一种新型的无螺纹改良Khoury板技术,使用由水下仿生海洋蛋白质配制的创新骨粘合剂。

IF 1.3 4区 医学 Q3 DENTISTRY, ORAL SURGERY & MEDICINE
Michael A Pikos, Richard J Miron
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引用次数: 0

摘要

在过去的二十年里,Khoury钢板技术已被广泛应用,并在促进严重缺陷骨区域的骨增强方面取得了很大成功。简单地说,该技术包括收获自体骨板并将其与外部螺钉固定结合使用。包围颊侧和舌侧表面上的骨缺损的骨板的刚性允许发生无张力的骨重塑,有利于理想的骨形成环境。随后,经过4至6个月的愈合期,提起皮瓣,取出螺钉,放置植入物。随着组织工程的进步,一种由水下仿生海洋蛋白配制的新型矿物有机可吸收骨粘合剂(MORBA)最近被用于即时骨对骨或骨对金属固定。MORBA是一种合成的、可注射的、自固化的、可吸收的承重粘合剂生物材料,具有超过300磅的固定强度。MORBA独特的粘合性能使其能够立即将牙科植入物稳定在宿主骨中。本文介绍了Khoury接骨板技术的一种新的改进,该技术在接骨板固定过程中使用MORBA代替螺钉。描述了一种利用这种新型生物材料的分步方案,有利于对这种传统技术采取更具生物学意义的方法。这种新型改良手术更容易进行,是一种更具生物相容性的选择,可以避免螺钉固定和移除。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
A Novel Screwless Modification of the Khoury Plate Technique using an Innovative Bone Adhesive Formulated from Underwater Biomimetic Marine Proteins.

Over the past two decades, the Khoury plate technique has been widely utilized with much success to facilitate bone augmentation in critically deficient bone areas. Simply, the technique includes harvesting autogenous bone plates and utilizing them with external screw fixation. The rigidity of the bone plates enclosing the bony defect on both the buccal and lingual surfaces allows for tension-free bone remodeling to occur, favoring an ideal bone-forming environment. Following, a 4- to 6-month healing period, a flap is raised, screws may be removed, and implants are placed. With advancements made in tissue engineering, a novel mineral-organic resorbable bone adhesive (MORBA) formulated from underwater biomimetic marine proteins has recently been utilized for immediate bone-to-bone or bone-to-metal fixation. MORBA is a synthetic, injectable, self-setting, and resorbable load-bearing adhesive biomaterial that exhibits over 300 pounds of fixation strength. The unique adhesive properties of MORBA enable it to immediately stabilize dental implants into host bone. The present article describes a novel modification of the Khoury plate technique that utilizes MORBA as a substitute for screws during bone plate fixation. A step-by-step protocol is described that utilizes this novel biomaterial, favoring a more biologic approach to this conventional technique. This novel modification is surgically easier to conduct and is a more biocompatible option that avoids screw fixation and removal.

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来源期刊
CiteScore
2.90
自引率
6.20%
发文量
113
审稿时长
6-12 weeks
期刊介绍: The International Journal of Periodontics & Restorative Dentistry will publish manuscripts concerned with all aspects of clinical periodontology, restorative dentistry, and implantology. This includes pertinent research as well as clinical methodology (their interdependence and relationship should be addressed where applicable); proceedings of relevant symposia or conferences; and quality review papers. Original manuscripts are considered for publication on the condition that they have not been published or submitted for publication elsewhere.
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