背景:肺泡脊保存(ARP)可以成功地减少体积脊的变化。然而,对于每种特定临床方案,哪种技术最有利,目前仍未达成共识.因此,本文的目的是提供一种治疗决策树,以指导基于拔牙槽颊骨形态和完整性的可预测ARP程序的选择。
方法:根据颊骨形态提出并讨论了三种插座类型(ST)(完整,开裂或开窗)。
结果:为了将ST分类与合适的治疗方式合并,建立了ARP决策树。在决策树中,讨论了何时允许无辅助治疗或ARP的问题。描述的方法包括骨移植和胶原栓,和可吸收膜或不可吸收膜,有或没有襟翼标高。
结论:提供了ARP程序的决策树,以根据摘除后剩余的窝解剖结构,指导临床医生采用最保守和可预测的治疗方法。
BACKGROUND: Alveolar ridge preservation (ARP) can successfully reduce volumetric ridge changes. However, there is still no consensus on what technique is the most advantageous for each specific clinical scenario. Hence, the aim of the present paper was to provide a treatment decision tree to guide the choice of predictable ARP procedures based on extraction socket buccal bone morphology and integrity.
METHODS: Three socket types (ST) are proposed and discussed based on buccal bone morphology (intact, dehiscence or fenestration).
RESULTS: A decision tree for ARP was developed in order to merge ST classification with suitable treatment modalities. In the decision tree, the issue of when to allow unassisted healing or ARP was discussed. Described methods included bone grafting and collagen plug, and absorbable membrane or non-resorbable membrane, with or without flap elevation.
CONCLUSIONS: A decision tree for ARP procedures was provided to guide clinicians towards the most conservative and predictable treatment approach based on remaining socket anatomical structures after extraction.