国际口腔医学杂志 ›› 2013, Vol. 40 ›› Issue (6): 714-717.doi: 10.7518/gjkq.2013.06.004

• 论著 • 上一篇    下一篇

上颌窦底微创提升的短期临床疗效评价

李冠达 滕敏华 周冯娟 叶俊 成贤基 莫安春   

  1. 口腔疾病研究国家重点实验室 华西口腔医院种植科(四川大学) 成都 610041
  • 收稿日期:2013-02-12 修回日期:2013-08-06 出版日期:2013-11-01 发布日期:2013-11-01
  • 通讯作者: 莫安春,Tel:028-85503571
  • 作者简介:李冠达,2011级台湾籍硕士研究生

Short-term clinical evaluation of minimally invasive osteotome sinus augmentation technique with minimal crestal bone

Li Guanda, Teng Minhua, Zhou Fengjuan, Ye Jun, Cheng Xianji, Mo Anchun   

  1. State Key Laboratory of Oral Diseases, Dept. of Implantology, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, China
  • Received:2013-02-12 Revised:2013-08-06 Online:2013-11-01 Published:2013-11-01

摘要:

目的 通过临床试验评估一种上颌窦底微创提升技术的疗效。方法 试验组11例患者的上颌后牙区行上颌窦底微创提升技术并同期植入短种植体14枚。对照组10例患者进行了使用扩孔钻的上颌窦冲顶技术并同期植入短种植体13枚。两组患者术后6个月行暂冠修复,进行咬合训练及软组织塑形,3个月后永久修复。术后定期复诊,检查患者的上颌窦、种植体骨结合情况,并使用锥形束CT(CBCT)测量骨增量水平。结果 试验组及对照组均无种植体松动、脱落及上颌窦炎发生,CBCT显示种植体与周围组织形成良好的骨性结合。经2~28个月随访观察,临床效果良好。试验组和对照组平均窦底垂直骨增量分别为5.87和5.45 mm。结论 上颌窦底微创提升联合短种植体同期植入是一种创伤小、操作简单、行之有效的上颌后牙区种植外科技术,可用于上颌窦底垂直骨量严重不足,余留牙槽骨高度不足4 mm的病例。

关键词: 上颌窦底提升, 短种植体, 同期植入, 存留率

Abstract:

Objective To introduce a minimally invasive technique of osteotome sinus floor elevation(OSFE) combined with simultaneous short implant placement to treat edentulous posterior maxilla subject to severely insufficient bone height and evaluate its clinical effects in a prospective study. Methods All implants were placed following a one-stage protocol(elevating the sinus floor and placing the implant simultaneously). A total of 14 short implants were placed in the posterior maxilla of 11 patients using trephines. The temporary crowns were fixed six months after the surgery for bite training and soft tissue reformation. The final prostheses were restored three months later. The stability and osseointegration of the implants were clinically evaluated, and the endo-sinus bone gain around the implants was calculated through cone beam computed tomography measurement. Results The mean observation follow-up period was 12 months(with a range of 2 months to 28 months). The survival rate was 100% during the study period. Each of the implants was clinically stable and was successfully loaded without pain or any subjective sensation. No implant had detectable sinus membrane perforation during the operation. Radiographic results demonstrate that the endo-sinus bone gains of the two groups were 5.87 and 5.45 mm. Conclusion Based on the results of the present study, short implant placement in conjunction with the OSFE could yield predictable clinical results for the edentulous posterior maxillary region with the residual bone height of less than 4 mm. The proposed technique represents a feasible modality for the treatment of severely atrophic posterior maxilla. In addition, from the clinical point of view, the proposed technique may reduce indications for complex invasive procedures, avoid bone material graft, and simplify treatment in the posterior.

Key words: maxillary sinus floor elevation, short dental implants, simultaneous implant placement, implant survival

中图分类号: 

  • R 782.12
[1] 黄定明, 张岚, 满毅. 牙保存相关上颌窦底提升术的生物学基础[J]. 国际口腔医学杂志, 2023, 50(3): 251-262.
[2] 朱秋艳,吴道敏,鲍济波,谢志刚. 上颌窦宽度与角度对上颌窦底提升术后成骨效果的影响[J]. 国际口腔医学杂志, 2023, 50(2): 159-165.
[3] 刘昱晨,田敏,牛丽娜,方明. 粘接固定桥存留率的影响因素及提高对策[J]. 国际口腔医学杂志, 2021, 48(5): 585-591.
[4] 路泊遥,杨大维,刘蔚晴,梁星. 超短种植体临床应用效果的影响因素[J]. 国际口腔医学杂志, 2021, 48(3): 329-328.
[5] 陆轩,陈小冬,邢文忠,李振春. 全瓷贴面修复的临床效果评估[J]. 国际口腔医学杂志, 2015, 42(2): 170-172.
[6] 李洲1 法永红2 王亚锋2 李斌2. 上颌窦内壁分隔的研究进展[J]. 国际口腔医学杂志, 2015, 42(1): 40-43.
[7] 杨世茂1综述 王明国2审校. 富血小板纤维蛋白的研究进展[J]. 国际口腔医学杂志, 2012, 39(3): 373-375.
[8] 郭晶综述 陈卓凡审校. 牙周炎患者种植治疗的研究进展[J]. 国际口腔医学杂志, 2010, 37(3): 324-324~326.
[9] 孙小娟综述 蒋欣泉,张志愿审校. 上颌窦底提升的研究进展[J]. 国际口腔医学杂志, 2008, 35(1): 65-67.
Viewed
Full text


Abstract

Cited

  Shared   
  Discussed   
[1] 王昆润. 二甲亚砜和双氯芬酸并用治疗根尖周炎[J]. 国际口腔医学杂志, 1999, 26(06): .
[2] 汤庆奋,王学侠. 17β-雌二醇对人类阴道和口腔颊粘膜的渗透性[J]. 国际口腔医学杂志, 1999, 26(06): .
[3] 潘劲松. 颈总动脉指压和颈内动脉球囊阻断试验在大脑血液动力学中的不同影响[J]. 国际口腔医学杂志, 1999, 26(05): .
[4] 王昆润. 后牙冠根斜形牙折的治疗[J]. 国际口腔医学杂志, 1999, 26(05): .
[5] 杨锦波. 嵌合体防龋疫苗的研究进展[J]. 国际口腔医学杂志, 1999, 26(05): .
[6] 王昆润. 下颔骨成形术用网状钛板固定植骨块[J]. 国际口腔医学杂志, 1999, 26(04): .
[7] 汪月月,郭莉莉. 口腔机能与老化—痴呆危险因素流行病学研究[J]. 国际口腔医学杂志, 1999, 26(04): .
[8] 丁刚. 应用硬组织代用品种植体行丰颏术[J]. 国际口腔医学杂志, 1999, 26(04): .
[9] 田磊. 局部应用脂多糖后结合上皮反应性增生的变化[J]. 国际口腔医学杂志, 1999, 26(04): .
[10] 戴青. 口腔念珠菌病的新分类[J]. 国际口腔医学杂志, 1999, 26(04): .