临床和放射评价两种尖端鼻提升技术:骨质瘤与骨质密集化. 一个系统的审查和元分析
Carlos Manuel Cobo-Vázquez1, Sonia García-Rodríguez1, María Eugenia Colmenares-Otero1
1Department of Clinical Specialities. Faculty of Dentistry, Complutense University of Madrid, Plaza Ramón y Cajal, 3, 28040, Madrid, Spain.
International journal of implant dentistry
|May 16, 2025
概括
骨密度化 (OD) 鼻提升技术提供了与经典骨质瘤 (OST) 鼻提升相比的骨增益,但并发症明显减少. OD是一种安全和可预测的鼻起重手术方法.
科学领域:
- 牙科植入物学 牙科植入物学
- 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:
- 在牙科植入物学中,大 sinus 地面升高对于垂直骨增强至关重要.
- 状鼻提升方法包括骨质瘤技术和骨质密集化.
- 将这些尖顶技术进行比较对于优化手术结果至关重要.
研究的目的:
- 系统地审查和比较经典的尖端鼻升高 (骨质瘤技术) 和骨密度化鼻升高方法的结果.
- 关键结果措施包括骨,边缘骨损失,植入物存活率,随访时间和并发症发生率.
主要方法:
- 根据PRISMA指南进行了系统审查.
- 在MEDLINE/PubMed,SCOPUS和CENTRAL数据库中进行了搜索.
- 使用纽卡斯尔-太华规模和Cochrane协作工具评估偏差风险;对关键结果进行了随机效应元分析.
主要成果:
- 分析了13项涉及519个遗址的研究 (10个骨质瘤,3个骨质密度增加).
- 剩余的骨高度是5.94毫米的骨化 (OD) 和5.00毫米的骨 (OST).
- 骨的增加是相似的 (OD: 3.37毫米,OST: 3.18毫米),而OD (2.78%) 的并发症率与OST (14.32%) 相比显著较低.
结论:
- 骨凝固鼻提升是一种安全,可预测和成功的技巧,用于上鼻地板升高.
- 它显示了与骨质瘤方法相比的骨增益,这是成功安置植入物的关键因素.
- 降低的并发症率使得骨粗化成为传统骨折技术的有利替代方案.
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