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上颌窦内提升植骨同期植入种植体的临床研究

郭莉 王晓洁 陈宇梅 梁泽梓 沈苏倩

中国口腔种植学杂志Issue(4):165-167,196,4.
中国口腔种植学杂志Issue(4):165-167,196,4.

上颌窦内提升植骨同期植入种植体的临床研究

Clinical application of maxillary sinus floor elevation with simultaneous placement of dental implants

郭莉 1王晓洁 1陈宇梅 1梁泽梓 2沈苏倩2

作者信息

  • 1. 510602广州解放军第458医院口腔科
  • 2. 广州暨南大学医学院口腔医学系
  • 折叠

摘要

Abstract

Objective: To observe the clinical effect of maxillary sinus floor elevation with simultaneous placement of dental implants for repairing maxillary posterior teeth loss and maxilla bone insufficiency. Methods: 28 cases(19 males, 9 females), whose average age is 56.8 years old, suffered from maxillary posterior teeth loss with the average residual bone height 4.2mm(3mm-5.6mm) by CBCT before opera-tion. Maxillary sinus floor elevation surgery and bone grafting surgery were performed under local anes-thesia, in the same time 21 ANKYLOS implants and 13 OSTEM TS-Ⅲ implants (34 implants in total) were implanted. Patients were followed up for 12 to 38 months (23 months on average) after surgery. The effects were evaluated the peri-implant bone density and the remaining state of the bone height of crestal-implant by clinical examination and X-ray examination. Result: 28 cases of posterior teeth and maxilla bone insufficiency were lifted maxillary sinus floor height to 5.8mm (average), varing from 8.6mm to 4.3mm, with bone grafting simultaneous placement of 34 dental implants. The implant restoration were completed within 6 months. There were no significant complications and any adverse reactions. All the implants were stable without loosening or falling-off, with normal chewing function, no sinus inflammation, no swelling gingival papilla, X-ray examination showed normal peri-implant alveolar bone height, without no significant bone absorption, no shadow around the implant, and sinus floor mucosa was evenly lifted, bone substitute material was uniformly distributed around the implant root. Conclusion: Applying maxillary sinus floor elevation with simultaneous placement of dental im-plants for repairing maxillary posterior teeth loss and maxilla bone insufficiency can reduce surgical trauma, save time, and its clinical operation is relatively simple, and the chewing function could be im-proved significantly.

关键词

上颌窦内提升/植骨/同期植入种植体/种植修复

Key words

maxillary sinus floor elevation/bone grafting/simultaneous/dental implant/restora-tion

分类

医药卫生

引用本文复制引用

郭莉,王晓洁,陈宇梅,梁泽梓,沈苏倩..上颌窦内提升植骨同期植入种植体的临床研究[J].中国口腔种植学杂志,2015,(4):165-167,196,4.

中国口腔种植学杂志

1007-3957

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