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牙周前裂的牙周再生治疗:一个中期队列研究

Jae-Hong Lee^1,2, Yeon-Tae Kim³

¹Department of Periodontology, College of Dentistry and Institute of Oral Bioscience, Jeonbuk National University, Jeonju, South Korea.

Journal of periodontology

|July 8, 2025

概括

牙周再生外科手术结合质矩阵衍生物 (EMD) 和去蛋白化猪骨矿物质 (DPBM) 有效地治疗了水泥. 这种方法显著改善了临床和放射性结果,在上前内缺陷的患者中保存了90.2%的牙.

科学领域:

牙周病学牙周病学
恢复性牙科恢复性牙科
在口腔外科手术.

背景情况:

水泥是一种罕见但严重的牙科疾病,特别影响老年人,导致炎症和骨质损失.
与水泥撕裂相关的骨内缺陷在牙周治疗中构成重大挑战,往往有可能导致牙损失.

研究的目的:

评估牙前裂的牙周再生治疗的中期临床和放射性结果.
评估结合脱蛋白猪骨矿物质 (DPBM) 的乳液矩阵衍生物 (EMD) 在治疗骨内缺陷方面的疗效.

主要方法:

一项队列研究涉及41名接受牙周再生手术的患者 (平均年龄为68.8岁).
对探测口袋深度 (PPD),临床附着水平 (CAL),缺陷宽度 (DW) 和缺陷深度 (DD) 的连续测量,平均随访时间为48.3个月.
卡普兰-梅尔存活率分析被用来确定牙损失率.

主要成果:

从基线到随访 (p < 0.05) 观察到PPD (6.7-4.7毫米) 和CAL (7.0-5.2毫米) 的显著改善.
放射分析显示,DW (1.93-1.52毫米) 和DD (6.28-4.47毫米) 的显著减少.
实现了90.2%的高牙存活率,只有四例牙损失.

结论:

结合EMD和DPBM,在患有大前裂和骨内缺陷的患者中有效进行牙周再生.
这种再生方法促进了显著的临床和放射性改善,并提高了牙的存活率.
建议进一步进行精心设计的临床试验,以验证这些发现并指导临床实践.

关键词:

骨再生骨再生骨头的替代品骨头的替代品牙科水泥的使用方法这是一项回顾性研究.牙的损失牙的损失

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