经牙槽嵴顶入路液压提升法提升上颌窦底黏膜并植骨同期种植的效果评价

上海口腔医学 ›› 2015, Vol. 24 ›› Issue (6): 721-725.

经牙槽嵴顶入路液压提升法提升上颌窦底黏膜并植骨同期种植的效果评价

杨炎忠，田小华，李小凤，龚正伟

杭州口腔医院特需科，浙江杭州313000

收稿日期:2015-01-10 出版日期:2015-12-25 发布日期:2016-01-04
通讯作者: 李小凤,Tel:0571-28800315,E-mail:dr.lixf@163.com E-mail:15167134818@163.com
作者简介:杨炎忠1979-，男，硕士

Clinical study of sinus elevation by hydraulic and implant placement followed by bone graft simultaneously

YANG Yan-zhong, TIAN Xiao-hua, LI Xiao-feng, GONG Zheng-wei.

Department of VIP, Hangzhou Stomatological Hospital. Hangzhou 313000, Zhejiang Province, China

Received:2015-01-10 Online:2015-12-25 Published:2016-01-04

摘要/Abstract

摘要： 目的探讨经牙槽嵴顶入路液压提升法提升上颌窦底黏膜并植骨同期种植的临床效果。方法选取经牙槽嵴顶入路液压提升法提升上颌窦底黏膜并植骨同期进行种植体植入术的患者25例，其中男15例，女10例，年龄40～62岁，均为上颌后牙单颗缺失，缺牙区剩余上颌窦骨高度为（4.25±1.12）mm，进行临床检查和影像学检查，评估其临床效果。结果 25例病例上颌窦底提升高度为（8.50±2.12） mm, 术中未发现上颌窦底黏膜破损，同期植入Bio-Oss骨粉并植入种植体25颗。1例患者因种植体感染于术后3周脱落，后检查发现该患者患有糖尿病，暂时放弃再次种植。其余24例患者术后观察未发现明显并发症和不良反应。随访12～18个月，所有种植体均行使良好功能。结论液压提升法提升上颌窦底黏膜并植骨同期种植安全、可靠，手术创伤小，较传统冲顶式内提升法更加灵活,并可避免敲击震荡给患者带来的恐惧和不适，临床效果较好。

关键词: 上颌窦提升, 液压, 种植

Abstract: PURPOSE To evaluate the clinical results and technique of sinus membrane hydraulic elevation followed by bone graft and implant placement simultaneously. METHODS Twenty-five patients were involved in the study (male:15, female: 10, age: 40-62 yrs). The mean residual ridge was (4.25±1.12) mm. Clinical examination were performed and radiographs were taken to evaluated the outcomes. RESULTS The mean elevated height was (8.50±2.12) mm and 25 implants were placed. Only one implant was lost due to infection 3 weeks after operation because of diabetes. Only minor complications were observed postoperatively in the remaining patients. Twenty-four patients were satisfactorily restored with the follow-up period of 12～18 months.CONCLUSIONS The technique of sinus membrane hydraulic elevation followed by bone graft and implant placement simultaneously displays minor complication, minimal discomfort and excellent success rate.

Key words: Maxillary sinus, Hydraulic, Implants

中图分类号:

R782.12

引用本文

杨炎忠，田小华，李小凤，龚正伟. 经牙槽嵴顶入路液压提升法提升上颌窦底黏膜并植骨同期种植的效果评价[J]. 上海口腔医学, 2015, 24(6): 721-725.

YANG Yan-zhong, TIAN Xiao-hua, LI Xiao-feng, GONG Zheng-wei.. Clinical study of sinus elevation by hydraulic and implant placement followed by bone graft simultaneously[J]. Shanghai Journal of Stomatology, 2015, 24(6): 721-725.

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