- 期刊
Horizontal Ridge Augmentation Combining Guided Bone Regeneration (GBR) with the Tenting Screw Technique: Three Case Reports
合併引導骨再生術及帳釘法於水平齒槽骨增進術：三病例報告
摘要
Successful dental implant and related supportative restoration at edentulous sites depends on the quality and quantity of alveolar bone used. Prosthetic guided implant surgery requires adequate ridge dimensions that allow implant placement at the correct position. Several surgical techniques had been used, either alone or in combination with natural or synthetic grafts. In order to achieve ridge augmentation. One of the crucial factors needed for an augmentation procedure to be successful is space making and its maintenance. This article discusses space making and its maintenance by means of tenting screws that are used in conjunction with bone allografts and resorbable barrier membranes. The aim of these surgical modalities to ensure a successful outcome to the guided bone regeneration (GBR) that enables implants to be place in optimal positions. Three cases are presented to illustrate the utilization and effects of tenting screws during the treatment of narrow ridges. The increase in ridge width was evaluated using cross sectional images obtained by cone beam computed tomography (CBCT) before and after GBR. Future studies incorporating more subjects are needed to clearly define the detailed effects of novel technique.
並列摘要
無牙區的植牙補綴物成功與否取決於是否有足夠齒槽骨之質與量。為了使植牙置放於適當位置，以補綴為導向的植牙手術需要足夠齒槽嵴寬度。許多手術方式，包含單獨或合併使用自體材料或合成材料，皆可成功增加齒槽嵴外形。而齒槽嵴增進手術成功關鍵因素之一在於空間製造與維持。本文探討使用帳釘法合併同種異體骨以及可吸收再生膜作為空間製造與維持。此種治療模式可確保引導骨再生手術的品質，以利植牙能夠置放在理想的位置。文中三個病例利用帳釘法治療狹窄齒槽嵴，而且藉由手術前後的電腦斷層橫切面評估齒槽嵴寬度增加的量。不過此種治療模式尚需更多受試對象來確認術後效果。