自体牙骨粉与Bio-Oss骨粉制备黏性骨修复下颌第二磨牙远中骨缺损1例报告及文献复习

doi:10.12439/kqhm.1005-4979.2026.03.014

《口腔颌面外科杂志》 ›› 2026, Vol. 36 ›› Issue (3): 260-264. doi: 10.12439/kqhm.1005-4979.2026.03.014

• 病例报告 • 上一篇

自体牙骨粉与Bio-Oss骨粉制备黏性骨修复下颌第二磨牙远中骨缺损1例报告及文献复习

王珊(), 岳丽, 马金凤, 王玲()

新疆医科大学第一附属医院（附属口腔医院）口腔外科，新疆维吾尔自治区口腔医学研究所，乌鲁木齐 830054

收稿日期:2024-08-13 接受日期:2024-12-27 出版日期:2026-06-28 上线日期:2026-06-30
通讯作者: 王玲，主任医师. E-mail: crystalWL272@126.com
作者简介:
王珊，主治医师. E-mail: 877233532@qq.com

Repair of distal bone defect of the mandibular second molar with sticky bone prepared by autogenous tooth bone powder and Bio-Oss: A case report and literature review

WANG Shan(), YUE Li, MA Jinfeng, WANG Ling()

Department of Oral Surgery, the First Affiliated Hospital (Affiliated Stomatological Hospital) of Xinjiang Medical University, Institute of Stomatology of Xinjiang Uygur Autonomous Region, Urumqi 830054, China

Received:2024-08-13 Accepted:2024-12-27 Published:2026-06-28 Online:2026-06-30

摘要/Abstract

摘要：

黏性骨是由自体纤维蛋白胶（autologous fibrin glue，AFG）与骨粉混合制备而成的兼具黏附性和可塑性的复合骨移植材料，目前已在牙槽骨缺损修复中得到逐步推广与应用。本文报道1例采用自体牙骨粉与Bio-Oss骨粉混合制备黏性骨修复下颌第二磨牙远中骨缺损患者的诊疗过程，并结合文献复习探讨该技术的应用要点，以期为同类骨缺损的临床处理提供参考。

关键词: 自体牙骨粉, Bio-Oss骨粉, 下颌第二磨牙, 骨缺损, 黏性骨

Abstract:

Sticky bone is a composite bone graft material with adhesiveness and plasticity, prepared by mixing autologous fibrin glue (AFG) with bone powder. It has been increasingly adopted in the repair of alveolar bone defects. This paper reports the diagnosis and treatment of one case of distal bone defect of the mandibular second molar repaired by sticky bone made of autogenous tooth bone powder combined with Bio-Oss bone powder. Combined with literature review, the key application points of this technique were discussed, so as to provide a reference for clinical management of similar bone defects.

Key words: autogenous tooth bone powder, Bio-Oss bone powder, mandibular second molar, bone defect, sticky bone

王珊, 岳丽, 马金凤, 王玲. 自体牙骨粉与Bio-Oss骨粉制备黏性骨修复下颌第二磨牙远中骨缺损1例报告及文献复习[J]. 《口腔颌面外科杂志》, 2026, 36(3): 260-264.

WANG Shan, YUE Li, MA Jinfeng, WANG Ling. Repair of distal bone defect of the mandibular second molar with sticky bone prepared by autogenous tooth bone powder and Bio-Oss: A case report and literature review[J]. Journal of Oral and Maxillofacial Surgery(CN), 2026, 36(3): 260-264.

https://journal06.magtech.org.cn/Jweb_joms/CN/Y2026/V36/I3/260

图/表 5

图1 手术过程 A.术前口内照；B.术中翻瓣暴露术区；C.牙齿碎片；D.黏性骨填塞于拔牙窝；E.覆盖CGF膜；F.缝合创口。

Figure 1 Operative procedure

图2 自体牙骨粉制备过程 A.清洁后的牙齿；B.自体牙骨粉制备器械；C.牙齿脱矿加速器；D.保留筛网中的牙齿颗粒；E.制备的自体牙骨粉。

Figure 2 Preparation of autogenous tooth bone powder

图3 黏性骨制作过程 A. Bio-Oss骨粉；B.制备的自体牙骨粉；C.制备的AFG；D.将自体牙骨粉与AFG混合；E.黏性骨制备成功。

Figure 3 Preparation of sticky bone

图4 术后牙龈愈合情况

Figure 4 Gingival healing after operation

图5 第二磨牙远中骨缺损修复的CBCT影像学变化 A.术前（矢状位）；B.术后3个月（矢状位）；C.术后6个月（矢状位）；D.术后3个月（冠状位）；E.术后6个月(冠状位)。

Figure 5 CBCT evaluation of distal bone defect repair of the mandibular second molar

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自体牙骨粉与Bio-Oss骨粉制备黏性骨修复下颌第二磨牙远中骨缺损1例报告及文献复习

Repair of distal bone defect of the mandibular second molar with sticky bone prepared by autogenous tooth bone powder and Bio-Oss: A case report and literature review

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