上颌窦区骨量不足3 mm植骨后同期种植临床效果分析

doi:10.19439/j.sjos.2017.03.012

上海口腔医学 ›› 2017, Vol. 26 ›› Issue (3): 290-292.doi: 10.19439/j.sjos.2017.03.012

上颌窦区骨量不足3 mm植骨后同期种植临床效果分析

戴小锋^{1, 2*, *}, 包立^{1*, *}, 余优成, 施乐

1.复旦大学附属中山医院口腔科,上海 200032；
2.静安区牙病防治所,上海200040

收稿日期:2017-01-12 修回日期:2017-02-24 出版日期:2017-06-25 发布日期:2017-07-05
通讯作者: 施乐, E-mail:13003162720@163.com;余优成,E-mail:yu.youcheng@zs-hospital.sh.cn。^#共同通信作者
作者简介:戴小锋（1979-）,男,学士,主治医师,E-mail:xiaofengdai2008@163.com;包立（1987-）,男,硕士,住院医师,E-mail:baolibaolibao@126.com。*并列第一作者
基金资助:
上海市科学技术委员会科研计划项目（14JC1490600）

Clinical study of simultaneous implantation in maxillary molar area after bone graft in patients with residual alveolar bone height<3 mm

DAI Xiao-feng^{1, 2}, BAO Li¹, YU You-cheng¹, SHI Le²

1.Department of Stomatology, Zhongshan Hospital of Fudan University. Shanghai 200032;
2.Shanghai Jing-an Dental Clinic. Shanghai 200040, China

Received:2017-01-12 Revised:2017-02-24 Online:2017-06-25 Published:2017-07-05

摘要/Abstract

摘要： 目的探讨在上颌窦区骨量不足3 mm的情况下,进行上颌窦底提升术并植骨同期将种植体植入的临床效果。方法选择复旦大学附属中山医院和静安区牙病防治所2012年4月1日—2015年12月31日上颌后牙缺失患者56例,剩余牙槽骨高度均小于3 mm,术中行上颌窦底提升术并植骨,同期将种植体植入。术后3、6、12个月定期随访,分析及评估术后愈合效果及骨结合情况。结果56例患者共植入72颗种植体,随访期间,种植体与周围骨组织结合良好,种植体稳定。术后6个月行种植修复,均能正常行使咀嚼功能,牙龈无形态、色泽异常,无并发症发生,手术成功率为100%。结论对于上颌窦底骨量不足3 mm的患者,术中行上颌窦底提升术并植骨同期将种植体植入,也能取得良好的治疗效果。

关键词: 上颌窦底提升术, 窦嵴距, 骨结合, 同期种植, 种植义齿

Abstract: PURPOSE: To evaluate the clinical effect of maxillary sinus floor elevation and simultaneous implant in patients with residual alveolar bone height <3 mm in the posterior maxillary sinus area. METHODS: From April 1, 2012 to December 31, 2015, 56 patients with lost maxillary posterior teeth and residual alveolar bone height <3 mm were enrolled in this study. During operation, maxillary sinus floor elevation was performed and implants were placed simultaneously. Patients were followed up for 3, 6 and 12 months (range: 6-12 months) to analyze and evaluate the postoperative healing effect. RESULTS: A total of 52 implants were placed in 38 patients. During the follow-up period, all patients had good osterintegration of the implants and the surrounding bony tissues. Efficient mastication was obtained. The color and shape of gingiva returned to normal. No complications occurred. The surgical success rate was 100%. CONCLUSIONS: For patients with residual alveolar bone height <3 mm, maxillary sinus floor elevation and simultaneous implant in patients can also obtain good therapeutic effect.

Key words: Maxillary sinus augmentation, Sinus crest, Bone bonding, Simultaneous implantation, Implant denture

中图分类号:

R782.1

戴小锋, 包立, 余优成, 施乐. 上颌窦区骨量不足3 mm植骨后同期种植临床效果分析[J]. 上海口腔医学, 2017, 26(3): 290-292.

DAI Xiao-feng, BAO Li, YU You-cheng, SHI Le. Clinical study of simultaneous implantation in maxillary molar area after bone graft in patients with residual alveolar bone height<3 mm[J]. Shanghai Journal of Stomatology, 2017, 26(3): 290-292.

参考文献

[1] Tatum HJ. Maxillary and sinus implant reconstruction [J]. Dent Clin North Am, 1986, 30(2): 207-229.
[2] Lana JP, Carneiro PM, Machado Vde C, et al. Anatomic variations and lesions of the maxillary sinus detected in cone beam computed tomography for dental implants [J]. Clin Oral Implants Res, 2012, 23(12): 1398-1403.
[3] Stephenson D, Yin T, Smalsting EB, et al. Transcription factor is activated in neurons after focal cerebral ischemia [J]. J Cereb Blood Flow Metab, 2000, 20(3): 592-603.
[4] Carroll JE, Howard EF, Hess DC, et al. Nuclear factor-kB activation during cerebral perfusion :effect of attention with N-acetylcysteine treatment[J]. Brain Res Moc, 1998, 56(1-2): 189-191.
[5] Mcdermott NE, Chuang SK, Woo W, et al. Maxillary sinus augmentation as a risk factor for implant failure [J]. Int J oral Maxillofac Implants, 2006, 21(3): 366-374.
[6] Cortes AR, Pinheiro LR, Cavalcanti MG, et al. Sinus floor bone failures in maxillary sinus floor augmentation: a case-control study [J]. Clin Implant Dent Relat Res, 2013, 17(2): 335-342.
[7] Peleg M, Garg AK, Mazor Z. Predictability of simultaneous implant placement in the severely atrophic posterior maxilla: a 9 year longitudinal experience study of 2132 implants placed into 731 human sinus grafts[J]. Int J Oral Maxillofac Implant, 2006, 21(1): 94-102.
[8] Manso MC, Wassal T. A 10-year longitudinal study of 160 implants simultaneously installed in severely atrophic posterior maxillas grafted with autogenous bone and a synthetic bioactive resorbable graft [J]. Implant Dent, 2010, 19(4): 351-360.
[9] McCarthy C, Patel RR, Wragg PF, et al. Sinus augmentation bone grafts for the provision of dental implants: report of clinical outcome [J]. Int J Oral Maxillofac Implant, 2003, 18(3): 377-382.
[10] Degidi M, Daorile G, Piattelli A. Determination of primary stability: a comparison of the surgeon's perception and objective measurement [J]. Int J Oral Maxillofac Implants, 2009, 20(3): 558-561.

[1]	郝新河, 叶虎, 翟沁凯. 2种手术入路上颌窦底提升同期种植失败原因和并发症分析[J]. 上海口腔医学, 2021, 30(2): 214-218.
[2]	汪淑华, 孙哲, 厉辉, 叶鑫健, 郑胜, 冯剑颖. 低幅高频振动对比格犬种植体周围骨愈合和种植体骨结合的影响[J]. 上海口腔医学, 2021, 30(1): 17-22.
[3]	陈文渊, 陈翔, 林晓炜, 徐亮. 上颌窦底提升术同期种植体长期存活率的影响因素分析[J]. 上海口腔医学, 2020, 29(5): 539-543.
[4]	李晨, 周玥颖, 周振凯, 周舰航, 周红波, 刘欧胜. 喷砂联合飞秒激光蚀刻对纯钛表面理化性能的影响[J]. 上海口腔医学, 2019, 28(4): 337-342.
[5]	刘强, 张毅能, 李惠君, 刘珏, 阮建明, 周雄文. 国产多孔钽铌合金材料骨结合性能评价[J]. 上海口腔医学, 2018, 27(5): 477-481.
[6]	王燕, 张雪健, 尹传蓉, 邓悦, 王万春. 24例磨牙压低及种植义齿修复长期疗效观察[J]. 上海口腔医学, 2018, 27(4): 430-432.
[7]	许海燕, 张青, 方利华, 游嘉. 基于种植导板的双根种植体植入方法探讨[J]. 上海口腔医学, 2016, 25(5): 527-531.
[8]	戴烨扬, 王德芳. 用于经牙槽嵴顶上颌窦提升术的山羊模型比较[J]. 上海口腔医学, 2015, 24(5): 410-414.
[9]	何晶, 商亚微, 邓春富, 尚德浩, 张翀, 王丹宁, 赵宝红. 种植体失败位点再种植的临床回顾分析[J]. 上海口腔医学, 2014, 23(2): 196-200.
[10]	周文清, 陈建荣, 周永强, 吴燕平, 陈璐, 丁水清. CBCT在上颌窦底提升术中的应用[J]. 上海口腔医学, 2014, 23(1): 71-74.
[11]	张敏, 郑苍尚. 种植义齿固定螺丝孔微渗漏原因分析[J]. 上海口腔医学, 2013, 22(3): 287-290.
[12]	孙菲;林婷婷;袁晓烨;曾绍先;杜瑞林;陆尔奕. nHA/BG涂层与Bio-Oss骨粉修复种植体骨缺损的实验研究 [J]. 上海口腔医学, 2012, 21(4): 378-383.

上颌窦区骨量不足3 mm植骨后同期种植临床效果分析

Clinical study of simultaneous implantation in maxillary molar area after bone graft in patients with residual alveolar bone height<3 mm

PDF (PC)

可视化

被引次数

摘要/Abstract

引用本文

使用本文

参考文献

相关文章 12

编辑推荐

Metrics

本文评价