摘要
临床牙槽骨缺损可以采用各类骨增量材料进行修复重建,但对于骨缺损大的区域,获取和加入一定比例的自体骨是获得良好成骨预后的一个重要环节。临床制取自体骨屑的方法有很多种,包括通过手持器械如骨凿、刮骨器取骨,采用机用旋转器械如取骨环钻、超声骨刀、骨吸引收集器等。文章总结了不同取骨方法所获得自体骨的活性及成骨效能,希望为临床引导骨再生取骨时使用工具的选择提供参考,以获得最佳骨诱导效果,提高骨重建的质量。
A variety of bone substitute materials can be used to repair and reconstruct clinical alveolar bone defects,but in the site with great bony volume insufficiency,it is very important to harvest and add a certain proportion of autogenous bone particles to achieve better clinical outcomes.The approaches to gain autografts include handheld instruments such as chisels and scrapers,rotating instruments such as trephines,piezoelectric instruments,and bone filters.It remains unclear which harvesting methods can provide autografts with the greatest osteoinductive and osteogenic potential in clinical bone augmentation.This review mainly summarized surgical results of different scholars using different methods of bone extraction from different sources of autologous bone,hoping to provide a reference for the selection of tools for bone extraction during clinical guidance of bone regeneration,to obtain the best bone induction effect and improve the quality of bone reconstruction.
作者
干嘉雯
窦嘉琪
徐陈词
吴轶群
王凤
Gan Jiawen;Dou Jiaqi;Xu Chenci;Wu Yiqun;Wang Feng(College of Stomatology,Shanghai Jiao Tong University,Shanghai 200001,China;Department of Second Dental Center,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,Shanghai 200001,China;Department of Oral Implantology,Shanghai Ninth People’s Hospital,College of Stomatology,Shanghai Jiao Tong University School of Medicine,Shanghai 200001,China)
出处
《中国口腔种植学杂志》
2022年第1期58-63,共6页
Chinese Journal of Oral Implantology
关键词
引导骨再生
自体骨
细胞活性
取骨技术
Guided bone regeneration
Autogenous bone grafts
Cell viability
Bone harvesting techniques
