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完整後設資料紀錄
DC 欄位 | 值 | 語言 |
---|---|---|
dc.contributor.advisor | 郭彥彬(Mark Yen-Ping Kuo) | |
dc.contributor.author | Wei Chiang | en |
dc.contributor.author | 蔣蔚 | zh_TW |
dc.date.accessioned | 2021-06-16T05:32:16Z | - |
dc.date.available | 2019-10-15 | |
dc.date.copyright | 2014-10-15 | |
dc.date.issued | 2014 | |
dc.date.submitted | 2014-08-13 | |
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Anat Rec, 240(4), 492-506. doi: 10.1002/ar.1092400407 Marcus, S. E., Drury, T. F., Brown, L. J., & Zion, G. R. (1996). Tooth retention and tooth loss in the permanent dentition of adults: United States, 1988-1991. J Dent Res, 75 Spec No, 684-695. McGregor, A. D., & MacDonald, D. G. (1989). Age changes in the human inferior alveolar artery--a histological study. Br J Oral Maxillofac Surg, 27(5), 371-374. Mecall, R. A., & Rosenfeld, A. L. (1991). Influence of residual ridge resorption patterns on implant fixture placement and tooth position. 1. Int J Periodontics Restorative Dent, 11(1), 8-23. Mecall, R. A., & Rosenfeld, A. L. (1992). The influence of residual ridge resorption patterns on implant fixture placement and tooth position. 2. Presurgical determination of prosthesis type and design. Int J Periodontics Restorative Dent, 12(1), 32-51. Mecall, R. A., & Rosenfeld, A. L. (1996). 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Bone healing and soft tissue contour changes following single-tooth extraction: a clinical and radiographic 12-month prospective study. Int J Periodontics Restorative Dent, 23(4), 313-323. Simon, B. I., Von Hagen, S., Deasy, M. J., Faldu, M., & Resnansky, D. (2000). Changes in alveolar bone height and width following ridge augmentation using bone graft and membranes. J Periodontol, 71(11), 1774-1791. doi: 10.1902/jop.2000.71.11.1774 Soikkonen, K., Ainamo, A., & Xie, Q. (1996). Height of the residual ridge and radiographic appearance of bony structure in the jaws of clinically edentulous elderly people. J Oral Rehabil, 23(7), 470-475. Tallgren, A. (1972). The continuing reduction of the residual alveolar ridges in complete denture wearers: a mixed-longitudinal study covering 25 years. J Prosthet Dent, 27(2), 120-132. Tan, W. L., Wong, T. L., Wong, M. C., & Lang, N. P. (2012). A systematic review of post-extractional alveolar hard and soft tissue dimensional changes in humans. Clin Oral Implants Res, 23 Suppl 5, 1-21. doi: 10.1111/j.1600-0501.2011.02375.x Tarnow, D. P., Eskow, R. N., & Zamzok, J. (1996). Aesthetics and implant dentistry. Periodontol 2000, 11, 85-94. Ten Heggeler, J. M., Slot, D. E., & Van der Weijden, G. A. (2011). Effect of socket preservation therapies following tooth extraction in non-molar regions in humans: a systematic review. Clin Oral Implants Res, 22(8), 779-788. doi: 10.1111/j.1600-0501.2010.02064.x Trombelli, L., Farina, R., Marzola, A., Bozzi, L., Liljenberg, B., & Lindhe, J. (2008). Modeling and remodeling of human extraction sockets. J Clin Periodontol, 35(7), 630-639. doi: 10.1111/j.1600-051X.2008.01246.x Van der Weijden, F., Dell'Acqua, F., & Slot, D. E. (2009). Alveolar bone dimensional changes of post-extraction sockets in humans: a systematic review. J Clin Periodontol, 36(12), 1048-1058. doi: 10.1111/j.1600-051X.2009.01482.x Vignoletti, F., Matesanz, P., Rodrigo, D., Figuero, E., Martin, C., & Sanz, M. (2012). Surgical protocols for ridge preservation after tooth extraction. A systematic review. Clin Oral Implants Res, 23 Suppl 5, 22-38. doi: 10.1111/j.1600-0501.2011.02331.x Vittorini Orgeas, G., Clementini, M., De Risi, V., & de Sanctis, M. (2013). Surgical techniques for alveolar socket preservation: a systematic review. Int J Oral Maxillofac Implants, 28(4), 1049-1061. doi: 10.11607/jomi.2670 Wilson, D. J. (1989). Ridge mapping for determination of alveolar ridge width. Int J Oral Maxillofac Implants, 4(1), 41-43. Yoshiki, S., & Langeland, K. (1968). Alkaline phosphatase activity in the osteoid matrix of healing alveolar socket. Oral Surg Oral Med Oral Pathol, 26(3), 381-389. 王建興, 林怡君, 陳恆理, & 賴玉玲. (2009). 齒槽嵴保存術. [Ridge Preservation]. 臺灣牙周病醫學會雜誌, 14(3), 165-172. 林子堯, 蔡鴻明, & Bartee, B. K. (2001). 拔牙傷口之重建與齒槽骨保存 第一部份 原理與材料. [Extraction Site Reconstruction for Alveolar Ridge Preservation. Part 1: Rationale and Materials Selection]. 中華民國口腔植體學會會訊(30), 7-10. 孫伯中. (2009). 齒槽窩洞保存之探討. [Discussion of Socket Preservation]. 中華民國家庭牙醫學雜誌, 4(3), 26-30. 張國政, 林靜毅, & 劉謙美. (2010). 拔牙處施予人工植牙治療的策略. [The Strategies of Implant Therapy in Extraction Sites]. 臺灣牙周病醫學會雜誌, 15(2), 161-174. 蔡詠斌, & 傅柏松. (2012). 齒槽保存術與單顆植體立即性復於前牙美觀區之運用-病例報告. [Application of Socket Preservation and Immediate Restoration of a Single-Tooth Implant in the Esthetic Zone]. 中華民國家庭牙醫學雜誌, 6(4), 32-39. | |
dc.identifier.uri | http://tdr.lib.ntu.edu.tw/jspui/handle/123456789/56511 | - |
dc.description.abstract | 臨床上我們很常會面對到拔牙後齒槽骨縮減狀況。所以我們希望能夠集結許多臨床試驗,利用統合分析(meta-analysis),找出科學證據來:(1)評估齒槽骨維持術與拔牙後自然癒合的預期結果差別(2)比較各式齒槽骨維持術方法的同異與效益和(3)評估施行齒槽骨維持術後對於將植體植入理想位置的價值。做出一個統整。希望能幫助臨床醫師訂定及執行後續的治療計畫。
我們利用電子資料庫MEDLINE,Scopus Elsevier,Cochrane Library,全國期刊聯合資料庫,中國知識資源總庫、全國博碩士論文資訊加值網、華藝線上圖書館,及Google學術搜尋,全面系統性的搜尋了從西元1990到2014年4月與齒槽骨維持術相關的隨機對照試驗(Randomized controlled trial),橫段式研究(cross-sectional study),病例-對照研究(case-control study),世代追蹤研究法(cohort study),及有治療組、對照組,兩組以上互相比較的病例系列報告(case series)。然後用統合分析方式比較齒槽骨維持術使用不同材料及方法其臨床表現的優劣。 我們最後篩選出18篇文章。統合分析結果顯示,有做齒槽骨保存術的組別比未做齒槽骨保存術的組別在拔牙後有更少的骨嵴高度減少(加權平均差異,WMD = 1.074±0.291 mm(p<0.05))。更少的骨嵴寬度減少(加權平均差異,WMD = 1.981±0.24 mm(p<0.05))。用再生膜(Membrane) (p<0.001),異體骨(Xenograft) (p<0.001),以及島瓣一級縫合(primary closure) (p<0.001)等皆可降低拔牙後骨嵴高度減少。明顯有利於齒槽骨保存。至於在齒槽骨維持術治療對植牙治療長期成果的好處,並沒有足夠資料可用來得出結論。 本研究論證了齒槽骨維持術治療的重要性。但無法明確提供齒槽骨維持術使用的生物材料的類型,或手術過程清晰的指引。 | zh_TW |
dc.description.abstract | Objective: This systematic review aims to the effect of socket preservation following tooth extraction in humans as compared with natural healing ,to evaluate the scientific evidence on the efficacy in the surgical protocols designed for preserving the alveolar ridge after tooth extraction and to evaluate how these techniques affect the placement of dental implants and the final implant supported restoration.
Material and methods: A thorough search in MEDLINE via Pubmed, Scopus Elsevier , MEDLINE (OvidSP), Cochrane Library, STICNET in Taiwan, NDLTD in Taiwan, Airiti library in Taiwan, CNKI in China and hand-searched the relevant journals from 1990 to April 2014. Randomized controlled trial, cross-sectional study. case-control study ,cohort study with a follow-up of at least 4 months reporting changes on both the hard and soft tissues (height and/or width) of the alveolar process (mm or %) after tooth extraction were considered for inclusion. Results: The screening of titles and abstracts resulted in 18 publications meeting the eligibility criteria. Results from the meta-analyses showed a statistically significant greater ridge reduction in bone height & width for control groups as compared to test groups Meta-regression analyses was based on the surgical protocol used for the ridge preservation (Membrane(Yes vs. No); Membrane (Yes(artifical) vs. No); Membrane (artificial vs autogenous); Xenograft (Yes vs. No); Graft (Yes vs. No); Flap (Yes vs. No); Primary Closure(Yes vs. No); Membrane(Yes)+Graft(Yes) vs. Membrane(Yes)+Graft (No)) and on the measurement method utilized to evaluate morphological changes. Meta-regression analyses demonstrated a statistically significant difference favoring the Membrane(Yes), Xenograft (Yes ) Primary Closure (Yes ) subgroup in terms of bone height & width . Conclusions: The potential benefit of socket preservation therapies was demonstrated resulting in significantly less vertical and horizontal contraction of the alveolar bone crest. The scientific evidence does not provide clear guidelines in regards to the type of biomaterial, or surgical procedure, There are no data available to draw conclusions on the consequences of such benefits on the long-term outcomes of implant therapy. | en |
dc.description.provenance | Made available in DSpace on 2021-06-16T05:32:16Z (GMT). No. of bitstreams: 1 ntu-103-P00422002-1.pdf: 2353331 bytes, checksum: 4d53e06891e43bfefc538f06c9ce6bea (MD5) Previous issue date: 2014 | en |
dc.description.tableofcontents | 致謝 i
中文摘要 ii 英文摘要 iii 第一章 前言 1 第二章 拔牙後齒槽窩洞癒合過程 5 2.1 齒槽內的骨生成 6 2.2 齒糟嵴外形的改變 7 第三章 齒槽骨保存術 9 第四章 系統性回顧之文獻回顧 18 第五章 研究動機與目的 21 5.1研究動機 21 5.2研究目的 22 5.3假設 22 第六章 材料與方法 23 6.1搜尋方向: 23 6.2文獻搜尋: 23 6.3文獻篩選納入標準 24 6.4文獻排除標準: 24 6.5資料整理 25 6.6篩選方法: 25 6.7文獻品質評估, 25 6.8資料數據收集 26 6.9統計分析 26 第七章 結果 27 7.1 搜尋結果 27 7.2 研究設計和研究群組 (Study design and study population) 28 7.3文獻品質評估 29 7.4文獻研究成果 29 7.4.1文獻研究成果,硬組織的尺寸的變化地描述性分析 29 7.4.2 文獻研究成果,軟組織的尺寸的變化地描述性分析 29 7.4.3文獻研究成果,與植牙相關成果的描述性分析 29 7.5統計分析結果 29 7.5.1. Height 30 7.5.1.1 異質性檢定(Heterogeneity of study) 31 7.5.1.2 森林圖(Forest Plot) 31 7.5.1.3. 敏感度分析(Sensitivity Analysis) 31 7.5.1.4. 出版偏誤 (Publication bias) 31 7.5.1.5. 綜合迴歸分析(Meta Regression Analysis) 32 7.5.1.6. Subgroup Analysis 33 7.5.2. Width 37 7.5.2.1. 異質性檢定(Heterogeneity of study) 37 7.5.2.2. 森林圖(Forest Plot) 37 7.5.2.3. 敏感度分析(Sensitivity Analysis) 38 7.5.2.4. 出版偏誤 (Publication bias) 38 7.5.2.5. 綜合迴歸分析(Meta Regression Analysis) 38 7.5.2.6. Subgroup Analysis 40 7.5.2.7. Width ─Change amount ( Test and Control ) 40 7.5.3 Implant-related 45 第八章 討論 45 第九章 結論 51 參考文獻 53 圖表總集 59 附錄 統合分析結果 104 | |
dc.language.iso | zh-TW | |
dc.title | 齒槽骨維持術的臨床表現統合分析 | zh_TW |
dc.title | Meta-analysis of clinical performance of Alveolar ridge preservation | en |
dc.type | Thesis | |
dc.date.schoolyear | 102-2 | |
dc.description.degree | 碩士 | |
dc.contributor.oralexamcommittee | 陳漪紋,杜裕康 | |
dc.subject.keyword | 拔牙後齒槽骨縮減,統合分析,齒槽骨維持術, | zh_TW |
dc.subject.keyword | tooth extraction,meta-analysis,socket preservation, | en |
dc.relation.page | 107 | |
dc.rights.note | 有償授權 | |
dc.date.accepted | 2014-08-13 | |
dc.contributor.author-college | 牙醫專業學院 | zh_TW |
dc.contributor.author-dept | 臨床牙醫學研究所 | zh_TW |
顯示於系所單位: | 臨床牙醫學研究所 |
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