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- 2017
引导组织再生生物膜应用于拔牙术后牙槽骨缺损修复的临床研究
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Abstract:
摘要 目的:观察和评价引导组织再生生物膜应用于牙槽骨缺损修复的有效性和安全性。方法:采用随机、开放、平行、阳性对照(Bio-Gide可吸收生物膜)临床试验设计。主要评价指标为骨缺损部位的影像学检查,次要评价指标为:手术伤口愈合情况、排异反应、骨代谢变化、骨感染征象。安全性评价指标为不良反应发生率。结果:本临床试验共入组40例受试者,完成试验39例,脱落1例。主要有效性评价指标影像学检查有效率:试验组89.47%、对照组95.00%。次要疗效评价2组材料植入后伤口愈合时间均小于12 d,2组均无排异反应、无骨代谢变化、无骨感染征象。不良事件发生率试验组:5.00%,对照组:0.00%。结论:引导组织再生生物膜应用于拔牙术后牙槽骨缺损修复的疗效和安全性非劣效于Bio-Gide可吸收生物膜
[1] | Mardas N, Chadha V, Donos N. Alveolar ridge preservation with guided bone regeneration and a synthetic bone substitute or a bovine-derived xenograft: a randomized, controlled clinical trial [J]. Clinical Oral Implants Research, 2010, 21(7)∶688-698 |
[2] | Montero J, Mazzaglia G. Effect of Removing an Impacted Mandibular Third Molar on the Periodontal Status of the Mandibular Second Molar [J]. Journal of Oral & Maxillofacial Surgery Official Journal of the American Association of Oral & Maxillofacial Surgeons, 2011, 69(11)∶2691-2697 |
[3] | 马士卿, 张旭, 孙迎春,等.引导骨组织再生膜的研究进展[J].口腔医学研究,2016,32(3)∶308-310 |
[4] | 牟琳.Bio-gide膜与Bio-oss骨代材料在引导骨组织再生术中的应用[J].国际口腔科学杂志,2004(s1)∶156-158 |
[5] | 胡开进, 杨擎天. 微创拔牙理念及技术操作[J].国际口腔科学杂志,2011,38(3)∶249-252 |
[6] | Schropp L, Wenzel A, Kostopoulos L, et al. Bone healing and soft tissue contour changes following single-tooth extraction: a clinical and radiographic 12-month prospective study [J]. International Journal of Periodontics & Restorative Dentistry, 2003, 23(4)∶313-323 |
[7] | Zhang DZ, Xiao WL, Zhou R, et al. Evaluation of bone height and bone mineral density using cone beam computed tomography after secondary bone graft in alveolar cleft [J]. Journal of Craniofacial Surgery, 2015, 26(5)∶1463-1466 |
[8] | de Santana R B, de Mattos C M, Francischone C E, et al. Superficial topography and porosity of an absorbable barrier membrane impacts soft tissue response in guided bone regeneration [J]. Journal of Periodontology, 2010, 81(6)∶926-933 |
[9] | Tan W L, Wong T L, Wong M C, et al. A systematic review of post-extractional alveolar hard and soft tissue dimensional changes in humans [J]. Clinical Oral Implants Research, 2012, 23 Suppl 5(supplement)∶1-21 |