改良式上颌窦内提升术在上颌磨牙区的种植应用

Abstract

Abstract: Objective　To explore the clinical effectiveness of modified maxillary sinus lifting used to treat patients who want implant restoration and don’t have enough bone mass in maxilary molar area. Methods 40 patients of dental implant section were chosen, whose height of alveolar bone in maxilary molar area was not enough and who were admitted to the Yancheng Dental Hospital from 2012 to 2016. They were randomly divided into the experimental group and the control group. 20 patients in the experimental group were treated with modified maxillary sinus lifting, in which 20 implants were placed. The other 20 patients in the control group were treated with traditional knock - type maxillary sinus lifting, in which 20 implants were placed. Then the follow-up prognosis of the 2 groups was compared and the follow-up lasted at least 12 months. Results: During the follow-up period, 40 implants of the 2 groups all got good osseointegration, and clinical effectiveness of the implant restoration was pleasing. Conclusions: With suitable indications, good clinical effectiveness can be achieved by carrying out modified maxillary sinus lifting and placing implants in meanwhile in maxilary molar area. The operation is simple,which can be applied in clinical practice.

Key words: maxillary sinus lifting, dental implantation, bone transplantation

CLC Number:

R782.1

References

[1]Lee JE, Jin SH, Ko Y, et al.Evaluation of anatomical considerations in the posterior maxillae for sinus augmentation [ J][J].World J Clin Cases, 2014, 16(11):683-688
[2]Kocyigit ID, Coskunses FM, Ozgul O, et al.Evaluation of preoperative model surgery and the use of a maxillary sinus surgical template in sinus floor augmentation surgery [J][J].J Craniofac Surg, 2013, 24(6):606-610
[3]Cannizzaro G, Felice P, Minciarelli AF, et al.Early implant loading in the atrophic posterior maxilla:1-stage lateral versus crestal sinus lift and 8 mm hydroxyapatite-coated implantsA 5-year randomized controlled trial[J].Eur J Oral Implantol, 2013, 6(1):13-25
[4]McDermott NE, Chuang SK, Woo W.Maxillary sinus augmentation as a risk factor for implant failure[J].Int J Oral Maxillofac Implants, 2006, 21(3):366-374
[5]Yildirim M, Spekermann H, Biesterfeld S, et al.Maxillary sinus augmentation using xenogenic bone substitute material Bio-Oss in combinationg with venous bloodA histologic and histomophometric study in humans[J].Clin Oral Implants Res, 2000, 11(3):217-229
[6]张纪刚, 孙伟锋, 李莹.闭合式上颌窦提升术在牙种植中的应用[J].全科医学临床与教育, 2009, 3(1):17-
[7]Buser D, Mericske-Stern R, Bernard JP, et al.Long-term evaluation of non-submerged ITI implantsPart 1: 8-year life table analysis of a prospective multi -center study with 2359 implants[J].Clin Oral Implant Res, 1997, 8(3):161-172
[8]Cochran DL, Buser D, Ten Bruggenkate C, et al.The use of reduced healing times on ITI implants with a sandblasted and acid-etched ( SLA) surface: early results from clinical trials on ITI SLA implants[J].Clin Oral Implant Res, 2002, 13(2):144-153
[9]Pjetursson BE, Rast C, Bagger U, et al.Maxillary sinus floorelevation using the ( transalveolar) osteotome technique with or without grafting materialPart Ⅰ:Implant survival and patients'perception[J].Clin Oral Imp-lants Res, 2009, 36(2):177-183
[10]杨光, 姚新南.上颌窦内提升术中不植骨同期植入种植体的临床效果观察[J].口腔医学, 2013, 33(6):426-428
[11]肖慧娟, 杨云东, 许胜, 等.上颌窦底提升不植骨同期植入种植体的临床疗效观察[J].中华口腔医学杂志, 2011, 46(5):272-275
[12]袁长永, 王鹏来, 秦雁雁, 等.上颌后牙垂直骨量不足植牙患者上颌窦内提升术同期植入种植体临床观察[J].山东医药, 2016, 56(31):95-97
[13]Si MS, Mo JJ, Zhuang LF, et al.Osteotome sinus floor elevation with and without grafting: an animal study in Labrador dogs[J].Clin Oral Implants Res, 2015, 26(2):197-
[14]Si MS, Zhuang LF, Gu YX, et al.Osteotome sinus floor elevation with or without grafting: a 3?year randomized controlled clinical trial[J].J Clin Periodontol, 2013, 40(4):396-
[15]Nedir R, Nurdin N, Khoury P, et al.Osteotome sinus floor elevation with and without grafting material in the severely atrophic maxillaA 1-year prospective randomized controlled study[J].Clin Oral Implants Res, 2013, 24(11):1257-1264
[16]Brizuela A, Martín N, Fernández-Gonzalez FJ, et al.Osteotome sinus floor elevation without grafting material: Results of a 2-year prospective study[J].J Clin Exp Dent, 2014, 6(5):e479-484
[17]Rammelsberg P, Mahabadi J, Eiffler C, et al.Radiographic monitoring of changes in bone height after implant placement in combination with an internal sinus lift without graft material[J].Clin Implant Dent Relat Res, 2015, 17(Suppl 1):e267-274
[18]Scarano A, Degidi M, Iezzi G, et al.Maxillary sinus augmentation with different biomaterials:a comparative histologic and histomorphometric study in man[J].Implant Dent, 2006, 15(2):197-207
[19]江银华, 占适龙, 叶再挺, 等.螺旋在上颌窦底壁分型及内提升术风险评估中的应用[J].口腔医学, 2012, 32(8):482-485
[20]Krennmair G, Ulm CW, Lugmayr H, Solar P.The incidence,location,and height of maxillary sinus septa in the edentulous and dentate maxilla[J].J Oral Maxillofac Surg, 1999, 57(6):667-671
[21]Von Arx T, Fodich I, Bornstein MM, et al.Perforation of the sinus membrane during sinus floor elevation:a retrospective study of frequency and possible risk factors[J].Int J Oral Maxillofac Implants, 2014, 29(3):718-726
[22]Garbacea A, Lozada JL, Church CA, et al.The incidence of maxillary sinus membrane perforation during endoscopically assessed crestal sinus floor elevation:a pilot study [J][J].J Oral Implantol, 2012, 38(4):345-359
[23]Uckan S, Tamer Y, Deniz K.Survival rates of implants inserted in the maxillary sinus area by internal or external approach [J][J].Implant Dent, 2011, 20(6):476-479

Clinical application and experience of modified internal sinus floor elevation and dental implant in maxilary molar area

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