牙周牵张成骨拔牙法位点保存效果的对比研究

›› 2019, Vol. 39 ›› Issue (3): 207-209.

牙周牵张成骨拔牙法位点保存效果的对比研究

战丽平,马华瑞,高润涛

首都医科大学附属北京友谊医院

收稿日期:2018-09-18 修回日期:2018-11-02 出版日期:2019-03-28 发布日期:2019-03-22
通讯作者: 高润涛 E-mail:13621038734@126.com
基金资助:
BMP-DLX5-KDM4B信号通路对间充质干细胞成牙分化的作用及调控机制研究

Contrastive study on alveolar ridge preservation: Tooth extraction through dentoalveolar distraction

Received:2018-09-18 Revised:2018-11-02 Online:2019-03-28 Published:2019-03-22

摘要/Abstract

摘要： 目的用牙周牵张成骨法进行位点保存，研究其对牙槽骨量保存所起到的作用，以期更大程度保持牙槽骨高度。方法 Beagle犬12只，随机分3组，实验组选择下颌一侧第三前磨牙为实验组行牙周牵张成骨拔牙（dentoalveolar distraction extraction，DDE），对照组1为对传统拔牙自然愈合组（Natural healing，NH）；对照组2为传统拔牙后拔牙窝骨粉充填+GBR组（Bio-Oss+GBR, BOG）。牙齿拔除三个月后拍摄X线片，对比研究各组之间的牙槽骨吸收程度的差异。结果拔牙后3个月，实验组牙槽骨吸收程度明显小于对照组1和2，对照组1和2之间差异无统计意义。结论用牙周牵张成骨拔牙法进行位点保存，能更大程度保存牙槽骨。

关键词: 位点保存, 骨粉充填, 牙周牵张成骨

Abstract: Objective This study evaluates the effect of site preservation on the preservation amount of alveolar bones to keep their height and width to a greater extent, using dentoalveolar distraction extraction (DDE). Methods Twelve beagle dogs were randomly divided into three groups. In experimental group extract the third premolars on one side of mandible, with dentoalveolar distraction, In control group 1 the third premolars were extracted traditionally without any site preservation as control group one (Natural healing, NH). For the other four dogs, the third premolars on one side of mandible were extracted as control group 2, following the Bio-Oss bone dust implant and guided bone regeneration (Bio-Oss +GBR, BOG). The X-rays were taken three months after tooth extraction, and the results were compared among different groups. Results Three months after tooth extraction, the alveolar bone resorption in the experimental group was significantly lower than that in the control groups 1 and 2. there was no statistical significance between the control groups 1 and 2. Conclusion The alveolar bone can be preserved to a greater extent by using dentoalveolar distraction extraction for site preservation.

Key words: alveolar ridge preservation, bone dust implant, dentoalveolar distraction extraction

中图分类号:

R782.1

战丽平马华瑞高润涛. 牙周牵张成骨拔牙法位点保存效果的对比研究[J]. , 2019, 39(3): 207-209.

参考文献

[1]Trombelli L, Farina R, Marzola A, Bozzi L, Lil-jenberg B， Lindhe J.Modeling and remodeling of human extraction sockets[J].Journal of Clinical Periodontology, 2008, 35(1):630-639 [2]Alsaadi G, Quirynen M, Komarek A and van Steenberghe D.Impact of local and systemic factors on the incidence of late oral implant loss[J].Clin Oral Implants Res, 2008, 19(1):670-676 [3]Vignoletti F，Rodrigo D, Figuero E，Martin C， Sanz M.Surgical proto-cols for ridge preservation after tooth extractionA systematic review.[J].Clinical Oral Implants Research, 2012, 23(5):22-38 [4]Favero G, Lang N.P,Romanelli P,Pantani F,Caneva M， Botticelli DA digital eval-uation of alveolar ridge preservation at implants placed immediately into extraction sockets: an experimental study in the dog.[J].Clinical Oral Implants Research, 2013, 26(1):102-108 [5]Araujo MG， Lindhe, J.Ridge preservation with the use of Bio-Oss collagen: a 6-month study in the dog[J].Clinical Oral Implants Research, 2009, 20(1):433-440 [6]Darby I, Chen ST, Buser D.Ridge preservation techniques for implant therapy[J].Int J Oral Max Imp, 2009, 24(1):260-271 [7]H orváth A，Mardas N，Mezzomo LA，et al.Alveolar ridge preservation[J].A systematic review . Clinical oral investigations, 2013, 17(2):341-363 [8]Liou EJ, Huang CS.Rapid canine retraction through distraction of the periodontalligament[J].Am J OrthodDentofacial Orthop, 1998, 114(4):372-382 [9]Willenbacher M, Al-Nawas B, Berres M, Kammerer PW and Schiegnitz E.The Effects of Alveolar Ridge Preservation: A Meta-Analysis[J].Clin Implant Dent Relat Res, 2016, 18(1):1248-1268 [10]Atieh MA, Alsabeeha NH, Payne AG, Duncan W, Faggion CM and Esposito M.Interventions for replacing missing teeth: alveolar ridge preservation techniques for dental implant site development2015; CD010176..[J].Cochrane Database Syst Rev, 2015, 28(5):176-176 [11]Yu Q, Wang C, Yang J, et al.Mineralized collagen/Mg-Ca alloy combined scaffolds with improved biocompatibility for enhanced bone response following tooth extraction[J]. Biomed Mater, 2018, 13(6):065008-065008 [12]Cardaropoli D, Tamagnone L, Roffredo A, et al.Alveolar Ridge Preservation Using Tridimensional Collagen Matrix and Deproteinized Bovine Bone Mineral in the Esthetic Area: A CBCT and Histologic Human Pilot Study.[J]. Int J Periodontics Restorative Dent, 2018, 38(1):29-35 [13]Sayin S, Bengi AO, Gurton AU, et al.Rapid canine distalization using distraction of the periodontal ligament: a preliminary clinical validation of the original technique[J].Angle Orthod, 2004, 74(3):304-315 [14]K.C. Prabhat, Sandhya Maheshwari..Periodontal ligament distraction: A simplified approach for rapid canine retraction[J].J Indian SocPeriodontol, 2012, 16(1):123-125 [15]Schropp L, Wenzel A, Kostopoulos L and Karring T.Bone healing and soft tissue contour changes following single-tooth extraction: a clinical and radiographic 12-month prospective study[J].Int J Periodontics Restorative Dent, 2003, 23(1):313-323 [16]Araujo M.G., Lindhe J.Dimensional ridge alterations following tooth extraction. An experimental study in the dog[J].Journal of Clinical Periodontology, 2005, 32(1):212-218 [17]Min S, Liu Y, Tang J.Alveolar ridge dimensional changes following ridge preservation procedure with novel devices: Part 1 - CBCT linear analysis in non-human primate model[J].Clin Oral Implants Res, 2006, 27(1):97-105