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在鼻腔底部增大中使用APC

Pascal Valentini¹, Elena Calciolari^2,3, Sebastien Monlezun¹

¹Department of Implant Surgery Tattone Hospital, University of Corsica Pasquale Paoli, Institute of Health, Corte, France.

Periodontology 2000

|February 16, 2024

概括

自主血小板缩物 (APC) 在上鼻提升中表现有前途,特别是单独使用L-PRF进行侧向方法. 然而,需要更多的研究来证实其他方法的有效性.

科学领域:

牙科牙科是指牙科的专业.
在口腔外科手术.
再生医学是一种再生医学.

背景情况:

大牙损失往往导致垂直骨损失,需要提升鼻地板.
在此过程中,自主血小板缩物 (APC) 受到研究,以了解它们在此过程中的潜在益处.

研究的目的:

审查APCs的疗效,包括富含血小板的血 (PRP),富含血小板的纤维素 (PRF) 和富含血小板的生长因子 (PRGF),在上鼻腔升高手术中.
评估APCs作为鞋底移植与与骨替代品结合的情况.

主要方法:

现有临床试验和研究的叙述性回顾在鼻底部升高的APC上.
基于不同外科手术方法 (横截面,一阶段横截面,两阶段横截面) 和移植材料的结果分析.

主要成果:

L-PRF显示,在横和一阶段横向方法中,垂直骨增益的可行性很好,植入物存活率高,并发症低.
PRP和PRGF缺乏足够的数据来得出最终的结论,特别是作为横向方法中的单脚移植.
由于稳定性不足,不建议单独使用 APC 来进行两级横向接近.
与骨替代品相结合的APC可能会加速骨形成,但不会带来长期的益处.
L-PRF膜显示出治疗鼻膜穿孔的潜力.

结论:

当单独使用时,L-PRF似乎是一个可预测的移植材料,用于侧面大鼻子移植.
需要进行进一步的随机对照试验 (RCT) 来比较APC与用于鼻升高的各种移植技术.

关键词:

施奈德的膜是施奈德的膜.自生性血小板缩物侧面窗的技术侧面窗的技术膜穿孔穿孔的情况鼻腔地板增大鼻腔地板增大鼻移植是什么意思提升提升提升提升提升穿越的技术技术.

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