早期植入种植体的硬组织和/或软组织移植效果:犬科探索性研究的组织形态计量结果

IF 4.8 1区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE
Hyun-Chang Lim, Kwang-Seok Lee, Ronald E. Jung, Nadja Naenni, Ui-Won Jung, Daniel S. Thoma
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引用次数: 0

摘要

材料与方法拔除 10 只杂种狗的上颌第二和第三前臼齿远端牙根。1 个月后,对远端牙根进行早期种植,造成颊开裂缺损。然后随机采用四种治疗方法:(1) 引导骨再生(GBR);(2) 结缔组织移植(CTG);(3) 同时进行 GBR 和 CTG(GBR + CTG);(4) 不再进行治疗(对照组)。所有种植体都连接了愈合基台,以实现非浸没式愈合。结果 GBR 组在 4 周时的组织总厚度最大,但在 4 至 16 周期间与其他组相比,重塑程度更大。16 周时,GBR + CTG 组的总组织厚度最大。就粘膜水平和冠状水平矿化组织的存在而言,该组也是最有利的。结论在应用早期种植体植入方案时,同时使用 CTG 和 GBR 可获得最理想的组织厚度。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Effects of hard- and/or soft-tissue grafting with early implant placement: Histomorphometric outcomes of an exploratory study in canines

Objective

To histomorphometrically determine the effects of hard- and/or soft-tissue augmentation by applying the early implant placement protocol.

Materials and Methods

The distal roots of the maxillary second and third premolars were extracted in 10 mongrel dogs. After 1 month, early implant placement was performed in the distal roots, resulting in buccal dehiscence defects. Four treatments were then randomly applied: (1) guided bone regeneration (GBR), (2) connective tissue grafting (CTG), (3) simultaneous GBR and CTG (GBR + CTG) and (4) no further treatment (control). Healing abutments were connected to all implants to allow non-submerged healing. At 4 and 16 weeks, tissue sections were harvested and histomorphometric analyses were performed.

Results

Group GBR presented the largest total tissue thickness at 4 weeks, but underwent a greater remodelling compared with the other groups between 4 and 16 weeks. At 16 weeks, the overall tissue thickness was largest in group GBR + CTG. This group was also the most favourable in terms of the level of the margo mucosae and the presence of mineralized tissue at the coronal level. Group CTG demonstrated a stable tissue thickness over time, with a larger thickness at 16 weeks compared with group GBR.

Conclusion

Simultaneous CTG and GBR resulted in the most-favourable tissue thickness when applying the early implant placement protocol.

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来源期刊
Clinical Oral Implants Research
Clinical Oral Implants Research 医学-工程:生物医学
CiteScore
7.70
自引率
11.60%
发文量
149
审稿时长
3 months
期刊介绍: Clinical Oral Implants Research conveys scientific progress in the field of implant dentistry and its related areas to clinicians, teachers and researchers concerned with the application of this information for the benefit of patients in need of oral implants. The journal addresses itself to clinicians, general practitioners, periodontists, oral and maxillofacial surgeons and prosthodontists, as well as to teachers, academicians and scholars involved in the education of professionals and in the scientific promotion of the field of implant dentistry.
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