上颌窦区骨量不足3 mm植骨后同期种植临床效果分析  

Clinical study of simultaneous implantation in maxillary molar area after bone graft in patients with residual alveolar bone heigh<3 mm

作　　者：戴小锋[1,2] 包立[1] 余优成[1] 施乐 DAI Xiao-fcng BAO Li YU You-cheng SHI Le(Department of Stomatology, Zhongshan Hospital of Fudan University. Shanghai 200032 Shanghai Jing-an Dental Clinic. Shanghai 200040, China)

机构地区：[1]复旦大学附属中山医院口腔科,上海200032 [2]静安区牙病防治所,上海200040

出　　处：《上海口腔医学》2017年第3期290-292,共3页Shanghai Journal of Stomatology

基　　金：上海市科学技术委员会科研计划项目(14JC1490600)

摘　　要：目的 :探讨在上颌窦区骨量不足3 mm的情况下,进行上颌窦底提升术并植骨同期将种植体植入的临床效果。方法:选择复旦大学附属中山医院和静安区牙病防治所2012年4月1日—2015年12月31日上颌后牙缺失患者56例,剩余牙槽骨高度均小于3 mm,术中行上颌窦底提升术并植骨,同期将种植体植入。术后3、6、12个月定期随访,分析及评估术后愈合效果及骨结合情况。结果:56例患者共植入72颗种植体,随访期间,种植体与周围骨组织结合良好,种植体稳定。术后6个月行种植修复,均能正常行使咀嚼功能,牙龈无形态、色泽异常,无并发症发生,手术成功率为100%。结论:对于上颌窦底骨量不足3 mm的患者,术中行上颌窦底提升术并植骨同期将种植体植入,也能取得良好的治疗效果。PURPOSE： To evaluate the clinical effect of maxillary sinus floor elevation and simultaneous implant in patients with residual alveolar bone height 〈3 mm in the posterior maxillary sinus area. METHODS： From April 1, 2012 to December 31, 2015, 56 patients with lost maxillary posterior teeth and residual alveolar bone height 〈3 mm were enrolled in this study. During operation, maxillary sinus floor elevation was performed and implants were placed simultaneously. Patients were followed up for 3, 6 and 12 months （range： 6-12 months） to analyze and evaluate the postoperative healing effect. RESULTS： A total of 52 implants were placed in 38 patients. During the follow-up period, all patients had good osterintegration of the implants and the surrounding bony tissues. Efficient mastication was obtained. The color and shape of gingiva returned to normal. No complications occurred. The surgical success rate was 100%. CONCLUSIONS： For patients with residual alveolar bone height 〈3 mm, maxillary sinus floor elevation and simultaneous implant in patients can also obtain good therapeutic effect.

关 键 词：上颌窦底提升术 窦嵴距 骨结合 同期种植 种植义齿 

分 类 号：R783.6[医药卫生—口腔医学]