摘要
目的：充足的骨宽度对于成功植入种植体和长期稳定性至关重要。本研究旨在比较两种水平牙槽嵴增量技术的效果：水平富血小板纤维蛋白（H-PRF）骨块技术和香肠技术。
材料与方法：2023年至2025年间纳入50名患者共63个牙位。25名患者接受H-PRF骨块技术治疗（H-PRF组），另外25名患者接受“香肠”技术治疗（香肠组）进行水平骨增量。术后6个月通过锥形束计算机断层扫描（CBCT）测量量化骨宽增益、骨稳定率和骨体积变化。此外，分析了骨宽增益、骨稳定率与性别、缺损部位和骨缺损类型之间的相关性，并记录了并发症发生率。
结果：H-PRF组在 crestal 水平（0 mm水平）显示出比香肠组更显著的水平骨增益（2.85 ± 4.05 mm vs. 0.79 ± 2.35 mm；p = 0.043），而在2、4、6、8 mm水平未观察到显著差异（p > 0.05）。H-PRF组的骨稳定率为63.21% ± 27.67%，香肠组为63.88% ± 16.64%（p = 0.791）。骨宽增益和骨稳定率均与性别或缺损部位无关。然而，缺损类型在最根尖水平（6和8 mm）的水平骨宽增益方面显示出显著关联。
结论：H-PRF骨块技术实现了与香肠技术相当的骨增量效果；该技术代表了一种有前景的方法，可考虑用于水平骨增量。
原文摘要
OBJECTIVES: Adequate horizontal bone width is essential for successful implant placement and long-term stability. This study aimed to compare the outcomes of two techniques for horizontal alveolar ridge augmentation: the horizontal platelet-rich fibrin (H-PRF) bone block technique and the Sausage technique.
MATERIALS AND METHODS: Fifty patients, presenting 63 tooth sites, were enrolled between 2023 and 2025. Twenty five patients were treated with H-PRF bone block technique (H-PRF group), while 25 patients were treated using the "Sausage" technique (Sausage group) for horizontal bone augmentation. The bone width gain, bone stability rate, and bone volume change at 6 months after surgery were quantified by measurements through cone beam computed tomography (CBCT) scans. Furthermore, the correlation between bone width gain, bone stability rate, and gender, defect site, and bone defect type was analyzed. The complication rates were also recorded.
RESULTS: The H-PRF group demonstrated significantly greater horizontal bone gain at the crestal level compared with the Sausage group (0 mm level: 2.85 ± 4.05 mm vs. 0.79 ± 2.35 mm; p = 0.043), while no significant differences were observed at 2, 4, 6, 8 mm levels (p > 0.05). The bone stability rate was 63.21% ± 27.67% for the H-PRF group and 63.88% ± 16.64% for the Sausage group (p = 0.791). Both bone width gain and bone stability rate were not associated with gender or defect site. However, defect type showed a significant association with horizontal bone width gain at the most apical levels (6 and 8 mm).
CONCLUSIONS: The H-PRF bone block technique achieved comparable bone augmentation outcomes to the Sausage technique; this technique represents a promising approach that may be considered for horizontal bone augmentation.
出处
Clinical implant dentistry and related research 2026;28(4):e70178. DOI: 10.1111/cid.70178.
本页仅收录摘要与出处，不存储全文（合规要求）。