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題 名 | 運用骨成形蛋白質於提升上顎竇手術之效果=Usages of Bone Morphogenetic Proteins for Maxillary Sinus Floor Augmentation: A Literature Review |
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作 者 | 黃國光; 江正陽; 謝耀東; 沈一慶; 傅鍔; | 書刊名 | 中華民國牙周病醫學會雜誌 |
卷 期 | 4:3 1999.09[民88.09] |
頁 次 | 頁153-163 |
分類號 | 416.95 |
關鍵詞 | 上顎竇提升術; 牙科植體; 骨成形蛋白質; Sinus floor augmentation; Dental implant; Bone morphogenetic proteins; |
語 文 | 中文(Chinese) |
中文摘要 | 1975年Tatum首創上顎竇提升術以協助牙科植體手術之後,各種與該手術相關之 技巧及移植材料便不斷更新與發展。手術方面雖然大部分仍持續使用Caldwell-Luc方式, 但較低侵犯性的手術方法---如利用骨鑿植入移植骨---也逐漸被使用當中。在移植骨材料方 面,目前多利用自體移植骨(如腸骨脊),但因其危險性高,選擇利用口腔內自體移植骨單獨 或合併吸收及不可吸收性異種移植骨材也有很好的成功率。另外其他來源的移植材也都各有 不同的結果(如常用脫鈣冷凍乾燥異體移植骨或是合併氫基磷灰石材料),可惜直到目前各類 報導成功之實驗其所觀察的時間多為六個月至六年,對臨床成功之維持效果仍嫌不足。三十 年前骨成形蛋白質被發現之有促進局部新軟骨及骨生成能力,目前藉分子生物技術的進步, 已可以多量合成製造並廣泛使用於動物及臨床實臉中,由於可誘導快速且無副作用的新生骨 形成,因此骨成形蛋白質它可能是未來突破傳統上顎竇提升手術之新趨勢。 |
英文摘要 | Since the initial application of sinus floor augmentation and dental implant placement in the mid-1970s, there have been some variations in technique used and graft material applied. Although most authors continue to use the lateral wall, Caldwell-Luc approach, less invasive procedures such as the osteotome procedure for sinus elevation, graft, and implant placement have been proposed. Many authors have used iliac crest bone containing both cancellous and cortical nature. However, due to the high morbidity rate of this procedure, other donor sources are explored in this review. High success rates are shown with intraoral bone and combinations of intraoral bone with both resorbable and nonresorbable materials. Varying results are reported with demineralized freeze-dried bone, although its use in combination with hydroxyapatite seems to improve its effectiveness. All reports of clinical success are relatively short term (6 months to 6 years). Since thirty years ago, bone morphogenetic proteins have been extracted from bone to induce the local formation of new cartilage and bone when implanted at nonbony sites. The advence in molecular biology techniques, particularly recombinant DNA technology, has permitted the cloning of BMPs. It indicates that rhBMPs may provide an acceptable alternative to traditional bone grafts for maxillary sinus floor augmentation procedures. |
本系統中英文摘要資訊取自各篇刊載內容。