拔牙导致上颌窦穿孔(瘘)覆盖及充填材料的选择及应用  

Selection and application of covering and filling materials for oroantral perforation(fistula) extraction

作　　者：贾森[1] 胡开进[1] 马洋[1] 邓天阁[1] 丁宇翔[1] 李永锋[1] 

机构地区：[1]军事口腔医学国家重点实验室,第四军医大学口腔医学院口腔外科,陕西西安710032

出　　处：《中国实用口腔科杂志》2017年第10期590-592,共3页Chinese Journal of Practical Stomatology

基　　金：国家重点研发专项项目(2016YFC1102903)

摘　　要：上颌窦穿孔是牙拔除术中较为常见的一类并发症,一旦穿孔未及时发现或处理不当会导致上颌窦瘘、上颌窦炎等严重后果。目前上颌窦穿孔临床处理主要分为手术治疗和非手术治疗,但手术治疗一般需要专业的口腔颌面外科医生进行操作。随着微创化理念的深入及生物材料的开发,用生物材料填充等非手术方法治疗上颌窦穿孔在临床上得到了越来越广泛的推广,该方法操作简单,易于掌握。目前临床上用于治疗上颌窦穿孔的充填材料包括不可吸收类材料和可吸收类材料,文章将对目前临床上用于上颌窦穿孔后充填材料进行回顾,以期为临床上颌窦穿孔的处理提供参考。Oroantral perforation is one of the most com- mon complications of extraction of teeth. If the perforation is not detected or treated improperly, it will lead to serious conse- quences, such as maxillary sinus fistula and maxillary sinus- itis. At present, the treatment for oroantral perforation is main- ly divided into surgical treatment and non-surgical treatment. With the deepening of the concept of minimal invasion and the development of biomaterials, the use of biological materi- als for filling and other non-surgical methods in the treatment of oroantral perforation have been more and more widely pro- moted. At present, the filling materials used in the treatment of oroantral perforation include： nonabsorbable material, ab- sorbable material and blood material. This review will intro- duce the clinical data of filling materials for oroantral perfora- tion, to provide reference for the treatment of oroantral perfora- tion.

关 键 词：上颌窦穿孔 填充材料 富血小板纤维蛋白 PRF 浓缩生长因子 CGF 

分 类 号：R473.76[医药卫生—护理学]