的:探討臨床上利用引導(dǎo)骨再生手術(shù)(Guided Bone Regeneration,GBR)、以及其相關(guān)的應(yīng)用方式,使用在各種不同類型骨缺損的口腔種植手術(shù)中,來(lái)達(dá)到其重建的應(yīng)用效果。為口腔種植手術(shù)中應(yīng)用GBR技術(shù)提供臨床依據(jù)。方法:研究對(duì)象為年齡33~60歲,男7例,女3例共10例患者。由不同因素導(dǎo)致牙缺失,欲使用種植牙修復(fù)的方式來(lái)進(jìn)行重建。由于植牙區(qū)存在骨質(zhì)缺損或骨量不足的因素應(yīng)用引導(dǎo)骨再生術(shù)(GBR)進(jìn)行骨質(zhì)的增量,根據(jù)種植術(shù)式不同分為水平或垂直骨增量、上頜竇提升和即刻種植三種方式,其中水平或垂直骨增量4例、上頜竇開(kāi)窗提升術(shù)3例、即刻種植骨增量3例,并同時(shí)或在骨愈合后植入種植體,修復(fù)時(shí),通過(guò)術(shù)中或術(shù)后影像學(xué)觀察骨增量的情況后酌情選擇修復(fù)。結(jié)果:10例患者分別使用GBR進(jìn)行骨增量手術(shù),共植入15枚種植體,術(shù)后經(jīng)6個(gè)月愈合期后,通過(guò)影像學(xué)和臨床觀察,骨增量區(qū)組織成骨良好,種植體與骨之間都呈現(xiàn)良好的骨結(jié)合。未出現(xiàn)骨吸收,種植體松動(dòng),牙齦紅腫等情況。結(jié)論:1.GBR用于水平向或垂直向、上頜竇提升和即刻種植骨增量時(shí)的骨開(kāi)窗、骨劈開(kāi)都可以有穩(wěn)定的成效。2.引導(dǎo)骨再生術(shù)能有效地對(duì)不同類型的骨缺損進(jìn)行骨增量,解決骨組織不足的問(wèn)題,符合種植美學(xué)要求。3.使用生物再生膜能有效阻止纖維細(xì)胞及上皮細(xì)胞長(zhǎng)入骨缺損區(qū)并具有較好的骨生成效果。
[Abstract]:Objective: to explore the clinical application of guided Bone Regeneration (GBR) in different types of bone defects in oral implants.To provide clinical basis for the application of GBR technique in oral implant surgery.Methods: 10 patients, 7 males and 3 females, aged 3360 years were enrolled in the study.Tooth loss is caused by different factors. Implant restoration is used to reconstruct the tooth.Because of the existence of bone defect or insufficient bone mass in the dental implant area, the bone increment was carried out by guided bone regeneration (GBR). According to the different implant methods, there were three types of bone increment: horizontal or vertical bone increment, maxillary sinus lifting and immediate implantation.4 cases of horizontal or vertical bone increment, 3 cases of maxillary sinus fenestration and 3 cases of immediate implant bone increment.The bone increment was observed intraoperatively or postoperatively, and the repair was selected as appropriate.Results 15 implants were implanted with GBR in 10 patients. After 6 months of healing, the osteogenesis of bone increment zone was good through imaging and clinical observation.There is a good osseous bond between implant and bone.No bone resorption, implant loosening, gingival redness, etc.Conclusion: 1. GBR can be used in horizontal or vertical direction, maxillary sinus lifting and immediate implant bone increment to open the window, bone splitting can have a stable effect. 2.Guided bone regeneration can effectively increase the bone size of different types of bone defects and solve the problem of insufficient bone tissue, which meets the requirements of implant aesthetics.The application of biofilm can effectively prevent fibroblasts and epithelial cells from growing into the bone defect area and have a good effect on bone formation.
【學(xué)位授予單位】：大連醫(yī)科大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2017
【分類號(hào)】：R783.6

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