一条带免费的牙移植和外源性原基质矩阵,以增加垂直骨增强后的质化组织
Raquel Jiménez-Tundidor1, Ricardo Marco-Español1, Luis Segura-Mori2
1Department of Dental Clinical Specialties, Faculty of Dentistry, Complutense University of Madrid, Spain.
The Journal of oral implantology
|June 19, 2024
概括
这项研究展示了一种新技术,使用一个apically重新定位的,一个牙移植,和一个原基质有效地增加了垂直骨增强后角质化组织. 患者报告说,他们对美学结果和疼痛最小的程度感到满意.
科学领域:
- 牙周病学 牙周病学
- 在口腔外科手术.
- 恢复性牙科 恢复性牙科
背景情况:
- 垂直骨增强 (VBA) 可能导致角质化组织 (KT) 和前庭深度 (VD) 的损失.
- 在VBA之后的粘膜膜扭曲 (MGD) 需要有效的校正方法.
- 在重建手术中,尽量减少患者的发病率至关重要.
研究的目的:
- 为了评估一个修改的apically重新定位的 (ARF) 结合一个免费的牙移植 (FGG) 和异种原基质 (XCM) 对于KT增益和VD纠正VBA后的疗效.
- 评估这种结合技术的患者满意度和审美结果.
- 通过减少对广泛移植的需要,最大限度地降低患者的发病率.
主要方法:
- 一个追溯的病例系列,涉及12名患者,VBA后KT≤3毫米.
- 使用一条带FGG和XCM修改的ARF技术的应用.
- 测量KT增益,VD增益和组织厚度.
- 评估患者报告的疼痛 (视觉模拟尺度 - VAS) 和美学结果.
主要成果:
- 在手术后24个月观察到显著的静脉损伤增加.
- 实现了5.38 ± 2.06毫米的平均垂直KT增大.
- 平均组织厚度增加为0.42±0.42毫米.
- 患者报告了令人满意的审美结果 (组织颜色和质地) 和轻微的疼痛 (VAS评分2.10±1.13/10).
结论:
- 结合ARF,条形FGG和XCM是一种可行的技术,可以在VBA后实现显著的KT增益和VD校正.
- 这种方法提供了一种方法来改善粘膜状况,同时最大限度地降低患者的发病率.
- 该技术产生了令人满意的审美效果和患者满意度.
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