这项范围审查旨在报告口腔外科骨盖技术在骨愈合方面的结果,山脊保存,和并发症的发生率。还考虑了骨切割器械和稳定方法。PubMed,Scopus,并使用组合术语搜索了Cochrane对照试验登记册,包括骨盖,骨窗,压电外科,微锯,囊肿,牙髓手术,受影响的牙齿,上颌窦.还进行了手工搜索。最后一次搜索是在2021年11月30日进行的。未设置日期限制。搜索仅限于以英文发表的人类临床研究。除评论和病例报告外,所有类型的研究设计均被考虑。经过两步评估,20(2项随机研究,2个病例对照研究,3项队列研究,纳入647项筛选研究中的13项),报告752个骨盖程序。与其他方法相比,骨盖技术与良好的骨愈合相关,主要并发症的发生率很低。临床适应症,外科手术,研究设计,随访持续时间,研究结果各不相同。总的来说,使用骨盖方法报告了有利的结果,尽管基于证据的研究很少。
This scoping review aimed at reporting the outcomes of the bone lid technique in oral surgery in terms of bone healing, ridge preservation, and incidence of complications. Bone-cutting instruments and stabilization methods were also considered. PubMed, Scopus, and the Cochrane Register of Controlled Trials were searched using a combination of terms, including bone lid, bony window, piezosurgery, microsaw, cysts, endodontic surgery, impacted teeth, and maxillary sinus. A hand search was also performed. The last search was conducted on 30 November 2021. No date limitation was set. Searches were restricted to human clinical studies published in English. All types of study design were considered except reviews and case reports. After a two-step evaluation, 20 (2 randomized studies, 2 case-control studies, 3 cohort studies, 13 case series) out of 647 screened studies were included, reporting on 752 bone lid procedures. The bone lid technique was associated with favorable bone healing when compared to other methods, and with a very low incidence of major complications. Clinical indications, surgical procedures, study design, follow-up duration, and outcomes varied among the studies. Overall, favorable outcomes were reported using the bone lid approach, though evidence-based studies were scarce.