上前牙区复杂牙槽骨缺损重建的研究进展——牙槽骨缺损重建
Research Progress in Reconstruction of Complex Alveolar Bone Defects in the Anterior Maxillary Region—Reconstruction of Alveolar Bone Defects
DOI: 10.12677/acm.2024.1451504, PDF,    科研立项经费支持
作者: 邹节娟：重庆医科大学附属口腔医院，重庆；口腔疾病与生物医学重庆市重点实验室，重庆；重庆市高校市级口腔生物医学工程重点实验，重庆；重庆市铜梁区中医院口腔科，重庆；龙 海：重庆市铜梁区人民医院口腔科，重庆；黄元丁*：重庆医科大学附属口腔医院，重庆；口腔疾病与生物医学重庆市重点实验室，重庆；重庆市高校市级口腔生物医学工程重点实验，重庆
关键词: 上前牙区；牙槽骨缺损；3D打印个体化钛网；自体骨环；Anterior Maxillary Region； Alveolar Bone Defect； 3D Printed Individualised Titanium Mesh； Autologous Bone Ring
摘要: 上前牙区因为自身解剖和生理特点，常常出现复杂牙槽骨缺损。本文通过对3D打印个体化钛网(3D Printed Individualized Titanium Mesh, 3D-PITM) GBR和自体骨环技术在复杂牙槽骨缺损重建的临床文献回顾，结合上前牙区的特点，分析两种技术的优势及需要引起注意的地方。对比其他材料及骨增量方式在上前牙区运用的条件，为美学区骨增量提供更为科学、有效的技术方法和理论依据。并展望上前牙区牙槽骨缺损重建的未来。
Abstract: Because of the anatomical and physiological characteristics, complex alveolar bone defects often occur in the anterior maxillary region. In this paper, the clinical literatures on 3D Printed Individualized Titanium Mesh (3D-PITM) GBR and autologous bone ring techniques of the reconstruction of complex alveolar bone defects were reviewed. The advantages of the two techniques and the situations requiring attention are analyzed in relation to the characteristics of the anterior maxillary region. The limitations of other materials and bone augmentation methods used in the anterior maxillary region are also compared to provide a more scientific and effective technical method and theoretical basis for bone grafting in the aesthetic zone. The future of reconstruction of alveolar bone defects in the anterior maxillary region is being looked forward to.
文章引用：邹节娟, 龙海, 黄元丁. 上前牙区复杂牙槽骨缺损重建的研究进展——牙槽骨缺损重建[J]. 临床医学进展, 2024, 14(5): 893-900. https://doi.org/10.12677/acm.2024.1451504

参考文献

[1] Nan, X., Wang, C., Li, L., et al. (2023) Application of Three-Dimensional Printing Individualized Titanium Mesh in Alveolar Bone Defects with Different Terheyden Classifications: A Retrospective Case Series Study. Clinical Oral Implants Research, 34, 639-650. [Google Scholar] [CrossRef] [PubMed]
[2] Urban, I., Montero, E., Sanz-Sánchez, I., et al. (2023) Minimal Invasiveness in Vertical Ridge Augmentation. Periodontology 2000, 91, 126-144. [Google Scholar] [CrossRef] [PubMed]
[3] 袁帅, 陈陶, 李帝泽, 黄元丁, 等. 三维打印个性化钛网在美学区牙槽骨缺损骨增量中应用的效果评估[J]. 中华口腔医学杂志, 2020, 55(11): 878-884.
[4] 张俸齐. 3D打印个性化钛网用于上颌前牙区牙槽嵴缺损修复的研究[D]: [硕士学位论文]. 大连: 大连医科大学, 2022.
[5] Yang, Z., Liang, Q., Lu, H., et al. (2021) Clinical Outcomes of Alveolar Ridge Augmentation with in Situ Autogenous Block Bone: A Retrospective Review. The International Journal of Oral & Maxillofacial Implants, 36, 1008-1015. [Google Scholar] [CrossRef] [PubMed]
[6] Yuan, S., Mu, Z., Huang, Y., et al. (2020) Comparison of In-Situ Bone Ring Technique and Tent-Pole Technique for Horizontally Deficient Alveolar Ridge in the Anterior Maxilla. Clinical Implant Dentistry and Related Research, 22, 167-176. [Google Scholar] [CrossRef] [PubMed]
[7] Gelețu, G.L., Burlacu, A., Murariu, A., et al. (2022) Customized 3D-Printed Titanium Mesh Developed for an Aesthetic Zone to Regenerate a Complex Bone Defect Resulting after a Deficient Odontectomy: A Case Report. Medicina, 58, Article 1192. [Google Scholar] [CrossRef] [PubMed]
[8] 丁永, 王佐林. Bio-Oss参与天然骨重建机制研究进展及应用现状[J]. 口腔颌面外科杂志, 2007, 17(1): 102-105.
[9] 王慧明. 骨增量技术在牙槽骨严重缺损再造复合种植修复中的应用[J]. 中国口腔种植学杂志, 2013, 18(2): 62.
[10] 邱蔚六. 口腔颌面外科学[M]. 第6版. 北京: 人民卫生出版社, 2011: 175.
[11] Jain, A. and Baliga, S. (2015) Rehabilitation of Avulsed Teeth in Fractured Jaws via Bone Grafting and Implant Placement: Report of Two Cases. Journal of Dentistry, 12, 542-549.
[12] 孙兆泽. IL-10/Sema3A双转染BMSCs的抑炎及促成骨分化作用及机制研究[D]: [硕士学位论文]. 济南: 山东大学, 2021.
[13] Chen, M.-H., Wang, Y.-H., Sun, B.-J., et al. (2021) HIF-1α Activator DMOG Inhibits Alveolar Bone Resorption in Murine Periodontitis by Regulating Macrophage Polarization. International Immunopharmacology, 99, Article 107901. [Google Scholar] [CrossRef] [PubMed]
[14] Cawood, J.I. and Howell, R.A. (1988) A Classification of the Edentulous Jaws. International Journal of Oral and Maxillofacial Surgery, 17, 232-236. [Google Scholar] [CrossRef] 
[15] Cordaro, L. and Terheyden, H. (2019) Ridge Augmentation Procedures in Implant Patients: A Staged Approach. Quintessenz Verlag, Berlin.
[16] Cicciù, M., Pratella, U., Fiorillo, L., et al. (2023) Influence of Buccal and Palatal Bone Thickness on Post-Surgical Marginal Bone Changes Around Implants Placed in Posterior Maxilla: A Multi-Centre Prospective Study. BMC Oral Health, 23, Article 309. [Google Scholar] [CrossRef] [PubMed]
[17] Bai, L., Ji, P., Li, X., et al. (2019) Mechanical Characterization of 3D-Printed Individualized Ti-Mesh (Membrane) for Alveolar Bone Defects. Journal of Healthcare Engineering, 2019, Article ID: 423187. [Google Scholar] [CrossRef] [PubMed]
[18] Li, L., Wang, C., Li, X., et al. (2021) Research on the Dimensional Accuracy of Customized Bone Augmentation Combined with 3D-Printing Individualized Titanium Mesh: A Retrospective Case Series Study. Clinical Implant Dentistry and Related Research, 23, 5-18. [Google Scholar] [CrossRef] [PubMed]
[19] Xie, Y., Li, S., Zhang, T., et al. (2020) Titanium Mesh for Bone Augmentation in Oral Implantology: Current Application and Progress. International Journal of Oral Science, 12, Article No. 37. [Google Scholar] [CrossRef] [PubMed]
[20] Seiler, M., Peetz, M., Hartmann, A., et al. (2018) Individualized CAD/CAM-Produced Titanium Scaffolds for Alveolar Bone Augmentation: A Retrospective Analysis of Dehiscence Events in Relation to Demographic and Surgical Parameters. Journal of Oral Science & Rehabilitation, 4, 38-46.
[21] Chiapasco, M., Casentini, P., Tommasato, G., et al. (2021) Customized CAD/CAM Titanium Meshes for the Guided Bone Regeneration of Severe Alveolar Ridge Defects: Preliminary Results of a Retrospective Clinical Study in Humans. Clinical Oral Implants Research, 32, 498-510. [Google Scholar] [CrossRef] [PubMed]
[22] Ciocca, L., Lizio, G., Baldissara, P., et al. (2018) Prosthetically CAD-CAM-Guided Bone Augmentation of Atrophic Jaws Using Customized Titanium Mesh: Preliminary Results of an Open Prospective Study. The Journal of Oral Implantology, 44, 131-137. [Google Scholar] [CrossRef] 
[23] Cucchi, A., Bianchi, A., Calamai, P., et al. (2020) Clinical and Volumetric Outcomes after Vertical Ridge Augmentation Using Computer-Aided-Design/Computer-Aided Manufacturing (CAD/CAM) Customized Titanium Meshes: A Pilot Study. BMC Oral Health, 20, Article No. 219. [Google Scholar] [CrossRef] [PubMed]
[24] Dellavia, C., Canciani, E., Pellegrini, G., et al. (2021) Histological Assessment of Mandibular Bone Tissue after Guided Bone Regeneration with Customized Computer-Aided Design/Computer-Assisted Manufacture Titanium Mesh in Humans: A Cohort Study. Clinical Implant Dentistry and Related Research, 23, 600-611. [Google Scholar] [CrossRef] [PubMed]
[25] Majewski, P. (2022) The Ti-Mesh Technique: Guided Bone Regeneration for Three-Dimensional Augmentations. Clinical Aspects: A Case Series. The International Journal of Periodontics & Restorative Dentistry, 42, 145-153. [Google Scholar] [CrossRef] [PubMed]
[26] Lizio, G., Pellegrino, G., Corinaldesi, G., et al. (2022) Guided Bone Regeneration Using Titanium Mesh to Augment 3-Dimensional Alveolar Defects Prior to Implant Placement. A Pilot Study. Clinical Oral Implants Research, 33, 607-621. [Google Scholar] [CrossRef] [PubMed]
[27] Hofferber, C.E., Beck, J.C., Liacouras, P.C., et al. (2020) Volumetric Changes in Edentulous Alveolar Ridge Sites Utilizing Guided Bone Regeneration and a Custom Titanium Ridge Augmentation Matrix (CTRAM): A Case Series Study. International Journal of Implant Dentistry, 6, Article No. 83. [Google Scholar] [CrossRef] [PubMed]
[28] Atef, M., Tarek, A., Shaheen, M., et al. (2020) Horizontal Ridge Augmentation Using Native Collagen Membrane vs Titanium Mesh in Atrophic Maxillary Ridges: Randomized Clinical Trial. Clinical Implant Dentistry and Related Research, 22, 156-166. [Google Scholar] [CrossRef] [PubMed]
[29] Hartmann, A., Hildebrandt, H., Younan, Z., et al. (2022) Long-Term Results in Three-Dimensional, Complex Bone Augmentation Procedures with Customized Titanium Meshes. Clinical Oral Implants Research, 33, 1171-1181. [Google Scholar] [CrossRef] [PubMed]
[30] Poli, P.P., Beretta, M., Cicciù, M., et al. (2014) Alveolar Ridge Augmentation with Titanium Mesh. A Retrospective Clinical Study. The Open Dentistry Journal, 8, 148-158. [Google Scholar] [CrossRef] [PubMed]
[31] Zhou, M., Li, S.-Y., Terheyden, H., et al. (2018) Particulate Coral Hydroxyapatite Sheltered by Titanium Mesh for Localized Alveolar Rehabilitation after Onlay Graft Failure: A Case Report. The Journal of Oral Implantology, 44, 147-152. [Google Scholar] [CrossRef] 
[32] Zhou, L., Su, Y., Wang, J., et al. (2022) Effect of Exposure Rates with Customized versus Conventional Titanium Mesh on Guided Bone Regeneration: Systematic Review and Meta-Analysis. The Journal of Oral Implantology, 48, 339-346. [Google Scholar] [CrossRef] 
[33] Hartmann, A. and Seiler, M. (2020) Minimizing Risk of Customized Titanium Mesh Exposures—A Retrospective Analysis. BMC Oral Health, 20, Article No. 36. [Google Scholar] [CrossRef] [PubMed]
[34] Hartmann, A., Hildebrandt, H., Schmohl, J.U., et al. (2019) Evaluation of Risk Parameters in Bone Regeneration Using a Customized Titanium Mesh: Results of a Clinical Study. Implant Dentistry, 28, 543-550. [Google Scholar] [CrossRef] 
[35] Sumida, T., Otawa, N., Kamata, Y.U., et al. (2015) Custom-Made Titanium Devices as Membranes for Bone Augmentation in Implant Treatment: Clinical Application and the Comparison with Conventional Titanium Mesh. Journal of Cranio-Maxillo-Facial Surgery, 43, 2183-2188. [Google Scholar] [CrossRef] [PubMed]
[36] Jeng, M.D. and Chiang, C.P. (2020) Autogenous Bone Grafts and Titanium Mesh-Guided Alveolar Ridge Augmentation for Dental Implantation. Journal of Dental Sciences, 15, 243-248. [Google Scholar] [CrossRef] [PubMed]
[37] 李林芝, 陈丹, 黄元丁, 等. 三维打印个性化钛网联合引导骨再生术修复牙槽骨缺损的临床初探[J]. 中华口腔医学杂志, 2019, 54(9): 623-627.
[38] Seiler, M., Kämmerer, P.W., Peetz, M., et al. (2018) Customized Lattice Structure in Reconstruction of Three-Dimensional Alveolar Defects. International Journal of Computerized Dentistry, 21, 261-267.
[39] Sagheb, K., Schiegnitz, E., Moergel, M., et al. (2017) Clinical Outcome of Alveolar Ridge Augmentation with Individualized CAD-CAM-Produced Titanium Mesh. International Journal of Implant Dentistry, 3, Article No. 36. [Google Scholar] [CrossRef] [PubMed]
[40] Stevens, M.R., Emam, H.A., Alaily, M.E., et al. (2010) Implant Bone Rings. One-Stage Three-Dimensional Bone Transplant Technique: A Case Report. Journal of Oral Implantology, 36, 69-74. [Google Scholar] [CrossRef] 
[41] 汪媛婧, 欧国敏. 骨环技术在口腔种植中应用研究进展[J]. 中国实用口腔科杂志, 2023, 16(4): 493-497.
[42] Nkenke, E. and Neukam, F.W. (2014) Autogenous Bone Harvesting and Grafting in Advanced Jaw Resorption: Morbidity, Resorption and Implant Survival. European Journal of Oral Implantology, 7, S203-S217.
[43] Misch, C.M. (2011) Maxillary Autogenous Bone Grafting. Oral and Maxillofacial Surgery Clinics of North America, 23, 229-238. [Google Scholar] [CrossRef] [PubMed]
[44] Omara, M., Abdelwahed, N., Ahmed, M., et al. (2016) Simultaneous Implant Placement with Ridge Augmentation Using an Autogenous Bone Ring Transplant. International Journal of Oral and Maxillofacial Surgery, 45, 535-544. [Google Scholar] [CrossRef] [PubMed]
[45] Chandra, R.V., Shivateja, K. and Reddy, A.A. (2019) Autogenous Bone Ring Transplant vs Autologous Growth Factor-Enriched Bone Graft Matrix in Extraction Sockets with Deficient Buccal Bone: A Comparative Clinical Study. The International Journal of Oral & Maxillofacial Implants, 34, 1424-1433. [Google Scholar] [CrossRef] [PubMed]
[46] Nyström, E., Ahlqvist, J., Kahnberg, K.-E., et al. (1996) Autogenous Onlay Bone Grafts Fixed with Screw Implants for the Treatment of Severely Resorbed Maxillae. Radiographic Evaluation of Preoperative Bone Dimensions, Postoperative Bone Loss, and Changes in Soft-Tissue Profile. International Journal of Oral and Maxillofacial Surgery, 25, 351-359. [Google Scholar] [CrossRef] 
[47] Clavero, J. and Lundgren, S. (2003) Ramus or Chin Grafts for Maxillary Sinus Inlay and Local Onlay Augmentation: Comparison of Donor Site Morbidity and Complications. Clinical Implant Dentistry and Related Research, 5, 154-160. [Google Scholar] [CrossRef] [PubMed]
[48] Wang, J., Luo, Y. and Qu, Y., et al. (2022) Horizontal Ridge Augmentation in the Anterior Maxilla with in situ Onlay Bone Grafting: A Retrospective Cohort Study. Clinical Oral Investigations, 26, 5893-5908. [Google Scholar] [CrossRef] [PubMed]
[49] Najeeb, S., Zafar, M.S., Khurshid, Z., et al. (2016) Applications of Polyetheretherketone (PEEK) in Oral Implantology and Prosthodontics. Journal of Prosthodontic Research, 60, 12-19. [Google Scholar] [CrossRef] [PubMed]
[50] Giesenhagen, B., Martin, N., Donkiewicz, P., et al. (2018) Vertical Bone Augmentation in a Single-Tooth Gap with an Allogenic Bone Ring: Clinical Considerations. Journal of Esthetic and Restorative Dentistry, 30, 480-483. [Google Scholar] [CrossRef] [PubMed]
[51] Li, J., Li, W., Kong, M., et al. (2023) Self-Healing Hybrid Hydrogels with Sustained Bioactive Components Release for Guided Bone Regeneration. Journal of Nanobiotechnology, 21, Article No. 62. [Google Scholar] [CrossRef] [PubMed]
[52] Jinno, Y., Jimbo, R., Lindström, M., et al. (2018) Vertical Bone Augmentation Using Ring Technique with Three Different Materials in the Sheep Mandible Bone. The International Journal of Oral & Maxillofacial Implants, 33, 1057-1063. [Google Scholar] [CrossRef] [PubMed]

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