富血小板纤维蛋白在美学区即刻种植中的应用研究  

Application research of platelet-rich fibrin in immediate implantation in the aesthetic area

作　　者：李永丽 齐远征 焦俊杰 韩笑 王俊艳 师瑞宁 周延民[1] 赵静辉[1] Li Yongli;Qi Yuanzheng;Jiao Junjie;Han Xiao;Wang Junyan;Shi Ruining;Zhou Yanmin;Zhao Jinghui(Department of Dental Implantology,Hospital of Stomatology,Jilin University,Changchun 130021,China)

机构地区：[1]吉林大学口腔医院种植科,长春130021

出　　处：《中国口腔种植学杂志》2023年第5期310-314,共5页Chinese Journal of Oral Implantology

基　　金：吉林省自然科学基金(YDZJ202201ZYTS078)。

摘　　要：目的探讨富血小板纤维蛋白在美学区即刻种植中的临床应用价值。方法回顾性收集2021年1月至2022年1月在本院就诊的24例上颌前牙残根无法保留的病例,拔除残根同期植入种植体。将受试者随机分配成2组(每组n=12),对照组联合应用骨粉和胶原膜,试验组联合应用骨粉和富血小板纤维蛋白,引导骨再生和软组织增量,共植入了24颗种植体。结果经临床研究及随访观察发现,试验组和对照组临床结果相似,富血小板纤维蛋白在美学区即刻种植中的种植修复效果良好,种植体均获得稳定的骨结合,种植义齿行使功能良好,患者满意。结论对于美学区即刻种植病例,在严格掌握手术适应证及操作技巧的前提下,富血小板纤维蛋白能有效促进软硬组织增量,可在临床推广应用。Objective To explore the clinical application value of platelet-rich fibrin in immediate implantation in the aesthetic area.Methods 24 cases of maxillary anterior teeth that could not be retained were retrospectively collected from January 2021 to January 2022 in our hospital.The residual roots were removed,and implants were placed at the same time.The subjects were randomly assigned to two groups(n=12).The control group received a combination of bone substitute and collagen membrane,while the experimental group received a combination of bone substitute and platelet-rich fibrin to guide bone regeneration and soft tissue augmentation.A total of 24 implants were implanted.Results Through clinical research and follow-up observation,the clinical results of the experimental group and the control group were similar.The effect of platelet-rich fibrin in immediate implantation in the aesthetic area was good.The implants had achieved stable osseointegration,the implant dentures had good function,and the patients were satisfied.Conclusion For immediate implantation cases in aesthetic areas,under the premise of strict grasp of surgical indications and operation skills,platelet-rich fibrin can effectively promote the augmentation of soft and hard tissue,and can be popularized in clinical applications.

关 键 词：富血小板纤维蛋白 美学区 即刻种植 软组织增量 骨组织增量 

分 类 号：R783.6[医药卫生—口腔医学]