上颌结节倾斜种植体联冠桥修复在上颌后牙区骨量不足中的应用效果评价

doi:10.19439/j.sjos.2018.02.011

上海口腔医学 ›› 2018, Vol. 27 ›› Issue (2): 170-175.doi: 10.19439/j.sjos.2018.02.011

上颌结节倾斜种植体联冠桥修复在上颌后牙区骨量不足中的应用效果评价

罗翠芬, 彭国光, 夏炜, 冯远华, 沈琳, 黄杏香

广州中医药大学附属佛山中医院口腔医疗中心,广东佛山 528000

收稿日期:2017-04-20 修回日期:2017-07-31 出版日期:2018-04-25 发布日期:2018-05-14
通讯作者: 彭国光,E-mail：guoguang828@aliyun.com
作者简介:罗翠芬（1991-）,女,硕士,E-mail：549127870@qq.com
基金资助:
佛山市医学重点专科培育项目（Fspy3-2015018）

Clinical study on united crowns or bridges for restoration of posterior teeth with insufficient maxillary bone by means of maxillary tuberosity dental implants

LUO Cui-fen, PENG Guo-guang, XIA Wei, FENG Yuan-hua, SHEN Lin, HUANG Xing-xiang

Department of Dental Implantation, Foshan Hospital of Traditional Chinese Medicine, School of Guangzhou University of Chinese Medicine. Foshan 528000,Guangdong Province, China

Received:2017-04-20 Revised:2017-07-31 Online:2018-04-25 Published:2018-05-14

摘要/Abstract

摘要： 目的:观察上颌结节倾斜种植体联冠桥修复在上颌后牙区骨量不足患者中的应用效果。方法:将上颌后牙种植修复（上颌后牙区骨量不足无法直接接受常规种植体植入）并采用上颌结节倾斜种植技术的40例患者（80颗种植体）纳入上颌结节倾斜种植体组（A组）,选取同期采用上颌窦内提升术的42例患者（84颗种植体）纳入上颌窦内提升组（B组）。比较2组种植体存留率、种植体周边缘骨水平的变化、不良反应的发生率、种植手术所需时间及费用等。采用SPSS19.0软件包对数据进行统计学处理。结果:随访2年,A组种植体存留率为100%,种植体周边缘骨水平吸收（0.31±0.27）mm,上颌窦炎、术中大出血的发生率为0%;B组种植体存留率为96.43%,种植体周边缘骨水平吸收（0.28±0.26）mm,上颌窦炎、术中大出血的发生率分别为9.5%、4.8%,2组间的差异均无显著性（P>0.05）。A组上颌窦黏膜穿孔、术后重度疼痛发生率分别为0%、7.5%,手术时间为（30.55±8.21）min,植入每颗种植体平均费用为（0.69±0.05）万元;B组上颌窦黏膜穿孔、术后重度疼痛的发生率分别为14.3%、28.6%,手术时间为（50.32±10.80）min,植入每颗种植体平均费用为（0.98±0.06）万元,差异均具显著性（P<0.05）。结论:对于部分上颌后牙骨量不足的患者而言,上颌结节倾斜种植体联冠桥修复作为一种治疗方法可明显缩短治疗时间,减少手术难度和痛苦,降低治疗费用,且疗效可靠,预后良好。

关键词: 上颌结节, 倾斜种植体, 翼区种植, 翼上颌区种植, 联冠桥

Abstract: PERPOSE: To evaluate the clinical effect of united crowns or bridges for restoration of posterior teeth with insufficient maxillary bone by means of tilted dental implants. METHODS: Patients who underwent dental implant surgery in posterior teeth with insufficient maxillary bone were collected and divided into two groups (40 in each group). Patients in the experimental group were treated with titled dental implantation, while patients in the control group were treated with maxillary sinus lifting. Implant retention, marginal bone loss, incidence of adverse reactions, time needed for implantation and cost were recorded and analyzed with SPSS 19.0 software package. RESULTS: After follow up of 2 year, the experimental group had a cumulative survival rate of 100%, marginal bone resorption was (0.31±0.27)mm on average, no sinusitis and massive haemorrhage were noted, The control group had a cumulative survival rate of 96.43%, marginal bone resorption was (0.28±0.26) mm on average, sinusitis and massive haemorrhage occurred in 9.5%,4.8% of patients, the difference was not statistically significant（P>0.05）. In the experimental group, maxillary sinus mucosa perforation and postoperative pain occurred in 0%,7.5% of patients, duration of operation was （30.55±8.21）min, average cost of each implant was （6.9±0.5）thousand RMB; while in the control group, maxillary sinus mucosa perforation and postoperative pain occurred in 14.3%,28.6% of patients, duration of operation was （50.32±10.80）min, average cost of each implant was (0.98±0.06) thousand RMB, the difference was significant（P<0.05）. CONCLUSIONS: It is feasible to use united crowns or bridges for restoration of posterior teeth with insufficient maxillary bone by means of maxillary tuberosity dental implants.

Key words: Maxillary tuberosity, Titled dental implantation, Pterygoid implant, Pterygomaxillary implant, United crown

中图分类号:

R782.1

罗翠芬, 彭国光, 夏炜, 冯远华, 沈琳, 黄杏香. 上颌结节倾斜种植体联冠桥修复在上颌后牙区骨量不足中的应用效果评价[J]. 上海口腔医学, 2018, 27(2): 170-175.

LUO Cui-fen, PENG Guo-guang, XIA Wei, FENG Yuan-hua, SHEN Lin, HUANG Xing-xiang. Clinical study on united crowns or bridges for restoration of posterior teeth with insufficient maxillary bone by means of maxillary tuberosity dental implants[J]. Shanghai Journal of Stomatology, 2018, 27(2): 170-175.

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上颌结节倾斜种植体联冠桥修复在上颌后牙区骨量不足中的应用效果评价

Clinical study on united crowns or bridges for restoration of posterior teeth with insufficient maxillary bone by means of maxillary tuberosity dental implants

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