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改良小骨窗在上颌窦外提升术中的应用

牟永斌 程然 吕昊昕 陈琳 朱艳香 林梓桐

江苏大学学报(医学版)2016,Vol.26Issue(6):510-514,5.
江苏大学学报(医学版)2016,Vol.26Issue(6):510-514,5.DOI:10.13312/j.issn.1671-7783.y160266

改良小骨窗在上颌窦外提升术中的应用

Clinical application of modified minimally invasive incision in maxillary sinus lift and dental implantation surgery

牟永斌 1程然 1吕昊昕 2陈琳 1朱艳香 1林梓桐1

作者信息

  • 1. 南京大学医学院附属口腔医院种植科,江苏 南京 210008
  • 2. 苏州牙博士口腔医院,江苏 苏州 215021
  • 折叠

摘要

Abstract

Objective:To compare two invasive incision sizes in maxillary sinus floor elevation surgery for increasing the height of sinus floor and reducing the discomfort and complications of patients.Methods:Two different size of windows(6 mm ×6 mm and 10 mm ×15 mm)for maxillary sinus lift surgery were adopted in 29 cases(32 implants)with vertical bone mass defect in maxillary posterior,who would accept maxillary sinus floor elevation and implant placement surgery.The experimental(n =15)and control groups (n =14)were implanted artificial bone and implants simultaneouly.The evaluation of the discomfort of patients after surgery was evaluated at day 10 and 30 after surgery respectively.The height and width of alveolar bone at the bottom of the maxillary sinus floor were examined by CBCT scan at day 180 after opera-tion.Results:All the implants examined were shown with wonderful bone integration and the height and width of the maxillary sinus floor were significantly improved.Compared with the control group [(41.34 ± 6.54)minutes],the operation time in the experimental group [(40.23 ±5.42)minutes]had no signifi-cantly prolonged.The discomfort feeling of patients in the experimental group was better than that of control group at day 10 and day 30 after surgery.Conclusion:Small window approach with minimally invasive incision in the treatment of maxillary sinus floor is less invasive than the traditional approach.

关键词

上颌窦提升/牙种植/微创手术

Key words

maxillary sinus floor elevations/teeth implantation/minimally invasive surgery

分类

医药卫生

引用本文复制引用

牟永斌,程然,吕昊昕,陈琳,朱艳香,林梓桐..改良小骨窗在上颌窦外提升术中的应用[J].江苏大学学报(医学版),2016,26(6):510-514,5.

江苏大学学报(医学版)

OACSTPCD

1671-7783

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