Bio-Oss骨粉联合富血小板纤维蛋白在牙槽骨缺损种植引导骨再生后的骨量变化

目的：探讨Bio-Oss骨粉联合富血小板纤维蛋白在牙槽骨缺损种植引导骨再生后骨量的变化。方法：选择106例单颗前牙缺失伴唇侧骨缺损患者,进行种植体种植同期引导骨再生。按随机数字表法随机分为2组,实验组（53例）采用Bio-Oss骨粉联合富血小板纤维蛋白+生物膜引导骨再生,对照组（53例）采用Bio-Oss骨粉联合生物膜引导骨再生。评价2组种植成功率、术后并发症率、种植体唇侧骨壁厚度、骨缺损再生情况。采用SPSS 25.0软件包对数据进行统计学分析。结果：2组种植体种植成功率差异无统计学意义（96.23%:88.68%,P>0.05）。种植后12个月,实验组种植体唇侧骨壁厚度显著大于对照组（2.72±0.43） mm:（2.51±0.36） mm,P<0.05],不同位点种植体唇侧骨壁厚度大于对照组（P<0.05）,出血指数（0.32±0.02）:（0.42±0.03）]、探诊深度（3.31±0.69） mm:（4.32±0.95） mm]、附着丧失（3.06±0.52） mm:（5.24±1.35） mm]均显著小于对照组（P<0.05）,植骨高度（2.61±0.52） mm:（2.31±0.35） mm]、成骨高度（2.59±0.32） mm:（2.01±0.16） mm] 显著大于对照组（P<0.05）。2组患者并发症发生率相比差异无统计学意义（1.89%:5.66%, P>0.05）。结论：Bio-Oss骨粉联合富血小板纤维蛋白可减少骨缺损种植引导骨再生后骨量丢失,促进骨缺损再生。

Changes of bone mass after implantation of Bio-Oss bone powder combined with platelet-rich fibrin for guided bone regeneration in alveolar bone defects

PURPOSE: To investigate the effect of Bio-Oss bone powder combined with platelet-rich fibrin on bone mass after implantation-guided bone regeneration in alveolar bone defects. METHODS: One hundred and six patients with single anterior tooth loss and labial alveolar bone defect were selected for implant implantation and guided bone regeneration at the same time. Patients in the experimental group (n=53) were treated with Bio-Oss bone powder combined with platelet-rich fibrin and biofilm to guide bone regeneration, while patients in the control group(n=53) were treated with Bio-Oss bone powder combined with biofilm to guide bone regeneration. The success rate of implantation, complication rate, the thickness of labial bone wall and the regeneration of bone defect were observed. Statistical analysis was performed on the data using SPSS 25.0 software package. RESULTS: There was no significant difference in the success rate of implants between the two groups(96.23% vs 88.68%, P>0.05). The thickness of the labial bone wall of the experimental group 12 months after implantation was significantly higher than that of the control group(2.72±0.43) mm vs(2.51±0.36) mm], and the thickness of the labial wall of the implant at different sites was significantly greater than that of the control group(P<0.05). Bleeding index (0.32±0.02) vs (0.42±0.03)], depth of probing (3.31±0.69) mm vs (4.32±0.95) mm], loss of attachment (3.06±0.52) mm vs (5.24±1.35) mm] was significantly smaller in the experimental group than in the control group (P<0.05); bone graft height (2.61±0.52) mm vs (2.31±0.35) mm], osteogenesis height (2.59±0.32) mm vs (2.01±0.16) mm] was significantly greater in the experimental group than in the control group(P<0.05). There was no significant difference in the incidence of complications between the two groups(1.89% vs 5.66%, P>0.05).CONCLUSIONS: Bio-Oss bone powder combined with platelet-rich fibrin can reduce bone loss and promote bone defect regeneration after guided bone regeneration.