PRF联合预成型钛网在上颌前牙牙槽嵴严重水平缺损种植修复中的应用效果评价

doi:10.19438/j.cjoms.2026.01.009

摘要/Abstract

摘要： 目的: 探讨富血小板纤维蛋白（platelet-rich fibrin,PRF）联合预成型钛网在上颌前牙牙槽嵴严重水平缺损种植修复中的应用效果。方法: 选择2021年1月—2024年1月西安工会医院收治的行上颌前牙牙槽嵴严重水平缺损种植修复的患者64例,随机分为对照组和试验组,每组各32例。对照组种植后将预成型钛网覆盖于骨缺损区,试验组在对照组基础上联合应用PRF。比较两组患者12个月后的种植成功率、牙槽骨形态变化（牙槽骨量体积增量、高度增量、宽度增量）、牙周健康状况、红色美学评分、咬合与咀嚼功能,记录并发症情况。结果: 两组患者的种植成功率均为100%。试验组术后牙槽骨体积增量、高度增量、宽度增量均显著高于对照组（P<0.05）,牙周状况和前牙美学效果显著优于对照组（P<0.05）,咬合与咀嚼能力显著高于对照组（P<0.05）。两组并发症发生率无显著差异（P>0.05）。结论: PRF 联合预成型钛网可显著提升前牙牙槽嵴严重水平缺损的骨增量效果,改善牙周健康及美学外观,增强咬合与咀嚼功能,且安全性良好。

关键词: 富血小板纤维蛋白, 预成型钛网, 上颌前牙牙槽嵴缺损, 种植修复, 骨增量

Abstract: PURPOSE: To explore the application effect of platelet-rich fibrin(PRF) combined with preformed titanium mesh in the implant restoration of severe horizontal defects of the maxillary anterior alveolar ridge. METHODS: A total of 64 patients who underwent implant restoration for severe horizontal defects of the maxillary anterior alveolar ridge in Xi'an Labor Union Hospital from January 2021 to January 2024 were selected and randomly divided into a control group and an experimental group, with 32 cases in each group. In the control group, preformed titanium mesh was placed over the bone defect area after implantation; in the experimental group, PRF was applied in combination with the treatment used in the control group. The implant success rate, changes in alveolar bone morphology (alveolar bone volume increment, height increment, width increment), periodontal health status, red aesthetic score, occlusal and masticatory functions were compared between the two groups after 12 months, and complications were recorded. RESULTS: The implant success rate was 100% in both groups. The postoperative alveolar bone volume increment, height increment, and width increment in the experimental group were significantly higher than those in the control group(P<0.05). The periodontal status and anterior tooth aesthetics in the experimental group were significantly better than those in the control group(P<0.05), and the occlusal and masticatory abilities were significantly higher than those in the control group (P<0.05). There was no significant difference in the incidence of complications between the two groups (P>0.05). CONCLUSIONS: PRF combined with preformed titanium mesh can significantly improve bone increment effect in severe horizontal defects of the maxillary anterior alveolar ridge, enhance periodontal health and aesthetic appearance, and strengthen occlusal and masticatory functions, with good safety.

Key words: Platelet-rich fibrin, Preformed titanium mesh, Maxillary anterior alveolar ridge defect, Implant restoration, Bone increment

中图分类号:

R782.1

张文涛, 辛丹, 庞利锋. PRF联合预成型钛网在上颌前牙牙槽嵴严重水平缺损种植修复中的应用效果评价[J]. 中国口腔颌面外科杂志, 2026, 24(1): 54-58.

Zhang Wentao, Xin Dan, Pang Lifeng. Study on the role of PRF combined with preformed titanium mesh in implant restoration of severe horizontal defects in maxillary anterior alveolar ridge[J]. China J Oral Maxillofac Surg, 2026, 24(1): 54-58.

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