口腔简化上颌窦内提升牙种植术的临床应用  

Clinical application of tooth implantation by simplified osteotome maxillary sinus floor elevation

作　　者：许腾[1,2] 施星辉[3] 黄睿[3] 施昊天 

机构地区：[1]南京医科大学口腔医学院口腔医学研究所 [2]南京医科大学附属口腔医院口腔颌面外科,江苏省210029 [3]南京医科大学附属口腔医院第三门诊部 [4]南京医科大学口腔医学院

出　　处：《江苏医药》2014年第13期1501-1503,共3页Jiangsu Medical Journal

基　　金：江苏省自然科学基金(BK2009347);江苏省高校优势学科建设工程资助项目(2011-137)

摘　　要：目的评价简化上颌窦内提升牙种植术的临床效果。方法因上颌磨牙缺失行种植修复的患者60例,根据上颌窦底距牙槽嵴顶之间的垂直距离分为两组:实验组(A组)31例,上颌窦底到牙槽嵴顶的垂直距离3.8-7.8mm,应用简化内提升的手术方法共计植入38枚长度为8mm的较短种植体,均未使用上颌窦冲顶器及骨粉;对照组(B组)29例,上颌窦底到牙槽嵴顶的垂直距离12.8-14.0mm,常规方法植入35枚长度均为10mm的种植体。随访9-24个月,比较两组种植牙成功率。结果 A组和B组种植牙成功率相仿(97.37%vs.97.14%)(P>0.05)。结论严格掌握适应证,上颌后牙区牙缺失采用简化内提升牙种植术临床效果可靠。Objective To evaluate the efficacy of tooth implantation by simplified osteotome maxillary sinus floor elevation.Methods On the basis of the distance from maxillary sinus floor to alveolar,60cases（73implants）with lack of maxillary molar were assgined into two groups of A（with a distance of 3.8-7.8mm,31cases）and B（with a distance of 12.8-14.0mm,29cases）.Group A was implanted 38implants in a length of 8mm by simplified osteotome maxillary sinus floor elevation without use of osteotome device and bone grafts material.Group B was conventionally implanted 35implants in a length of 10mm.The patients were followed up for 9-24months and the efficacy was compared.Results The success rate of group A was similar to that of group B（97.37%vs.97.14%）（P〉0.05）.Conclusion The tooth implantation by simplified osteotome maxillary sinus floor elevation is reliable in the patients with lack of maxillary molar as long as selection of right complications.

关 键 词：上颌窦内提升术 牙种植 上颌磨牙缺失 

分 类 号：R781[医药卫生—口腔医学]