骨再生程序中的烯障碍:一个范围审查
Xavier Uriarte1,2, Andrés Landázuri3,4, Heloisa Fonseca Marão5
1Private Practice, Puerto Varas, Chile.
Clinical oral implants research
|January 23, 2025
概括
的障碍物显示出大面骨增强的前景,实现了显著的骨增强. 然而,由于并发症率很高,需要对照组进行进一步研究,以确认疗效和安全性.
科学领域:
- 生物材料科学 生物材料科学
- 口腔和牙面部外科手术
- 再生医学是一种再生医学.
背景情况:
- 骨增强手术在面重建中至关重要.
- 基于的材料越来越多地被用于牙科和面应用中的生物相容性和机械性能.
研究的目的:
- 系统地审查目前的状况和发展,在面部区域内用于骨增强的石屏障.
- 为了评估成年人类患者中石屏障的疗效和结果,接受大面骨增强.
主要方法:
- 在多个数据库 (PubMed/MEDLINE,科学网,Scopus,EBSCO,Cochrane图书馆,LILACS) 进行了全面的文献搜索,截至2024年4月15日.
- 搜索包括手动识别符合条件的临床研究,遵守系统性审查和对分析扩展范围审查 (PRISMA-ScR) 准则的首选报告项目.
- 六项研究 (5个病例系列,1个病例报告) 符合纳入标准,其中4项提供了组织学数据.
主要成果:
- 在30名患者中,共有40个再生部位使用了石屏障.
- 报告的骨增益差异很大:水平增长0.98.0毫米,垂直增长1.412.0毫米.
- 在包括的研究中观察到一个显著的30%的并发症率.
结论:
- 石屏障在骨形成方面表现出良好的结果,并减少了面增大手术时间.
- 观察到的高并发症率需要仔细考虑.
- 由于目前文献中患者数量有限和随访时间短暂,进一步进行高质量的研究,包括随机对照试验至关重要.
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