中国口腔颌面外科杂志

中国口腔颌面外科杂志 ›› 2021, Vol. 19 ›› Issue (1): 1-5.doi: 10.19438/j.cjoms.2021.01.001

• 临床指南 • 上一篇    下一篇

帐篷钉技术在牙槽骨修复与再生中的临床应用及操作规范

邹多宏1, 刘昌奎2, 薛洋3, 胡开进3, 杨驰1, 张志愿1   

  1. 1.上海交通大学医学院附属第九人民医院·口腔医学院 口腔外科,国家口腔疾病临床医学研究中心, 上海市口腔医学重点实验室,上海市口腔医学研究所,中国医学科学院口腔颌面再生医学创新单元, 上海 200011;
    2.西安医学院 口腔医学院,陕西 西安 710021;
    3.空军军医大学附属口腔医院 口腔外科,陕西 西安 710032
  • 收稿日期:2020-10-22 修回日期:2020-11-11 出版日期:2021-01-20 发布日期:2021-02-19
  • 通讯作者: 邹多宏,E-mail: zdhyy@ahmu.edu.cn
  • 作者简介:邹多宏（1977-）,男,博士后,教授、博士研究生导师
  • 基金资助:
    国家自然科学基金（31870969）; 中国医学科学院医学与健康科技创新工程项目资助（2019-I2M-5-037）; 上海交通大学医学院“双百人”人才计划（20191816）

Clinical application of Tent-Peg technique in the reparation and regeneration of alveolar bone-standard operational practice

ZOU Duo-hong1, LIU Chang-kui2, XUE Yang3, HU Kai-jin3, YANG Chi1, ZHNAG Zhi-yuan1   

  1. 1. Department of Oral Surgery, Shanghai Ninth People's Hospital, College of Stomatology, Shanghai Jiao Tong University School of Medicine; National Clinical Research Center for Oral Diseases, Shanghai Key Laboratory of Stomatology & Shanghai Research Institute of Stomatology, Research Unit of Oral and Maxillofacial Regenerative Medicine, Chinese Academy of Medical Sciences. Shanghai 200011;
    2. College of Stomatology, Xi'an Medical University. Xi'an 710021, Shaanxi Province;
    3. Department of Oral Surgery, School of Stomatology, Airforce Military Medical University. Xi'an 710032, Shanaxi Province, China
  • Received:2020-10-22 Revised:2020-11-11 Online:2021-01-20 Published:2021-02-19

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摘要： 牙槽骨是牙医学的基础,牙槽骨缺损的修复与再生和口腔种植、口腔正畸、牙周及口腔修复等亚专业学科关系密切。因此,对牙槽骨进行有效的修复与重建具有重要的临床意义和社会效益。随着引导骨再生（guide bone regeneration,GBR）技术的发展,基于以“稳定为核心”的牙槽骨修复与再生理念,一种全新的骨增量技术快速发展,且在临床上获得了有效验证,即基于帐篷钉技术的骨增量方案。该技术具有技术敏感性低、操作简单、手术时间短及费用低等特点。另外,可以单纯应用生物医用材料,在不需要自体骨参与的情况下完成牙槽骨严重缺损的修复与再生。因此,该项技术获得了越来越多医师和患者的青睐。但目前广大医师对如何正确将其有效用于临床仍面临诸多困难,如正规手术操作流程、帐篷钉放置的位置及方向、放置可吸收生物膜与放帐篷钉的顺序以及安放配钉的位点等。鉴于此,本项目组基于临床手术操作流程,撰写了帐篷钉技术在牙槽骨修复与再生中临床应用操作规范,旨在为广大口腔医师在应用该项技术时提供一定的参考和依据,并对其临床推广应用起到积极作用。

关键词: 帐篷钉技术, 牙槽骨缺损, 引导骨再生技术, 修复与再生, 规范化操作

Abstract: ] Alveolar bone is the foundation of dentology. The reparation and regeneration of alveolar bone defects have strong relationship with sub-disciplines including implant dentistry, orthodontics, periodontology and prosthodontics. Therefore, the effective methods of repairing and reconstructing alveolar bone have important clinical significance and great social benefits. With the development of guide bone regeneration (GBR) technique and advent of alveolar bone regeneration based on stability centered concept, an entirely new bone augmentation approach based on Tent-Peg technique developed rapidly and was validated in clinical practices. The technique is characterized by low technique sensitivity, simple operation procedure, short operation time and low costs. Furthermore, alveolar bone regeneration based on this technique can be achieved with just artificial biomaterials instead of autogenous bone grafts. In conjunction with its advantages, Tent-Peg technique is increasingly favored and valued by patients and clinicians. However, clinicians still face many difficulties achieving effectively clinical application of this technique, including standard operation practice, right position of the Tent-Peg, proper orientation of the pegs and right order of placing GBR membrane and Tent-Peg. Our team established standard operation practice of Tent-Peg technique for alveolar bone regeneration based on clinical practice. We hope that this article will provide a reference and basis for clinicians when applying this technique for alveolar bone regeneration, popularize the clinical application of this technique and finally offer practical help to patients suffering from alveolar bone defects.

Key words: Tent-Peg technique, Alveolar bone defects, Guide bone regeneration, Reparation and regeneration, Standard operational practices

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