摘要：

经过40余年临床应用与不断发展，引导骨组织再生术 (guided bone regeneration，GBR) 已被证明是一种可靠的牙槽骨骨增量技术。GBR技术在应用过程中的核心要素是充足的血供和稳定的环境。但现有GBR技术都是在“以血供为核心”的理论体系下进行的，缺乏对稳定要素重要性的重视。我们通过文献阅读及系列临床试验，提出“以稳定为核心”的牙槽骨修复重建理念。基于新理念，创建了以单纯人工骨粉修复牙槽骨重度缺损的治疗新术式，革新了国际上必须用自体骨修复骨缺损的治疗理念。本文将从GBR技术的历史发展轨迹中寻找稳定的重要性，结合现有骨再生理论，详细阐述“以稳定为核心”的牙槽骨修复重建治疗新技术。

关键词: 骨增量, 引导骨再生, 稳定为核心, 帐篷技术, 新型帐篷钉

Abstract:

Guided bone regeneration (GBR) has been proved to be an efficient technique for alveolar bone augment in more than 40 years' clinical practice. The fundamental components of GBR technology involve ensuring ample blood supply and establishing a stable environment. However, current GBR technology primarily operate under the theoretical framework of "blood supply-core principle" with insufficient emphasis on the significance of stability. Through thorough literature review and a series of clinical trials, we propose a paradigm shift — a dental alveolar bone repair and reconstruction concept centered on "stability-core principle". Under this innovative approach, we have introduced a novel treatment method that utilizes exclusively artificial bone powder for the repair of severe dental alveolar bone defects. This groundbreaking development challenges the conventional international practice that necessitates the use of autogenous bone for bone defect repairs. This article delves into the historical trajectory of GBR technology, highlighting the critical importance of stability. Integrating this insight with existing bone regeneration theories, we provide a detailed exposition on the new technique for dental alveolar bone repair and reconstruction, centered around the core principle of "stability".

Key words: bone augment, guided bone regeneration, stability-core principle, tent technology, new type of tent screw

中图分类号: 

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• R782