口腔种植中骨增量技术的应用进展

doi:10.19438/j.cjoms.2018.06.012

摘要/Abstract

摘要： 临床上,种植部位骨量不足是种植治疗常遇到的难题。为确保种植区符合种植条件,骨增量技术尤为重要。常用的骨增量技术包括骨移植术、引导骨再生技术、骨劈开术、骨挤压术、上颌窦底提升术及牵张成骨术等。本文就骨增量技术在口腔种植中的应用进展作一综述。

关键词: 口腔种植, 骨量不足, 骨增量技术

Abstract: Deficiency of alveolar bone is a common problem in dental implant field. Bone augmentation techniques are particularly important in order to ensure that the implanting areas have enough alveolar bone. Bone graft, guided bone regeneration, bone splitting, maxillary sinus floor elevation, osteotome technique, distraction osteogenesis are widely used to establish osseous tissue for supporting dental implants. This review aimed to review application of bone augmentation technology in dental implant.

Key words: Dental implant, Bone deficiency, Bone augmentation technology

中图分类号:

R782.13

李晨琳, 徐光宙. 口腔种植中骨增量技术的应用进展[J]. 中国口腔颌面外科杂志, 2018, 16(6): 553-558.

LI Chen-lin, XU Guang-zhou. An application of bone augmentation technology in dental implant[J]. China J Oral Maxillofac Surg, 2018, 16(6): 553-558.

参考文献

[1] Sakkas A, Wilde F, Heufelder M, et al.Autogenous bone grafts in oral implantology-is it still a "gold standard"? A consecutive review of 279 patients with 456 clinical procedures[J]. Int J Implant Dent, 2017, 3(1): 23-39.
[2] Aludden HC, Mordenfeld A, Hallman M, et al.Lateral ridge augmentation with Bio-Oss alone or Bio-Oss mixed with particulate autogenous bone graft: a systematic review[J]. Int J Oral Maxillofac Surg, 2017, 46(8): 1030-1038.
[3] Mangano C, Sinjari B, Shibli JA, et al.A human clinical, histological, histomorphometrical, and radiographical study on biphasic HA‐Beta‐TCP 30/70 in maxillary sinus augmentation[J]. Clin Implant Dent Relat Res, 2013, 17(3): 610-618.
[4] Hämmerle CH, Jung RE, Yaman D, et al.Ridge augmentation by applying bioresorbable membranes and deproteinized bovine bone mineral: a report of twelve consecutive cases[J]. Clin Oral Implants Res, 2008, 19(1): 19-25.
[5] Nkenke E, Neukam FW.Autogenous bone harvesting and grafting in advanced jaw resorption: morbidity, resorption and implant survival[J]. Eur J Oral Implantol, 2014, 7(Suppl 2): S203-217.
[6] Ersanli S, Arisan V, Bedeloglu E.Evaluation of the autogenous bone block transfer for dental implant placement: Symphysal or ramus harvesting?[J]. BMC Oral Health, 2016, 16(1): 1-8.
[7] Omara M, Abdelwahed N, Ahmed M, et al.Simultaneous implant placement with ridge augmentation using an autogenous bone ring transplant[J]. Int J Oral Maxillofac Surg, 2016, 45(4): 535-544.
[8] Fretwurst T, Nack C, Alghrairi M, et al.Long-term retrospective evaluation of the peri-implant bone level in onlay grafted patients with iliac bone from the anterior superior iliac crest[J]. J Craniomaxillofac Surg, 2015, 43(6): 956-960.
[9] Chiapasco M, Casentini P, Zaniboni M.Implants in reconstructed bone: a comparative study on the outcome of Straumann tissue level and bone level implants placed in vertically deficient alveolar ridges treated by means of autogenous onlay bone grafts[J]. Clin Implant Dent Relat Res, 2014, 16(1): 32-50.
[10] Xue J, He M, Niu Y, et al.Preparation and in vivo efficient anti-infection property of GTR/GBR implant made by metronidazole loaded electrospun polycaprolactone nanofiber membrane[J]. Int J Pharm, 2014, 475(1-2): 566-577.
[11] Dahlin C, Andersson L, Linde A.Bone augmentation at fenestrated implants by an osteopromotive membrane technique. A controlled clinical study[J]. Clin Oral Implants Res, 1991, 2(4): 159-165.
[12] Simion M, Jovanovic SA, Trisi P, et al.Vertical ridge augmentation around dental implants using a membrane technique and autogenous bone or allografts in humans[J]. Int J Periodontics Restorative Dent, 1998, 18(1): 8-23.
[13] Kay SA, Wisnerlynch L, Marxer M, et al.Guided bone regeneration: integration of a resorbable membrane and a bone graft material[J]. Pract Periodontics Aesthet Dent, 1997, 9(2): 185-194.
[14] Jung RE, Fenner N, Hämmerle CH, et al.Long-term outcome of implants placed with guided bone regeneration (GBR) using resorbable and nonresorbable membranes after 12-14 year[J]. Clin Oral Implants Res, 2013, 24(10): 1065-1073.
[15] Sumida T, Otawa N, Kamata YU, et al.Custom-made titanium devices as membranes for bone augmentation in implant treatment: Clinical application and the comparison with conventional titanium mesh[J]. J Craniomaxillofac Surg, 2015, 43(10): 2183-2188.
[16] Schmitt C, Lutz R, Doering H, et al.Bio-Oss blocks combined with BMP-2 and VEGF for the regeneration of bony defects and vertical augmentation[J]. Clin Oral Implants Res, 2013, 24(4): 450-460.
[17] Cortese A, Pantaleo G, Amato M, et al.Platelet-rich fibrin (PRF) in implants dentistry in combination with new bone regenerative flapless technique: evolution of the technique and final results[J]. Open Med (Wars), 2017, 12(1): 24-32.
[18] Draenert FG, Huetzen D, Neff A, et al.Vertical bone augmentation procedures: basics and techniques in dental implantology[J]. J Biomed Mater Res A, 2014, 102(5): 1605-1613.
[19] Grunder U, Gracis S, Capelli M.Influence of the 3-D bone-to-implant relationship on esthetics[J]. Int J Periodontics Restorative Dent, 2005, 25(2): 113-119.
[20] Scipioni A, Bruschi GB, Calesini G.The edentulous ridge expansion technique: a five-year study[J]. Int J Periodontics Restorative Dent, 1994, 14(5): 451-459.
[21] Bravi F, Bruschi GB, Ferrini F.A 10-year multicenter retrospective clinical study of 1715 implantsplaced with the edentulous ridge expansion technique[J]. Int J Periodontics Restorative Dent, 2007, 27(6): 557-565.
[22] González-García R, Monje F, Moreno C.Alveolar split osteotomy for the treatment of the severe narrow ridge maxillary atrophy: a modified technique[J]. Int J Oral Maxillofac Surg, 2011, 40(1): 57-64.
[23] 陈广华, 栾明亮, 董凯丽, 等. 骨劈开技术在上颌前牙区种植的临床效果观察[J]. 口腔医学, 2012, 32(11): 695-697.
[24] 张辉秋, 孙连碧, 蒋剑晖. 骨劈开术在口腔种植骨增量中的应用[J]. 临床军医杂志, 2012, 40(5): 1178-1180.
[25] Simion M, Baldoni M, Zaffe D.Jawbone enlargement using immediate implant placement associated with a split-crest technique and guided tissue regeneration[J]. Int J Periodontics Restorative Dent, 1992, 12(6): 462-473.
[26] Cha MS, Lee JH, Lee SW, et al.Horizontal ridge augmentation with piezoelectric hinge-assisted ridge split technique in the atrophic posterior mandible[J]. Maxillofac Plast Reconstr Surg, 2014, 36(3): 124-130.
[27] Vercellotti T.Piezoelectric surgery in implantology: a case report-a new piezoelectric ridge expansion technique[J]. Int J Periodontics Restorative Dent, 2000, 20(4): 358-365.
[28] Anitua E, Begoña L, Orive G.Clinical evaluation of split-crest technique with ultrasonic bone surgery for narrow ridge expansion: status of soft and hard tissues and implant success[J]. Clin Implant Dent Relat Res, 2013, 15(2): 176-187.
[29] Sharan A, Madjar D.Maxillary sinus pneumatization following extractions: a radiographic study[J]. Int J Oral Maxillofac Implants, 2008, 23(1): 48-56.
[30] Sun Z, Herring SW, Tee BC, et al.Alveolar ridge reduction after tooth extraction in adolescents: an animal study[J]. Arch Oral Biol, 2013, 58(7): 813-825.
[31] Tatum H Jr.Maxillary and sinus implant reconstructions[J]. Dent Clin North Am, 1986, 30(2): 207-229.
[32] Summers RB. The osteotome technique: Part3 -Less invasive methods in elevating the sinus floor[J]. Compendium, 1994, 15(6): 698, 700, 702-704, 710.
[33] Jensen OT, Shulman LB, Block MS, et al.Report of the sinus consensus conference of 1996[J]. Int J Oral Maxillofac Implants, 1998, 13(Suppl): 11-45.
[34] Lundgren S, Andersson S, Sennerby L.Spontaneous bone formation in the maxillary sinus after removal of a cyst: coincidence or consequence?[J]. Clin Implant Dent Relat Res, 2003, 5(2): 78-81.
[35] Cara-Fuentes M, Machuca-Ariza J, Ruiz-Martos A, et al.Long-term outcome of dental implants after maxillary augmentation with and without bone grafting[J]. Med Oral Patol Oral Cir Bucal, 2016, 21(2): e229-e235.
[36] Bassi AP, Pioto R, Faverani LP, et al.Maxillary sinus lift without grafting, and simultaneous implant placement: a prospective clinical study with a 51-month follow-up[J]. Int J Oral Maxillofac Surg, 2015, 44(7): 902-907.
[37] Del Fabbro M, Rosano G, Taschieri S.Implant survival rates after maxillary sinus augmentation[J]. Eur J Oral Sci, 2008, 116(6): 497-506.
[38] Pommer B, Watzek G.Gel-pressure technique for flapless transcrestal maxillary sinus floor elevation: a preliminary cadaveric study of a new surgical technique[J]. Int J Oral Maxillofac Implants, 2009, 24(5): 817-822.
[39] Garbacea A, Lozada JL, Church CA, et al.The incidence of maxillary sinus membrane perforation during endoscopically assessed crestal sinus floor elevation: a pilot study[J]. J Oral Implantol, 2012, 38(4): 345-359.
[40] Vercellotti T, De Paoli S, Nevins M.The piezoelectric bony window osteotomy and sinus membrane elevation: introduction of a new technique for simplification of the sinus augmentation procedure[J]. Int J Periodontics Restorative Dent, 2001, 21(6): 561-567.
[41] Davies JE.Understanding peri-implant endosseous healing[J]. J Dent Educ, 2003, 67(8): 932-949.
[42] Summer RB. A new concept in maxillary implant surgery: the osteotome technique [J]. Compendium, 1994, 15(2): 152, 154-156.
[43] Summers RB. The osteotome technique: Part 2-The ridge expansion osteotomy (REO) procedure [J]. Compendium, 1994, 15(4): 422, 424, 426.
[44] Markovic A, Calasan D, Colic S, et al.Implant stability in posterior maxilla: bone-condensing versus bone-drilling: a clinical study[J]. Oral Surg Oral Med Oral Pathol Oral Radiol Endod, 2011, 112(5): 557-563.
[45] Santagata M, Guariniello L, D'Amato S, et al. Augmentation of atrophic posterior maxilla by short implants and osteotome technique[J]. Stomatologija, 2012, 14(3): 85-88.
[46] Padmanabhan TV, Gupta RK.Comparison of crestal bone loss and implant stability among the implants placed with conventional procedure and using osteotome technique: a clinical study[J]. J Oral Implantol, 2010, 36(6): 475-483.
[47] Gaggl A, Schultes G, Kärcher H.Distraction implants-a new possibility for augmentative treatment of the edentulous atrophic mandible: case report[J]. Br J Oral Maxillofac Surg, 1999, 37(6): 481-485.
[48] 林野, 王兴, 李健慧, 等. 牙槽骨垂直牵引成骨种植术的临床研究[J]. 中华口腔医学杂志, 2002, 37(4): 253-256.
[49] 王兴, 林野, 伊彪, 等. 内置式颌骨牵引成骨的系列临床和实验研究[J]. 北京大学学报(医学版), 2002, 34(5): 590-593.
[50] Saulacic N, Iizuka T, Martin MS, et al.Alveolar distraction osteogenesis: a systematic review[J]. Int J Oral Maxillofac Surg, 2008, 37(1): 1-7.
[51] Sezer B, Koyuncu BÖ, Günbay T, et al.Alveolar distraction osteogenesis in the human mandible: a clinical and histomorphometric study[J]. Implant Dent, 2012, 21(4): 317-322.
[52] Shibuya Y, Takata N, Ishida S, et al.Prevention of lingual inclination of the transport segment in vertical distraction osteogenesis in the mandible[J]. Implant Dent, 2012, 21(5): 374-378.
[53] Aizenbud D, Hazan-Molina H, Cohen M, et al.Combined orthodontic temporary anchorage devices and surgical management of the alveolar ridge augmentation using distraction osteogenesis[J]. J Oral Maxillofac Surg, 2012, 70(8): 1815-1826.