摘要
目的：研究比较上后牙缺失牙槽嵴高度不足患者，根据上颌窦底牙槽嵴骨高度不同，选用开窗植骨或闭合冲压提升上颌窦底，同期种植牙的治疗效果。方法：43例（55侧）上后牙缺失患者，其中34例（40侧）窦底牙槽嵴骨高6～10mm者行闭合冲压上颌窦底提升术，其余9例（15侧）骨高2～5mm者行开窗植骨上颌窦底提升手术，均同期完成一期种植体植入手术。结果：所有患者术后未出现上颌窦炎症，9例行开窗植骨上颌窦底提升手术的患者，无窦膜穿孔，平均提升窦底高度5．8mm，26颗种植体平均负载30个月，种植体稳定，骨结合状况良好。34例行闭合冲压上颌窦底提升术的患者，平均提升窦底高度4．3mm，手术操作中有3颗发生可察觉窦膜破孔，发生率为4．1％（3／73），在73颗种植体中，有2颗种植体失败，71颗种植体平均负载23个月，种植体稳定，未见明显骨吸收，成功率97．3％（71／73）。结论：闭合冲压上颌窦底提升术是一种微创、简单、可靠用于上颌后牙上颌窦底牙槽嵴骨高度不足的种植临床技术，临床上应根据上颌窦底牙槽嵴骨高度不同，选用开窗植骨或闭合冲压提升上颌窦底。
Objective： To study the effect of maxillary sinus lift with bone graft or internal sinus floor elevation with sinmltaneous placement of implants according to different height of alveolar ridges. Methods ： 43 patients suffered the loss of up posterior teeth. 34 cases whose bone height of maxillary sinus floor was between 6 - 10mm underwent internal sinus floore elevation, and other 9 cases whose bone height between 2 - 5ram underwent maxillary, sinus lift with bone graft, all cases were simultaneously placed implants. Results： There were no clinical complaints of maxillary sinusitis for all cases. 9 cases who underwent maxillary, sinus lift with bone graft had not detectable Schneiderian membrane perforation during operation procedure, and the mean increase height was 5.8mm. A total of 26 implants had loaded for 30 months and were stable. And well osseointegration on X - ray film. 34 cases who underwent internal sinus floor elevation showed the mean increase of 4.3mm. There were 3 implants which had detectable Schneiderian membrane perforation during operation procedure, and 2 implants lost. The rest implants 71 have loaded for 23 months and were stable and well osseointegration on X -ray film. Conclusion ： Two sinus lift approaches show desirable clinical results. Internal sinus floore elevation is a mini - trauma and reliable clinical technique for sinus lift.
出处
《口腔医学研究》
CAS
CSCD
2006年第6期649-652,共4页
Journal of Oral Science Research
基金
江苏省卫生厅科研基金(编号:H20037)
作者简介
陈宁（1954-），男，江西永新人，博士，教授，主要研究方向是口腔种植学、口腔颌面缺损的修复重建。通讯作者 陈宁，电话：（025）85031869
