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Comparação entre técnicas de Urban e Khoury na regeneração óssea vertical e horizontal: revisão sistemática
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Abstract(s)
Objetivo: Comparar as técnicas de Khoury e Urban na regeneração óssea vertical e horizontal.
Materiais e Métodos: Foi desenvolvida uma pesquisa integrativa da literatura, com recurso às bases de dados PubMed e B-On. Esta pesquisa foi submetida a critérios de inclusão e exclusão.
Resultados: De acordo com a pesquisa efetuada, que compreendiam os critérios de inclusão, foram selecionados 9 artigos. Dos estudos analisados, todos os estudos demostraram que as regenerações ósseas guiadas apresentam resultados significativos em ganhos ósseos, no entanto existem algumas limitações ao longo dos estudos entre as duas técnicas estudadas que podem influenciar nestes resultados.
Conclusão: É necessário desenvolver mais estudos com amostras mais elevadas, com tempos de follow-up mais longos, com protocolos mais padronizados que nos permitem avaliar com mais precisão quais das técnicas cirúrgicas de regeneração óssea guiada poderão contribuir para maior ganho em volume ósseo, melhor correção dos defeitos da crista óssea e menor complicações pós-operatórias nos nossos pacientes. Contudo, de acordo com a literatura escrutinada nesta revisão sistemática, quer a técnica de regeneração óssea guiada preconizada por Istvan Urban, quer por Fouad Khoury, apresentam excelentes resultados em termos de ganhos ósseos horizontais e verticais.
Objective: Compare Khoury and Urban's techniques in vertical and horizontal bone regeneration. Methods: An integrative literature search was developed, using the PubMed and B-On databases. This research was submitted to inclusion and exclusion criteria. Results: According to the research carried out, which comprised the inclusion criteria, 9 articles were selected. Of the studies analyzed, all studies showed that guided bone regeneration presents significant results in bone gains, however there are some limitations throughout the studies between the two techniques studied that may influence these results. Conclusion: It is necessary to develop more studies with higher samples, with longer follow-up times, with more standardized protocols that allow us to evaluate more accurately which of the surgical techniques of guided bone regeneration may contribute to greater gain in bone volume, better correction of bone crest defects and lower postoperative complications in our patients. However, according to the literature scrutinized in this systematic review, both the guided bone regeneration technique advocated by Istvan Urban and by Fouad Khoury present excellent results in terms of horizontal and vertical bone gains.
Objective: Compare Khoury and Urban's techniques in vertical and horizontal bone regeneration. Methods: An integrative literature search was developed, using the PubMed and B-On databases. This research was submitted to inclusion and exclusion criteria. Results: According to the research carried out, which comprised the inclusion criteria, 9 articles were selected. Of the studies analyzed, all studies showed that guided bone regeneration presents significant results in bone gains, however there are some limitations throughout the studies between the two techniques studied that may influence these results. Conclusion: It is necessary to develop more studies with higher samples, with longer follow-up times, with more standardized protocols that allow us to evaluate more accurately which of the surgical techniques of guided bone regeneration may contribute to greater gain in bone volume, better correction of bone crest defects and lower postoperative complications in our patients. However, according to the literature scrutinized in this systematic review, both the guided bone regeneration technique advocated by Istvan Urban and by Fouad Khoury present excellent results in terms of horizontal and vertical bone gains.
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Keywords
Regeneração óssea guiada Regeneração da crista vertical Regeneração da crista horizontal Técnica de bloco Enxerto ósseo autógeno Enxerto ósseo xenogênico Guided bone regeneration Vertical ridge regeneration Horizontal ridge regeneration Block technique Autogenous bone graft Xenogenic bone graft