Clin Implant Dent Relat Res:使用胶原膜或浓缩生长因子对种植体周围炎进行骨再生治疗

2018-10-17 MedSci MedSci原创

基于血小板浓度的膜以及胶原膜与骨替代物相结合,可有效促进种植体周围骨缺损(PBD)的再生。本研究旨在评估使用骨替代物结合两种不同的生物可吸收屏障膜(胶原膜(CM)或浓缩生长因子(CGF))的种植体周围炎再生手术治疗(RST)的临床和影像学结果,随访12个月。 使用骨替代物与CGF或CM组合治疗52名具有至少一个种植体周围病变的患者。植体埋入缝合。基线、术后6个月和12个月进行临床评估,同时在

基于血小板浓度的膜以及胶原膜与骨替代物相结合,可有效促进种植体周围骨缺损(PBD)的再生。本研究旨在评估使用骨替代物结合两种不同的生物可吸收屏障膜(胶原膜(CM)或浓缩生长因子(CGF))的种植体周围炎再生手术治疗(RST)的临床和影像学结果,随访12个月。

使用骨替代物与CGF或CM组合治疗52名具有至少一个种植体周围病变的患者。植体埋入缝合。基线、术后6个月和12个月进行临床评估,同时在基线和12个月进行影像学评估。

结果显示,术后6个月和12个月的平均牙龈指数(GI),探诊出血(BOP),探诊深度(PD),临床附着水平(CAL)和牙龈退缩(MR)均显著降低。两种治疗方法(P <0.05)。在6个月时,各组之间的所有临床参数均未观察到统计学上的明显差异,而平均PD、CAL和垂直缺损(VDD)值在12个月时优于CM组(P <0.05)。CM组的平均骨缺损修复(DF)(1.99±0.76)与CCF组的差异无统计学意义(1.63±1.00)(P = 0.154)。

综上所述,该研究结果表明,两种再生方法在临床和放射学评估方面都取得了明显进步。使用胶原膜与骨替代物组合的方法在种植体周围炎的RST中在12个月时显示出更好的结果。

原始出处:

Isler SC, Soysal F, et al., Regenerative surgical treatment of peri-implantitis using either a collagen membrane or concentrated growth factor: A 12-month randomized clinical trial. Clin Implant Dent Relat Res. 2018 Oct;20(5):703-712. doi: 10.1111/cid.12661. Epub 2018 Aug 17.

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    2018-10-28 xuyong536
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    2019-08-26 huangdf
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    2018-12-22 xuyu
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    2018-10-19 lsj630
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