CAJ | 학술논문

目的：评价引导骨再生（GBR）技术联合高压氧（HBO）治疗重建种植体周围炎所导致周围骨缺损的临床效果。方法：经过X线和临床检查确诊的7颗种植体因为种植体周围炎导致牙槽骨明显吸收但种植体稳固病例，拆除上部结构重新安装覆盖螺丝，通过牙周手术清除炎性组织，同期在骨缺损处充填骨移植材料，覆盖生物膜，术后配合HBO治疗1周，常规抗炎治疗及口腔护理。6个月后评估骨缺损的再生情况，考虑二期手术及后期冠修复，定期随访1年，评估骨再生的稳定情况。结果：7颗种植体周围骨再生的高度和宽度术后6个月都得到了明显恢复，而且术后1年仍维持稳定。结论：临床上采用GBR联合HBO治疗用于重建种植体周围炎所导致的种植体周围骨缺损的效果理想。
목적：평개인도골재생（GBR）기술연합고압양（HBO）치료중건충식체주위염소도치주위골결손적림상효과。방법：경과X선화림상검사학진적7과충식체인위충식체주위염도치아조골명현흡수단충식체은고병례，탁제상부결구중신안장복개라사，통과아주수술청제염성조직，동기재골결손처충전골이식재료，복개생물막，술후배합HBO치료1주，상규항염치료급구강호리。6개월후평고골결손적재생정황，고필이기수술급후기관수복，정기수방1년，평고골재생적은정정황。결과：7과충식체주위골재생적고도화관도술후6개월도득도료명현회복，이차술후1년잉유지은정。결론：림상상채용GBR연합HBO치료용우중건충식체주위염소도치적충식체주위골결손적효과이상。
Objective:To evaluate the clinical effect of guided bone regeneration (GBR) technique and Hyperbaric Oxygen (HBO) treatment for remodeling the bone defects induced by peri-implantitis. Method:After the X-ray and clini-cally diagnosed,there 7 solid implants have significant absorption of alveolar bone around the implants by peri-implantitis , complete demolition of the upper structure reinstall cover screws,remove inflamed tissue all through periodontal surgery,and the same period in the site of bone defect was filled with bone graft material and subsequently covered with biofilm ,after all patients receive conventional antibiotic treatment and oral care. The bone regeneration surrounding the implant was assessed 6 months later,a phaseⅡprocedu and porcelain crowns repair were performed,regular follow-up a year to assess the stabili-ty of regenerated bone. Result:After 6 months,the height and width of regenerated bone around the 7 peri-implants have significantly recovered,and remained stable after one year. Conclusion:The clinical effect of GBR and HBO for remodeling the bone defects induced by peri-implantitis is ideal.