[1]朱 梅,孙 强,邓佳蕴,等. CGF联合骨代用品在美学区拔牙位点保存中的临床应用[J].中国美容医学,2019,(11):100-102.
　ZHU Mei,SUN Qiang,DENG Jia-yun,et al. Clinical Application of CGF Combined with Bone Substitute in the Preservation ofExtraction Site in Aesthetic Area[J].Medical Aesthetics and Beauty,2019,(11):100-102.
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 CGF联合骨代用品在美学区拔牙位点保存中的临床应用
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《中国美容医学》[ISSN:1008-6445/CN:61-1347/R]

卷:
期数:
2019年11期
页码:
100-102
栏目:
出版日期:
2019-11-05

文章信息/Info

Title:
 Clinical Application of CGF Combined with Bone Substitute in the Preservation of
Extraction Site in Aesthetic Area
文章编号:
1008-6455(2019)11-0100-03
作者:
 朱 梅1; 孙 强1; 邓佳蕴1; 张 杰2
Author(s):
 ZHU Mei1; SUN Qiang1; DENG Jia-yun1; ZHANG Jie2
关键词:
 ; [关键词]浓缩生长因子; 骨代用品; 美学区域; 拔牙位点; 保存; 应用
Keywords:
 ; Key words: concentrated growth factor;  bone substitute;  aesthetic area;  extraction site;  preservation;  application
分类号:
R782.12
文献标志码:
A
摘要:
[摘要]目的：探讨浓缩生长因子（Concentrate growth factors,CGF）联合骨代用品在美学区拔牙位点保存中的应用。方
法：选取2016年1月-2018年1月在笔者医院接受美学区域拔牙且需行种植修复的患者52例（共52颗患牙），按随机数字表法
将患者分为实验组和对照组，每组26例。两组均采用微创拔牙法，对照组拔牙后让拔牙窝自然愈合，实验组采用CGF位点保
存联合Bio-Oss骨代用品修复。比较两组拔牙位点愈合、植骨及种植体保存情况和手术前后拔牙位点骨板高度及牙槽骨高
度。结果：实验组患者拔牙位点植骨区均愈合良好，附着龈充足，外形丰满；对照组患者拔牙位点愈合良好，但牙槽嵴呈
现不同程度的萎缩，且附着龈相对较窄。随访12个月，实验组未行植骨手术的比例明显高于对照组（P ＜0.05）。与术前比
较，术后6个月对照组腭侧、唇侧骨板高度及两组牙槽骨高度均明显减小，实验组明显大于对照组（P ＜0.05或P ＜0.01）；
实验组种植修复体牙间乳头及龈缘高度均获得良好保存。结论：拔牙同期采用CGF联合骨代用品行拔牙位点保存，可降低骨
增量手术比例，有效保存牙槽嵴顶宽度，提高术后美容效果，安全性高。

Abstract:
Abstract: Objective To investigate the application of concentrated growth factor (CGF) combined with bone substitute in the
preservation of extraction site in aesthetic area. Methods 52 patients (52 teeth) who received dental extraction in our hospital
from January 2016 to January 2018 were selected and divided into the experiment group and the control group according to the
random number table method, 26 cases in each group. Two groups were treated with minimally invasive extraction, the control
group was naturally healed after tooth extraction, the experiment group was treated with CGF site preservation and Bio-Oss
bone substitute. The situation of healing, bone graft and preservation of the implants of the extraction site, and the height of the bone
plate, the width of the alveolar bone before and after the operation between the 2 groups were compared. Results In the experiment
group, the bone grafting area of the extraction site healed well, the attachment was sufficient, and the shape was full, the extraction site
of the control group healed well, but the alveolar ridge showed different degrees of atrophy and the attachment sputum was relatively
narrow. After 12 months of follow-up, the proportion of no bone graft surgery in the experiment group was significantly higher than
that in the control group (P＜0.05). Compared with preoperative, the height of the temporal, labial bone plates and the height of
the alveolar bone significantly decreased of the 2 groups 6 months after the operation, and the experiment group was significantly
larger than the control group (P＜0.05 or P＜0.01). After 12 months of follow-up, the height of the interdental papilla and the rim
of the experiment group preserved well. Conclusion CGF combined with bone substitute in the preservation of extraction site at
simultaneous extraction of teeth can reduce the proportion of bone incremental surgery, effectively preserve the width of the alveolar
dome, improve the cosmetic effect after surgery, and have high safety.

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更新日期/Last Update: 2019-12-10