在现有植入物周围进行软组织体积增加的收获移植替代品:一个随机,受控和盲目的多中心试验
Donald S Clem1,2, Pamela K McClain1,3, Michael K McGuire1,4
1The McGuire Institute (iMc - practice-based clinical research network) Houston, Houston, Texas, USA.
Journal of periodontology
|December 10, 2023
概括
体积稳定原基质 (VCMX) 提供了与牙科植入物周围软组织增强相似的连接组织移植 (CTG). VCMX程序涉及更短的手术时间和减少术后疼痛,患者报告的结果类似.
科学领域:
- 牙周病学 牙周病学
- 牙科植入物学 牙科植入物学
- 生物材料科学 生物材料科学
背景情况:
- 软组织增强对于牙植入成功至关重要.
- 连接组织移植 (CTG) 是用于软组织增强的传统材料.
- 体积稳定原基质 (VCMX) 为CTG提供了一个潜在的替代方案.
研究的目的:
- 为了比较VCMX和CTG在现有牙科植入物周围软组织增强方面的疗效.
- 评估软组织厚度变化的主要结果.
- 评估二次结果,包括临床措施和患者报告的结果.
主要方法:
- 进行了一项单盲,随机,受控,多中心临床试验.
- 60名患者接受了VCMX或CTG用于软组织增强.
- 软组织厚度,角质组织宽度,探测深度和患者报告的结果都在一年内测量.
主要成果:
- 在VCMX和CTG组之间没有观察到患者人口统计或大多数临床措施的显著差异.
- 与CTG相比,VCMX显示非劣质软组织厚度在牙边缘以下增加3mm.
- 手术时间显著减少 (27%) 和术后疼痛显著减少VCMX.
结论:
- 在现有的牙科植入物周围,VCMX提供了与CTG相比的软组织增强.
- VCMX提供了减少手术时间和术后疼痛的优势.
- 无论是VCMX还是CTG,都在临床测量和患者报告的结果方面取得了相似的改善.
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