Short-term outcome of the acellular dermal matrix in dental implant surgical sites / 中华口腔医学杂志

<p><b>OBJECTIVE</b>To evaluate the clinical short-term results of the acellular dermal matrix for guided bone regeneration.</p><p><b>METHODS</b>Sixty-four patients with bone defect in anterior maxillary area (average bone width: 3 mm) were included. Ridge-splitting technique with simultaneous placement of implants and artificial bone material implantation was performed in 21 patients (non-membrane group). Forty-three patients received the same procedure but with acellular dermal matrix covering the surgical sites (membrane group). The patients were followed up for three months and the new bone formation was checked in clinic and by X-ray.</p><p><b>RESULTS</b>Three months after operation, the membrane group showed good osseointegration and high bone density over the implant cover screws. In the second operation, the membranes became thinner and the new bone fully covered the implant in the membrane group. The labial bone exhibited slight absorption and labial surface of 7 implants in 7 patients was exposed in non-membrane group. The width and the height of the ridge in the second operation were greater in membrane group than in non-membrane group (P < 0.05).</p><p><b>CONCLUSIONS</b>The acellular dermal matrix can effectively resist the growth of soft tissue to allow bone regeneration around the implant.</p>

Clinical application of maxillary sinus lift with Summers osteotome / 华西口腔医学杂志

<p><b>OBJECTIVE</b>To introduce and evaluate the procedure and the effect of maxillary sinus lift with closed technique by Summers osteotome, bone grafting and simultaneous implant placement.</p><p><b>METHODS</b>66 cases with severely resorbed alveolar bone in maxillary posterior region received sinus lift with Summers osteotome, simultaneously bone grafting and implants placement. The final restoration was finished at 6 months postoperatively.</p><p><b>RESULTS</b>The operation procedure were eventless in the 66 cases, the sinus floor were elevated by 2-5 mm, three-dimensional reconstruction of the CT scan pictures showed the smooth dome profile of the lifting sites and no signs of laceration on the membrane, and there were no maxillary antritis after operation. After 6 months, no significantly bone graft resorption and good osseointegration were noticed in X-ray imaging. The final restoration was finished at this time. 12-24 months after the restoration, all implants inserted were remain, the hard and soft tissue were healthy, prosthesis were stable and functioned. X-ray showed good osseointegration in the lifting sites, the vertical resorption around the implants were less than 1 mm.</p><p><b>CONCLUSION</b>With properly use of Summers osteotome, scraps of the bone in the implant sockets can be pushed into the sinus, these autogenous bone scraps were in favor of the osseogenesis and the sinus floor can be easily elevated by the method with very infrequent complications. It enlarged indication of dental implants and avoided operation of harvesting autogenous bone in other site. The method is simple and valuable to clinical application.</p>

Clinical study of autotransplanting of impacted anterior tooth and premolar / 华西口腔医学杂志

<p><b>OBJECTIVE</b>To evaluate the effect of autotransplantation of impacted anterior tooth and premolar.</p><p><b>METHODS</b>Nineteen teeth of 19 patients were made autotransplantation. Fifteen impacted anterior teeth were transplanted to their normal positions. Four premolars were transplanted into missing anterior spaces. Four weeks after surgical procedure, root canal therapy was underwent. Clinical and radiographic examintation of 19 transplanted teeth were carried out after 18-months to 5-years.</p><p><b>RESULTS</b>Nineteen teeth were stable with no sign of inflammatory resorption or periapical lesion.</p><p><b>CONCLUSION</b>Autotransplantation may be a better treatment method to impacted tooth and missing anterior when they can't be treated by orthodontic method.</p>