单纯经牙槽嵴顶入路上颌窦底提升术应用于后牙区严重骨高度不足的临床效果分析

doi:10.13591/j.cnki.kqyx.2022.08.008

Abstract

Abstract: Objective To evaluate the clinical effect of osteotome sinus floor elevation (OSFE) and simultaneous implant placement in limited alveolar bone of posterior maxilla without bone grafting when residual bone height (RBH) was about 4 mm. Methods A total of 46 patients (51 implants) from 2017 to 2019 were selected. Patients were divided into three groups (without bone grafting group (21), bone grafting group (15) and concentrated growth factor (CGF) group(15)). Changes of bone increment, implant stability quotient (ISQ), mechanical and biological complications of implants were tested and observed immediately after surgery, 6 months, 1 year and 2 years after surgery. Patient satisfaction questionnaire was conducted immediately after surgery and 2 weeks later. SPSS 21.0 software was used for statistical analysis of data. Results There was no significant difference in ISQ value among the three groups immediately or 6 months after surgery (P>0.05). In terms of maxillary sinus bone increment, there was statistically significant difference from data before surgery in three groups (P<0.05), and the increment in the bone graft group and CGF group was greater than that in the non-graft group, with statistically significant difference (P<0.05). In the follow-up questionnaire, patients were more satisfied with osteotome sinus floor elevation without bone grafting, and the difference was statistically significant (P<0.05). Conclusion When the RBH is about 4 mm in the maxillary posterior region, osteotome sinus floor elevation without bone grafting has good clinical effects and is more easily accepted by patients.

Key words: osteotome sinus floor elevation, residual bone height, bone graft, short implant

CLC Number:

R782.12

CHEN Donglei, HAO Dan, GE Weiyan, KONG Qin, GUO Haibo. Clinical analysis of osteotome sinus floor elevation without bone grafting in limited alveolar bone of posterior maxilla[J]. Stomatology, 2022, 42(8): 717-722.

References

[1] 皮昕. 口腔解剖生理学[M]. 第6版.北京:人民卫生出版社, 2007.
[2] Aoki H, Kimoto K, Hori N, et al. Molarless condition suppresses proliferation but not differentiation rates into neurons in the rat dentate gyrus[J]. Neuroscience Letters, 2010, 469(1):44-48.
[3] 高绮曼, 郑凌艳, 钱文涛. 上颌后牙区骨量不足种植修复的研究进展[J]. 口腔材料器械杂志, 2017, 26(1):39-43.
[4] Gündoğmuş PD, Ölçü EB, Öz A, et al. The effects of percutaneous coronary intervention on mortality in elderly patients with non-ST-segment elevation myocardial infarction undergoing coronary angiography[J]. Scott Med J, 2020, 65(3):81-88.
[5] 邹文涛, 龚逸明. 上颌窦外提升术研究进展[J]. 口腔医学, 2017, 37(6):573-576.
[6] 俞丹, 王宇, 毛英杰, 等. 经牙槽嵴顶上颌窦底提升术植骨与否的研究进展[J]. 口腔医学, 2020, 40(3):275-280.
[7] Reiser GM, Rabinovitz Z, Bruno J, et al. Evaluation of maxillary sinus membrane response following elevation with the crestal osteotome technique in human cadavers[J]. Int J Oral Maxillofac Implants, 2001, 16(6):833-840.
[8] Cho SC, Wallace SS, Froum SJ, et al. Influence of anatomy on Schneiderian membrane perforations during sinus elevation surgery: Three-dimensional analysis[J]. Pract Proced Aesthet Dent, 2001, 13(2):160-163.
[9] Schwartz-Arad D, Herzberg R, Dolev E. The prevalence of surgical complications of the sinus graft procedure and their impact on implant survival[J]. J Periodontol, 2004, 75(4):511-516.
[10] 黄娜, 吴锋, 李平, 等. 应用浓缩生长因子行上颌窦内提升后种植体周围骨变化[J]. 中国组织工程研究, 2015, 19(47):7575-7582.
[11] Qian SJ, Gu YX, Mo JJ, et al. Resonance frequency analysis of implants placed with osteotome sinus floor elevation in posterior maxillae[J]. Clin Oral Impl Res, 2016, 27(1):113-119.
[12] Santoro M, Pippi R. Intrasinus bone gain with the osteotome sinus floor elevation technique: A review of the literature[J]. Int J Oral Maxillofac Implants, 2018, 33(5):995-1002.
[13] Starch-Jensen T, Jensen JD. Maxillary sinus floor augmentation: A review of selected treatment modalities[J]. J Oral Maxillofac Res, 2017, 8(3):e3.
[14] Lee JS, Lim YJ. Three-dimensional numerical simulation of stress induced by different lengths of osseointegrated implants in the anterior maxilla[J]. Comput Methods Biomech Biomed Engin, 2013, 16(11):1143-1149
[15] Lai HC, Si MS, Zhuang LF, et al. Long-term outcomes of short dental implants supporting single crowns in posterior region: A clinical retrospective study of 5-10 years[J]. Clin Oral Implants Res, 2013, 24(2):230-237.
[16] Leonida A, Caccianiga G, Porcaro G, et al. Role of mesenchymal stem cells in osteotomy sinus graft healing: A case report and a literature review[J]. J Biol Regul Homeost Agents, 2019, 33(6 Suppl. 1):69-76.
[17] Sohn DS, Kim WS, An KM, et al. Comparative histomorphometric analysis of maxillary sinus augmentation with and without bone grafting in rabbit[J]. Implant Dent, 2010, 19(3):259-270.
[18] Esposito M, Grusovin MG, Rees J, et al. Effectiveness of sinus lift procedures for dental implant rehabilitation: A Cochrane systematic review[J]. Eur J Oral Implantol, 2010, 3(1):7-26.
[19] Nedir R, Nurdin N, Khoury P, et al. Osteotome sinus floor elevation with and without grafting material in the severely atrophic maxilla. A 1-year prospective randomized controlled study[J]. Clin Oral Implants Res, 2013, 24(11):1257-1264.
[20] Chen MH, Shi JY. Clinical and radiological outcomes of implants in osteotome sinus floor elevation with and without grafting: A systematic review and a meta-analysis[J]. J Prosthodont, 2018, 27(5):394-401.
[21] 徐双波, 姚红, 许小会. 不同冠根比短种植体在上颌后牙区种植修复的短期临床研究[J]. 口腔医学, 2019, 39(12):1090-1094.
[22] Thoma DS, Haas R, Tutak M, et al. Randomized controlled multicentre study comparing short dental implants (6 mm) versus longer dental implants (11-15 mm) in combination with sinus floor elevation procedures. Part 1: Demographics and patient-reported outcomes at 1 year of loading[J]. J Clin Periodontol, 2015, 42(1):72-80.
[23] Terheyden H, Meijer GJ, Raghoebar GM. Vertical bone augmentation and regular implants versus short implants in the vertically deficient posterior mandible: A systematic review and meta-analysis of randomized studies[J]. Int J Oral Maxillofac Surg, 2021, 50(9):1249-1258.
[24] Ferrigno N, Laureti M, Fanali S. Dental implants placement in conjunction with osteotome sinus floor elevation: A 12-year life-table analysis from a prospective study on 588 ITI implants[J]. Clin Oral Implants Res, 2006, 17(2):194-205.

Clinical analysis of osteotome sinus floor elevation without bone grafting in limited alveolar bone of posterior maxilla

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[4]	. Research progress of autogenous bone graft from mandibular lateral oblique line and other alveolar ridge augmentation methods [J]. , 2021, 41(6): 557-560.
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[11]	. Research progress of maxillary sinus lift [J]. , 2017, 37(6): 573-576.
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