髂骨块状骨植骨术修复恒牙列牙槽突裂的短期临床观察

目的探讨牙槽突裂髂骨块状骨植骨术的临床可行性和可靠性。方法回顾分析15例行"牙槽突裂髂骨块状骨植骨术"的恒牙列牙槽突裂患者,随访6个月以上,收集临床资料,并进行影像学分析。结果所有患者均能定期复诊,术后13例患者创口愈合良好,2例因创口裂开导致植骨失败。影像学资料显示术后6个月植骨区间隙消失,骨桥形成,且植骨区无明显吸收。已有2例患者完成正畸及种植治疗。术后3个月所有患者均可正常行走,无明显行动障碍。结论牙槽突裂髂骨块状骨植骨术短期临床效果满意,移植骨吸收少,长期效果还需进一步研究。

Alveolar bulk bone grafting:A new surgical approach for alveolar cleft

Objective To investigate the feasibility and reliability of alveolar bulk bone grafting in clinical practice. Methods 15 cases of alveolar cleft treated with alveolar bulk bone grafting were analyzed retrospectively, and were followed up for over 6 months. Clinical materials were collected to carry out the radiological analysis. Results The clinical over 6-month follow?up of 15 cases was finished. 13 patients showed satisfactory recovery of wounds. 2 cases failed due to the dehiscence. The radiological materials showed that after 6 months the bone graft clearances disappeared, bone bridge formed and bone graft area had no obvious absorption.2 patients fin?ished the orthodontic treatment and dental implantation. All the patients could walk normally after 3 months and had no obvious action barriers. Conclusions Alveolar bulk bone grafting, a new surgical approach for alveolar cleft, has satisfactory short?term clinical effects, and the long?term clinical effects need more further studies.