本文選題：牙種植體 + 側(cè)壁開窗上頜竇底提升術(shù)��； 參考：《廣東醫(yī)學(xué)》2017年S1期

【摘要】：目的評價(jià)上頜竇側(cè)壁小窗口竇底外提升同期種植體植入在上頜后牙區(qū)骨量不足中應(yīng)用的近期臨床效果。方法 7例(共8側(cè))上頜后牙缺失患者,上頜竇底與牙槽嵴頂之間的剩余牙槽骨高度均5 mm(平均3.7 mm),行上頜竇側(cè)壁小窗口竇底外提升同期植入種植體16枚,術(shù)后6個(gè)月上部結(jié)構(gòu)修復(fù),隨訪6~24個(gè)月,平均(11.6±5.7)個(gè)月。觀察種植體存留率、種植體周圍骨結(jié)合和骨量改變情況,以及上頜竇底外提升術(shù)的并發(fā)癥。結(jié)果觀察期內(nèi)本組種植體留存率為100%,16枚種植體均成功負(fù)載,骨結(jié)合狀況良好,無不良自覺癥狀,本組病例術(shù)中未出現(xiàn)竇底黏膜穿孔破裂,僅有2例術(shù)后輕度頜面部腫脹。比較術(shù)后當(dāng)天與術(shù)后6個(gè)月X線顯示上頜竇內(nèi)種植體周圍骨高度平均增加10.1 mm;邊緣骨喪失平均0.4 mm。結(jié)論上頜竇側(cè)壁小窗口竇底外提升同期種植體植入是上頜后牙區(qū)剩余牙槽高度嚴(yán)重不足種植修復(fù)的有效解決方案,操作簡便安全、并發(fā)癥發(fā)生率低,減少手術(shù)及診療次數(shù),縮短治療周期,近期臨床效果好,值得臨床進(jìn)一步研究和推廣應(yīng)用。
[Abstract]:Objective to evaluate the clinical effect of simultaneous implants implantation in the maxillary posterior dentition region with osseous deficiency in the lateral wall of maxillary sinus. Methods in 7 patients (8 sides) with maxillary posterior teeth missing, the height of residual alveolar bone between the maxillary sinus floor and the alveolar crest was 5 mm (mean 3.7 mm). 16 implants were implanted at the same time. The superstructure was repaired 6 months after operation and followed up for 6 ~ 24 months, with an average of 11.6 鹵5.7 months. The survival rate of implants, the changes of osseous binding and bone mass around implants, and the complications of extramaxillary sinus lifting were observed. Results during the observation period, the retention rate of the implants was 100 and 16 implants were successfully loaded, the osseous bond was good, and there was no bad conscious symptom. There was no perforation and rupture of the mucosa in the sinus floor, only 2 cases had slight maxillofacial swelling after operation. The height of bone around implants in maxillary sinus was increased by 10.1 mm on the same day and 6 months after operation, and the average loss of marginal bone was 0.4 mm. Conclusion simultaneous implant implantation in lateral wall of maxillary sinus is an effective solution to the severe shortage of residual alveolar height in the maxillary posterior region. It is simple and safe to operate, with low incidence of complications, and reduces the frequency of operation and diagnosis and treatment. Shorten the treatment cycle, clinical effect is good in the near future, worthy of further clinical research and application.
【作者單位】： 中山大學(xué)附屬汕頭醫(yī)院·汕頭市中心醫(yī)院口腔科;
【基金】：廣東省自然科學(xué)基金資助項(xiàng)目(編號:2014A030307003) 汕頭市科技計(jì)劃項(xiàng)目(汕府科[2015]132號123) 汕頭市醫(yī)療科技計(jì)劃項(xiàng)目(汕府科[2015]123號07)
【分類號】：R782.1

【相似文獻(xiàn)】

相關(guān)期刊論文 前4條

1 唐德爭;譚包生;郭德惠;;上頜竇側(cè)壁開窗提升術(shù)術(shù)后5年以上的臨床病例分析[J];口腔頜面修復(fù)學(xué)雜志;2013年02期

2 唐德爭;譚包生;;上頜竇側(cè)壁開窗植骨術(shù)的臨床研究[J];口腔頜面修復(fù)學(xué)雜志;2011年06期

3 陳敏;黃瑋;劉曉瓊;;上頜竇側(cè)壁開窗同期種植的護(hù)理配合[J];實(shí)用臨床醫(yī)學(xué);2013年09期

4 ;[J];;年期

相關(guān)會(huì)議論文 前1條

1 歐國敏;宮蘋;劉福祥;汪永躍;譚震;陳文川;;上頜竇側(cè)壁開窗術(shù)及竇底擠壓術(shù)提升上頜竇底[A];第四屆全國口腔種植學(xué)術(shù)會(huì)議論文集[C];2005年

相關(guān)碩士學(xué)位論文 前1條

1 段新秀;上頜竇側(cè)壁開窗術(shù)臨床效果的觀察[D];安徽醫(yī)科大學(xué);2015年

，

本文編號：1890794