经牙槽嵴顶入路两种微创上颌窦提升方法的应用及3～5年临床观察

发布时间：2018-05-23 16:35

本文选题：上颌窦提升 + 同期植入　；参考：《口腔医学研究》2016年06期

【摘要】：目的:比较2种不同的经牙槽嵴顶入路上颌窦底提升方法在同期植入种植体情况下的3~5年临床观察效果。方法:采用2种上颌窦底提升技术,对70例(共81颗)垂直骨量不足的上颌后牙区种植病例行上颌窦底提升及种植体同期植入手术,术后3、6、12、18~72个月检查上颌窦及种植体骨结合情况。结果:1颗种植体因早期感染脱落,1颗种植体修复戴冠后松动取出,其余79颗种植体X线检查骨整合良好,术后4~6个月完成义齿修复,无上颌窦炎发生。经6~72(36.78±13.74)个月随访观察,临床效果良好。结论:剩余牙槽骨高度6~8 mm条件下两种上颌窦底提升方法同期植入种植体的临床效果无统计学差异,而使用DASK工具经牙槽嵴顶微创上颌窦底提升技术的适应证更广泛,可用于剩余牙槽骨高度2~5mm条件,患者手术痛苦小,满意度高。
[Abstract]:Objective: to compare the clinical effects of two different transalveolar maxillary sinus floor lifting methods in 3 ~ 5 years after implantation of implants at the same time. Methods: two kinds of lifting techniques of maxillary sinus floor were used in 70 cases (81 cases) of maxillary posterior dentition with insufficient vertical bone mass. The maxillary sinus floor lifting and implants implantation were performed simultaneously. Maxillary sinus and osseous implants were examined from 18 to 72 months after operation. Results one implant was removed because of early infection, and one implant was loosened and removed after crown repair. The other 79 implants were well integrated in X-ray examination. The denture was repaired 4 ~ 6 months after operation, and no maxillary sinusitis occurred. The clinical effect was good after a follow-up of 36.78 卤13.74 months. Conclusion: there was no significant difference in clinical effect between the two methods of maxillary sinus floor lifting under the condition of 6 ~ 8 mm residual alveolar bone height, but the indications of using DASK tool for transalveolar ridge top minimally invasive lifting of maxillary sinus floor were more extensive. It can be used for the 2~5mm condition of residual alveolar bone height, the patient's operation pain is small, the patient's satisfaction is high.
【作者单位】：北京大学口腔医学院·口腔医院·第一门诊部;
【分类号】：R783.6

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