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软组织替代品:目前的生物材料和牙和植入物部位的指示
Lorenzo Tavelli1,2,3,4, Daniel Thoma5,6, Maria Elisa Galarraga Vinueza1,7
1Department of Oral Medicine, Infection, and Immunity, Division of Periodontology, Harvard School of Dental Medicine, Boston, Massachusetts, USA.
Journal of periodontal research
|December 31, 2025
概括
自生软组织移植是牙科手术的黄金标准,但替代品提供了替代方案. 本综述指导临床医生在移植和替代品之间进行选择,以获得最佳的患者结果.
科学领域:
- 牙周病学和植入物学
- 牙周和牙周植入物塑料手术
背景情况:
- 自生软组织移植是牙和植入物周围软组织增强的黄金标准.
- 自生移植的局限性包括捐赠者部位的发病率和有限的可用性.
- 软组织移植替代品 (异种,异种,原衍生物) 已成为替代品.
研究的目的:
- 总结一下软组织移植替代品的当前技术状况.
- 提供临床决策树,用于选择移植与替代品.
- 为指导临床医生在以患者为中心的软组织增强的决策.
主要方法:
- 关于软组织移植替代品的综合文献综述.
- 基于文献证据的临床决策树的开发.
- 分析影响治疗选择的因素.
主要成果:
- 移植替代品在有利的解剖条件下表现有希望,但具有可变的可预测性.
- 自生移植在复杂或美学要求较高的情况下更容易预测.
- 患者报告的结果越来越多地影响了移植替代品的使用.
结论:
- 移植替代品是可行的替代品,特别是在不那么复杂的情况下.
- 临床决策树有助于根据特定因素选择自身移植或替代品.
- 有信息,以患者为中心的决策对于成功的软组织增强至关重要.
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