复杂牙槽骨缺损临床解决方案的探索与思考

Exploration and consideration on clinical solutions for complex alveolar bone defects

临床上复杂牙槽骨缺损的重建对医生与患者双方而言,均是巨大的挑战。而针对复杂牙槽骨缺损,医生肩负着制定最合适手术方案的责任,这就要求其充分掌握现有骨增量技术的适应证与技术要点,进而选择合适的方法重建骨缺损,完成种植体植入与修复。笔者结合临床经验与文献回顾,概述牙槽骨缺损分类,并针对临床上最常用的骨增量技术,例如外置法骨移植术、骨片技术、香肠技术与应用不可吸收膜的GBR技术、利用钛网的GBR技术等进行复杂骨缺损重建的阐述与总结,供口腔种植医生参考与讨论。

Surgeons and patients find it challenging to reconstruct the complex alveolar bone defects clinically.For complex alveolar bone defects,surgeons are responsible for making the most appropriate surgical plan,which requires them to fully understand the indications and technical key points of the existing bone augmentation techniques,and then choose an appropriate method to complete the alveolar bone defect reconstruction and the following implant placement.Based on clinical experience and literature review,the author summarizes the classification of alveolar bone defects,and focuses on the most commonly used bone augmentation techniques during clinical practice,such as Onlay bone grafting,split bone block technique,sausage technique,GBR technique with non-resorbable membrane,and GBR technique using titanium mesh.This article aims to provide a reference for the reconstruction of complex alveolar bone defects for den tal implant specialists.