评估垂直/水平脊柱增大在缩膜脊柱使用自生接与内置移植技术的评估:系统性审查
Harshda S Mahajan1, Rajesh Gaikwad1, Akshaya Banodkar1
1Department of Periodontology, Government Dental College and Hospital, Mumbai, Mumbai, IND.
Cureus
|February 6, 2026
概括
嵌入式骨移植技术提供优越的稳定性和愈合为膜脊增大与onlay方法相比. 这一系统性审查表明,嵌入式移植在植入式牙科中提供了更好的结果.
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:
- 膜脊缩对牙植入成功提出了重大挑战.
- 手术骨增强通常是为了达到足够的骨体积而需要的.
- 自生移植技术,包括内嵌和内嵌,是常见的,但它们的比较有效性仍在争论中.
研究的目的:
- 系统地审查和比较内嵌与内嵌自生接种技术的临床结果,用于垂直和水平膜脊增大.
- 评估移植的稳定性,再吸收,软组织愈合,以及与每个技术相关的并发症率.
主要方法:
- 按照PRISMA指南进行系统审查.
- 包括随机对照试验和对缩膜脊的自身移植的比较临床研究.
- 广泛的电子和手动数据库搜索.
主要成果:
- 嵌入式和嵌入式移植都实现了显著的骨高度和宽度增加.
- 嵌入式技术显示出优越的移植稳定性,减少再吸收,改善软组织愈合.
- 在线移植显示出更高的吸收率,膜消亡率和移植暴露率,特别是在垂直增强中.
结论:
- 嵌入式移植技术对于膜脊增大似乎更可预测和更稳定,提供更好的结果和更少的并发症.
- 需要进一步进行高质量的随机对照试验,并进行长期随访,以巩固这些发现.
- 嵌入式移植在血管化和机械保护方面提供了优势,导致更好的增强体积保存.
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