穿颧种植用于修复上颌后部骨量不足的研究进展

摘要/Abstract

摘要： 上颌后部骨量不足不能为传统种植体提供足够的初期稳定性，目前已有许多可供选择的治疗方法，如自体骨移植、经上颌窦外侧壁开窗植骨术、穿颧种植术等。其中，穿颧种植术避免了对骨移植材料的依赖，并且能够即刻修复，在较短的时间内恢复患者的咀嚼、发音功能和美观等。该文就穿颧种植在口腔种植领域中的应用，即刻修复与即刻负重以及穿颧种植辅助技术等方面对穿颧种植应用于上颌后牙骨量不足的研究进展作一综述。

关键词: 颧骨种植体, 骨量不足, 即刻负重, 计算机辅助手术

Abstract: Patients with inadequate amount of bone at posterior maxilla cannot provide initial stability for implant anchorage. Many approaches have been suggested to solve this problem, such as autogenous bone grafting, bone grafting with sinus floor elevation and zygomatic implants. Among them, zygomatic implants may eliminate or minimize the need for bone grafting and can adopt immediate loading, which is an effective method that ideally provide restored function and esthetics in a short time. This article aims to review the application of zygomatic implants, immediate rehabilitation and immediate loading, and the assisted techniques. Key words：　Bone deficiency; Zygomatic implants; Immediate loading; Computer-assisted surgery.

Key words: Zygomatic implants, Bone deficiency, Immediate loading, Computer-assisted surgery.

中图分类号:

R783.4

吴迪汤春波. 穿颧种植用于修复上颌后部骨量不足的研究进展[J]. 口腔医学, 2020, 40(7): 639-643.

Di WU. Research on the application of zygomatic implants for dental implant restoration for patients with alveolar bone deficiency in posterior maxilla[J]. Stomatology, 2020, 40(7): 639-643.

参考文献 39

[1]	Chrcanovic BR, Pedrosa AR, Neto Custódio AL.Zygomatic implants: a critical review of the surgical techniques[J].Oral Maxillofac Surg, 2013, 17(1):1-9
[2]	Chrcanovic BR, Albrektsson T, Wennerberg A.Survival and Complications of Zygomatic Implants: An Updated Systematic Review[J].J Oral Maxillofac Surg, 2016, 74(10):1949-64
[3]	Coppedê A, de Mayo T, de Sá Zamperlini M, et al.Three-year clinical prospective follow-up of extrasinus zygomatic implants for the rehabilitation of the atrophic maxilla[J].Clin Implant Dent Relat Res, 2017, 19(5):926-34
[4]	Stella JP, Warner MR.Sinus slot technique for simplification and improved orientation of zygomaticus dental implants: a technical note[J].The International journal of oral & maxillofacial implants, 2000, 15(6):889-93
[5]	Grecchi F, Bianchi AE, Siervo S, et al.A new surgical and technical approach in zygomatic implantology[J].ORAL & implantology, 2017, 10(2):197-208
[6]	Aparicio C, Manresa C, Francisco K, et al.Zygomatic implants: indications,techniques and outcomes,and the zygomatic success code[J].Periodontology, 2014, 66(1):41-58
[7]	Aparicio C.A proposed classification for zygomatic implant patient based on the zygoma anatomy guided approach (ZAGA): a cross-sectional survey[J].European journal of oral implantology, 2011, 4(3):269-75
[8]	Tuminelli FJ, Walter LR, Neugarten J, et al.Immediate loading of zygomatic implants: A systematic review of implant survival,prosthesis survival and potential complications[J].European journal of oral implantology, 2017, 10(Suppl 1):179-87
[9]	Davó R, David L.Quad Zygoma: Technique and Realities[J].Oral Maxillofac Surg Clin North Am, 2019, 31(2):285-97
[10]	Davó R, Pons O.year outcome of cross-arch prostheses supported by four immediately loaded zygomatic implants: A prospective case series[J].European journal of oral implantology, 2015, 8(2):169-74
[11]	Aboul-Hosn Centenero S, Lázaro A, Giralt-Hernando M, et al.Zygoma Quad Compared With 2 Zygomatic Implants: A Systematic Review and Meta-analysis[J].Implant Dent, 2018, 27(2):246-253
[12]	Mertens C, de San Jose Gonzalez J, Freudlsperger C, et al.Implant-prosthetic rehabilitation of hemimaxillectomy defects with CADCAM suprastructures[J].J Craniomaxillofac Surg, 2016, 44(11):1812-8
[13]	Kreissl ME, Heydecke G, Metzger MC, et al.Zygoma implant-supported prosthetic rehabilitation after partial maxillectomy using surgical navigation: A clinical report[J].The Journal of Prosthetic Dentistry, 2007, 97(3):121-8
[14]	Ozaki H, Ishikawa S, Kitabatake K, et al.Functional and aesthetic rehabilitation with maxillary prosthesis supported by two zygomatic implants for maxillary defect resulting from cancer ablative surgery: a case reporttechnique article[J].Odontology, 2015, 104(2):233-8
[15]	Sun J, Shen Y, Li J, et al.Reconstruction of high maxillectomy defects with the fibula osteomyocutaneous flap in combination with titanium mesh or a zygomatic implant[J].Plastic and reconstructive surgery, 2011, 127(1):150-60
[16]	Butterworth CJ, Rogers SN.The zygomatic implant perforated (ZIP) flap: a new technique for combined surgical reconstruction and rapid fixed dental rehabilitation following low-level maxillectomy[J].International journal of implant dentistry, 2017, 3(1):37-37
[17]	吴轶群, 张志愿, 铁瑛.颧种植体用于单侧上颌骨缺损修复的生物力学评价[J].上海口腔医学, 2008, 17(3):250-5
[18]	吴轶群, 叶晨, 张志愿.双侧上颌骨缺损颧种植体修复的有限元分析[J].中国口腔颌面外科杂志, 2011, 09(4):271-5
[19]	Sarkar SK, Lee BT.Hard tissue regeneration using bone substitutes: an update on innovations in materials[J].The Korean journal of internal medicine, 2015, 30(3):279-93
[20]	Dominguez EA, Guerrero C, Shehata E, et al.Zygoma Implants or Sinus Lift for the Atrophic Maxilla with a Dentate Mandible: Which is the Better Option?[J].Dent Clin North Am, 2019, 63(3):499-513
[21]	Lundgren S, Cricchio G, Hallman M, et al.Sinus floor elevation procedures to enable implant placement and integration: techniques,biological aspects and clinical outcomes[J].Periodontology, 2017, 73(1):103-20
[22]	Laney WR.Glossary of Oral and Maxillofacial Implants[J].The International journal of oral & maxillofacial implants, 2017, 32(4):G-i
[23]	Graves SL.The pterygoid plate implant: a solution for restoring the posterior maxilla[J].The International journal of periodontics & restorative dentistry, 1994, 14(6):512-23
[24]	Nkenke E, Hahn M, Lell M, et al.Anatomic site evaluation of the zygomatic bone for dental implant placement[J].Clin Oral Implants Res, 2003, 14(1):72-9
[25]	Hung KF, Ai QY, Fan SC, et al.Measurement of the zygomatic region for the optimal placement of quad zygomatic implants[J].Clin Implant Dent Relat Res, 2017, 19(5):841-8
[26]	林野.口腔种植学[M]. 北京: 北京大学医学出版社, 2014: 1-427.
[27]	Brunski JB.Avoid pitfalls of overloading and micromotion of intraosseous implants[J].Dental implantology update, 1993, 4(10):77-81
[28]	Delgado-Ruiz RA, Calvo-Guirado JL, Abboud M, et al.Histologic and histomorphometric behavior of microgrooved zirconia dental implants with immediate loading[J].Clin Implant Dent Relat Res, 2014, 16(6):856-72
[29]	Stokholm R, Isidor F, Nyengaard JR.Histologic and histomorphometric evaluation of peri-implant bone of immediate or delayed occlusal-loaded non-splinted implants in the posterior mandible--an experimental study in monkeys[J].Clin Oral Implants Res, 2014, 25(11):1311-8
[30]	Donati M, Botticelli D, La Scala V, et al.Effect of immediate functional loading on osseointegration of implants used for single tooth replacementA human histological study[J].Clin Oral Implants Res, 2013, 24(7):738-45
[31]	Wang F, Bornstein MM, Hung K, et al.Application of Real-Time Surgical Navigation for Zygomatic Implant Insertion in Patients With Severely Atrophic Maxilla[J].J Oral Maxillofac Surg, 2018, 76(1):80-7
[32]	Mozzati M, Mortellaro C, Arata V, et al.Rehabilitation with 4 zygomatic implants with a new surgical protocol using ultrasonic technique[J].The Journal of craniofacial surgery, 2015, 26(3):722-8
[33]	Agliardi EL, Romeo D, Panigatti S, et al.Immediate full-arch rehabilitation of the severely atrophic maxilla supported by zygomatic implants: a prospective clinical study with minimum follow-up of 6 years[J].Int J Oral Maxillofac Surg, 2017, 46(12):1592-9
[34]	Chow J.A novel device for template-guided surgery of the zygomatic implants[J].Int J Oral Maxillofac Surg, 2016, 45(10):1253-5
[35]	王跃平, 樊圣祈, 吴轶群.动态导航系统在口腔种植领域的发展和应用[J].口腔疾病防治, 2017, 25(10):613-9
[36]	Wu Y, Wang F, Huang W, et al.Real-Time Navigation in Zygomatic Implant Placement: Workflow[J].Oral Maxillofac Surg Clin North Am, 2019, 31(3):357-67
[37]	Hung KF, Wang F, Wang HW, et al.Accuracy of a real-time surgical navigation system for the placement of quad zygomatic implants in the severe atrophic maxilla: A pilot clinical study[J].Clin Implant Dent Relat Res, 2017, 19(3):458-65
[38]	Xiaojun C, Ming Y, Yanping L, et al.Image guided oral implantology and its application in the placement of zygoma implants[J].Computer methods and programs in biomedicine, 2009, 93(2):162-73
[39]	Block MS, Emery RW, Lank K, et al.Implant Placement Accuracy Using Dynamic Navigation[J].The International journal of oral & maxillofacial implants, 2017, 32(1):92-9