口腔骨缺损修复中异种骨与双相磷酸钙生物陶瓷的应用现状
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王雯雯(2002.9-),女,河南息县人,硕士研究生,住院医师,主要从事口腔修复学方面的研究

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胡杨(1983.4-),男,湖北黄冈人,硕士,主任医师,副教授,主要从事组织工程颌骨及牙支架材料构建及改性,细胞培养及基因转染增强其成骨、成牙功能及机制的研究

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R783

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Application Status of Xenogeneic Bone and Biphasic Calcium Phosphate Bioceramics in Oral Bone Defect Repair
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    摘要:

    临床上通常因根尖周病、牙周炎及拔牙后牙槽嵴萎缩等导致口腔骨组织缺损,进而导致软组织塌陷、牙槽嵴萎缩、牙齿松动等问题,严重影响患者口腔功能与美观。脱蛋白牛骨矿物质(DBBM)作为异种骨移植金标准,已积累大量循证数据。双相磷酸钙(BCP)在新骨形成量上与DBBM疗效相当,备受关注。但羟基磷灰石/β-磷酸三钙(HA/β-TCP)比例在各类骨缺损中的分层证据尚不充分,长期随访数据及适应证边界仍需明确。鉴于此,本文系统梳理DBBM与BCP二者材料学差异,分别对比二者在上颌窦提升术、牙槽嵴保存术与牙周骨内缺损中的应用效果,以期为临床精准选材提供参考。

    Abstract:

    Clinically, oral bone defects are commonly caused by periapical disease, periodontitis and alveolar ridge atrophy after tooth extraction, which further lead to soft tissue collapse, alveolar ridge atrophy, tooth mobility and other problems, seriously affecting patients’ oral function and aesthetics. Deproteinized bovine bone mineral (DBBM), regarded as the gold standard for xenogeneic bone grafting, has accumulated abundant evidence-based data. Biphasic calcium phosphate (BCP) has attracted extensive attention because its efficacy in new bone formation is comparable to that of DBBM. However, stratified evidence regarding the ratio of hydroxyapatite/β-tricalcium phosphate (HA/β-TCP) in various bone defects remains insufffcient, and long-term follow-up data and indication boundaries still need to be clarified. In view of this, this paper systematically sorts out the material differences between DBBM and BCP, and compares their application effects in maxillary sinus elevation, alveolar ridge preservation and intrabony periodontal defects, so as to provide references for accurate clinical material selection.

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王雯雯 ,胡 杨,等.口腔骨缺损修复中异种骨与双相磷酸钙生物陶瓷的应用现状[J].医学美学美容,2026,35(13):191-194.

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  • 在线发布日期: 2026-09-01
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