基于浓缩生长因子的改良引导骨再生术对种植体周软硬组织的影响
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新疆医科大学第七附属医院口腔科

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新疆医科大学第七附属医院院内科研(YZR2023-05)


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    摘要:

    目的 探讨浓缩生长因子( concentrated growth factor , CGF)对口腔种植修复患者组织再生和牙龈修复的临床效果。方法 选取2023年10月—2024年10月入我院诊治的60例后牙种植区无法常规植入种植体的患者作为研究对象。分为对照组和观察组,两组均行种植体植入术,对照组采用 Osteon II骨粉+Collagen Membrane膜,观察组采用Osteon II骨粉+CGF膜+Collagen Membrane膜,比较两组修复效果。对患者手术前、术后即刻及术后进行定期复查。检查两组患者软组织瓣愈合、感染及修复情况。通过口腔锥形束 CT( cone-beam CT,CBCT) 测量评价骨组织再生和修复情况。测量角化龈宽度评价软组织修复效果。结果 术后 24 h VAS 评分及术后 3 月种植体留存率等指标无显著差异( P > 0. 05) ,观察组患者术后1周黏膜愈合情况显著优于对照组( P < 0. 05) 。观察组术后 6、12 个月种植体水平向、垂直向骨量均显著大于对照组,差异均有统计学意义( P <0.05)。观察组术后 6 月、术后9个月、术后12个月的骨组织修复率与对照组比较均有显著差异( P<0. 05)。观察组术后 6、12个月角化龈宽度为(3.47±1.14) 、(3.22 ± 0.97) mm,均明显大于对照组(2.85 ± 0.97)、( 2.47 ± 0.99)mm,差异均有统计学意义( P <0.05) 。结论 后牙区应用改良GBR手术+CGF有助于增强成骨能力和口腔软组织再生能力,值得临床推广使用。

    Abstract:

    Objective: To explore the clinical effect of concentrated growth factor (CGF) on tissue regeneration and gingival repair in patients undergoing oral implant restoration. Methods: Sixty patients with posterior teeth implant areas that could not be routinely implanted from October 2023 to October 2024 who were treated in our hospital were selected as the research subjects. They were divided into the control group and the observation group. Both groups underwent implant surgery. The control group was treated with Osteon II bone powder + Collagen Membrane, while the observation group was treated with Osteon II bone powder + CGF membrane + Collagen Membrane. The repair effects of the two groups were compared. The patients were examined before the operation, immediately after the operation, and at regular intervals after the operation. The healing of the soft tissue flap, infection, and repair conditions of the two groups were checked. The regeneration and repair of bone tissue were evaluated by cone-beam CT (CBCT). The width of keratinized gingiva was measured to evaluate the repair effect of soft tissue. Results: There was no significant difference in the VAS score 24 hours after the operation and the implant survival rate 3 months after the operation between the two groups (P > 0.05). The healing of the mucosa in the observation group was significantly better than that in the control group 1 week after the operation (P < 0.05). The horizontal and vertical bone volume of the implants in the observation group was significantly greater than that in the control group at 6 and 12 months after the operation, and the differences were statistically significant (P < 0.05). The bone tissue repair rate in the observation group at 6, 9, and 12 months after the operation was significantly different from that in the control group (P < 0.05). The width of keratinized gingiva in the observation group at 6 and 12 months after the operation was (3.47 ± 1.14) and (3.22 ± 0.97) mm, respectively, which was significantly greater than that in the control group (2.85 ± 0.97) and (2.47 ± 0.99) mm, and the differences were statistically significant (P < 0.05). Conclusion: The application of modified GBR surgery + CGF in the posterior teeth area can enhance the osteogenic ability and the regeneration ability of oral soft tissue, and is worthy of clinical promotion and application.

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  • 收稿日期:2026-03-11
  • 最后修改日期:2026-04-17
  • 录用日期:2026-04-17
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