J Clin Med:种植体周围炎不同的机械治疗方式结局

2020-02-26 不详 网络

本随机临床试验评估通过电解法(EC)或粉末喷雾联合电解法(PEC)去除生物膜对种植体周围炎病变进行手术再生治疗后六个月的结果。研究纳入24名患者,包括24颗种植体周围炎植体,同时伴有骨缺损,随机接受EC或PEC治疗。骨缺损处使用天然骨矿物质和自体骨的混合物充填并严密缝合。基线(T0)以及术后6个月非手术区(T1)通过牙周探针和标准化X射线评估从种植体肩到牙槽嵴顶的距离。结果,由于再次感染和其他原因

本随机临床试验评估通过电解法(EC)或粉末喷雾联合电解法(PEC)去除生物膜对种植体周围炎病变进行手术再生治疗后六个月的结果。

研究纳入24名患者,包括24颗种植体周围炎植体,同时伴有骨缺损,随机接受EC或PEC治疗。骨缺损处使用天然骨矿物质和自体骨的混合物充填并严密缝合。基线(T0)以及术后6个月非手术区(T1)通过牙周探针和标准化X射线评估从种植体肩到牙槽嵴顶的距离。

结果,由于再次感染和其他原因,必须在T1处移除一颗种植体。其他植入物均未显示炎症迹象。EC的骨增益为2.71±1.70 mm,PEC的骨增益为2.81±2.15 mm。在EC和PEC之间未检测到统计学上的显著差异。所有24个植入物均观察到明显的临床骨填充。12个植入物实现了骨的完全再生。骨缺损形态影响骨的再生量。

综上所述,该研究结果表明,EC无需通过粉末喷涂行进一步机械清洁。在种植体周围炎病例中可能会实现完全的重新骨结合。

原始出处:

Markus Schlee,1 Florian Rathe, et al., Treatment of Peri-Implantitis—Electrolytic Cleaning Versus Mechanical and Electrolytic Cleaning—A Randomized Controlled Clinical Trial—Six-Month Results. J Clin Med. 2019 Nov; 8(11): 1909. doi: 10.3390/jcm8111909

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    2020-05-24 huangdf
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    2021-01-26 howi
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