下颌阻生第三磨牙拔除术后第二磨牙远中骨质缺损治疗进展

摘要/Abstract

摘要： 下颌阻生第三磨牙拔除术后邻近第二磨牙出现远中骨缺损是一个广泛存在且不容忽视的问题，具有高危因素的患者无法自行修复。本文对第二磨牙远中骨缺损的修复技术做一综述。牙周治疗和单纯的生物膜覆盖，其骨再生效果不明显。骨移植物包括自体骨、同种异体骨、异种骨和组织工程骨，用于远中骨缺损的修复目前已取得一定疗效，但完全骨再生尚需进一步研究。

关键词: 下颌第三磨牙, 下颌第二磨牙, 远中骨缺损, 骨修复

Abstract: The presence of osseous defect distal to the mandibular second molars as a result of surgical removal of impacted mandibular third molars is a common phenomenon, and the management is often far from easy. The nature course of the periodontal breakdown suggested patients with high risk indicators should be intervened at the time of tooth removal. Compared to periodontal treatment and placing membranes, dentoalveolar reconstructive procedures exhibit a more effective outcome in inducing and accelerating bone regeneration. The bone graft substitutes include autogenous bone, allograft bone, synthetic bone and tissue engineered bone. Although the use of various biomaterials have made significant progress in bone regeneration, total bone regeneration still needs to be investigated.

Key words: Mandibular second molar, Mandibular third molar extraction, Distal osseous defect, Bone regeneration

中图分类号:

R782.1

戈旌，杨驰，郑家伟，汪湧. 下颌阻生第三磨牙拔除术后第二磨牙远中骨质缺损治疗进展[J]. 中国口腔颌面外科杂志, 2016, 14(1): 76-82.

GE Jing, YANG Chi, ZHENG Jia-wei, WANG Yong. The treatment of osseous defect distal to the mandibular second molars following surgical removal of impacted mandibular third molars: a literature review[J]. China J Oral Maxillofac Surg, 2016, 14(1): 76-82.

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