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題名 | Guided Bone Regeneration for Fenestration Defects in Dental Implants=牙科植體周圍骨開窗之引導骨增生術 |
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作者 | 葉惠津; 徐光蔚; Yeh, Hwey-chin; Hsu, Kuang-wei; |
期刊 | 長庚醫學 |
出版日期 | 20030900 |
卷期 | 26:9 2003.09[民92.09] |
頁次 | 頁684-689 |
分類號 | 416.96 |
語文 | eng |
關鍵詞 | 引導骨增生術; 增生膜; 不可吸收; 同種異質移植體; 脫鈣冷凍乾燥骨粉; Guided bone regeneration; Membrane; Non-resorbable; Allograft; Demineralized; Freezed-dried bone; |
中文摘要 | 近來,引導骨增生術已被廣泛應用於牙科植體手術中,以增加齒槽骨□高度或寬度之不足。目前已知之技術包括應用各種不同的屏障膜,如可吸收或不可吸收的增生膜等,或加以骨性替代物支撐其下之空間,以達到阻斷軟組織及引導骨性細胞生長的目的。本篇報告一例因上顎顎骨寬度不足,於種植牙科植體時發生頰側骨開窗,而以不可吸收增生膜及冷凍乾燥骨進行骨引導增生術,並於?復後追蹤兩年之結果。文末並對影響其成功之因素加以探討,增生膜的穩定性與其所能提供之空間應是決定引導骨增生成成功的重要因素。 |
英文摘要 | Guided bone regeneration has been applied in implant dentistry for increasing the width and height of the alveolar ridge in areas with insufficient bone. Various materials and techniques have been used for this purpose. It refers to a surgical procedure by which utilizing a mechanical barrier to create a secluded space around the defect to permit bone regeneration without the competition of other tissues. This report presents a case with buccal fenestrations on maxillary implant sites observed during a surgical procedure. An allograft and a non-restorable membrane were concomitantly used to increase the width of the alveolar ridge. Hard tissue regeneration was evident clinically. The implants were restored for functioning and followed for 2 years. Factors affecting outcomes are also discussed. Membrane stability and the space-making effect remain the keys to success. |
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