Analysis on clinical value of sticky bone in bone defect repair after jaw cyst surgery
10.3969/j.issn.1671-8348.2025.09.028
- VernacularTitle:黏性骨在颌骨囊肿术后骨缺损修复中的临床价值分析
- Author:
Zuwu HE
1
;
Minghui DENG
;
Linqi LI
Author Information
1. 南华大学附属长沙中心医院口腔科,长沙 410028
- Keywords:
jaw cyst;
sticky bone;
bone defect;
autologous platelet concentrate
- From:
Chongqing Medicine
2025;54(9):2151-2157
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the clinical effects and characteristics of sticky bone in the repair of bone defects of jaw cysts.Methods Forty-two inpatients with jaw cysts undergoing surgical treatment at the stomatology department of the Affiliated Changsha Central Hospital of University of South China from June 2021 to June 2023 were enrolled as the study subjects and randomized into the experimental group and control group,21 cases in each group.One patient in the control group was excluded due to postoperative in-fection and osteogenesis failure,and 21 patients were finally included in the experimental group and 20 patients in the control group.The residual bone cavity after mandibular cyst scraping surgery in the experimental group was filled the with sticky bone made of autologous fibrin glue and Bio-oss bone powder,while in the bone cavity of the control group was only filled with Bio oss bone powder.The facial swelling rate and pain of study subjects after surgery in the two groups were evaluated,and oral and maxillofacial cone beam CT scans were taken within 48 h,3,6 months after surgery.The changes in CT values inside the bone cavity were meas-ured and compared.Results The facial swelling rate after operation in the experimental group was significant-ly lower than that in the control group,and the difference was statistically significant(P<0.05).The visual analogue scale(VAS)scores of pain on postoperative 1,3 d in the experimental group were significantly lower than those in the control group,and the difference was statistically significant(P<0.05);the difference value of intra-cavity CT value in postoperative 3 months and 48 h in the experimental group was significantly higher than that in the control group,and the difference was statistically significant(P<0.05).The intra-cavity CT value at postoperative 48 h in the experimental group was lower than that in the control group,and the differ-ence was statistically significant(P<0.05).The intra-cavity CT values in postoperative 3 and 6 months in the experimental group were slightly higher than those in the control group,but the differences were not statisti-cally significant(P>0.05).Conclusion Sticky bone has good biological and physical properties,which could promote the bone tissue regeneration,early restore the patient function and aesthetics,and alleviate the ad-verse reactions such as postoperative pain and swelling.It is an ideal bone graft.