经牙槽嵴上颌窦底提升术不植骨同期植入种植体在位点保存中的应用研究  

Study on Maxillary Sinus Floor Lifting from Alveolar Crest without Bone Graft with Simultaneous Dental Implant Placement in Ridge Preservation

作　　者：杨春山[1] 郑佳[2] 孟琪[1] 徐巍[1] 张岳乔 徐薇[1] 刘培[1] 王丹 曹宁[1] 高志强[1] YANG Chun-shan;ZHENG Jia;MENG Qi;XU Wei;ZHANG Yue-qiao;XU Wei;LIU Pei;WANG Dan;CAO Ning;GAO Zhi-qiang(Department of Stomatology, Tangshan Xiehe Hospital in Hebei Province,Tangshan 063000,Hebei,China;Tangshan Vocational and Technical College,Tangshan 063000,Hebei,China;North China University of science and technology,Tangshan 063000,Hebei,China)

机构地区：[1]河北省唐山市协和医院口腔科,河北唐山063000 [2]唐山职业技术学院,河北唐山063000 [3]华北理工大学,河北唐山063000

出　　处：《中国美容医学》2017年第4期79-82,共4页Chinese Journal of Aesthetic Medicine

基　　金：河北省卫生厅重点科技研究计划(编号:20160886)

摘　　要：目的:研究经牙槽嵴顶上颌窦底提升术不植骨同期植入种植体的临床疗效及其在位点保存中的应用价值。方法:选取笔者医院2013年6月-2016年6月收治的112例后牙缺损患者,根据是否接受不植骨同期植入种植体分为两组,即对照组和观察组,每组各56例。对照组:患者采用位点保存技术(填充Bio-Oss Collagen+覆盖Bio-Gide膜+延期植入种植体和骨替代材料);观察组:在实施位点保存技术的同时结合经牙槽嵴顶上颌窦底提升术不植骨同期植入种植体。治疗后随访6个月,观察比较两组患者牙槽骨高度缺损值、植入种植体后高度提升值、骨密度值、治疗周期、种植体稳定率、融合率、咬合功能满意率等指标的差异性。结果:手术治疗后,两组患者的牙槽骨高度缺损值、植入种植体高度提升值、骨密度值、咀嚼功能评分明显改善,组间在牙槽骨高度缺损值、植入种植体高度提升值、骨密度值、咀嚼功能评分、种植成功率、自我满意程度、融合率方面比较均无显著性差异(P>0.05),但观察组治疗周期(9.2±2.3)周显著短于对照组的(15.6±2.9)周,组间比较有显著性差异(P<0.05)。结论:经牙槽嵴顶上颌窦底提升术不植骨同期植入种植体在位点保存近期效果中有较好的应用效果,长期效果仍需进一步观察。Objective To study the effects of maxillary sinus floor lifting from alveolar crest without bone graft with simultaneous dental implant placement in ridge preservation.Methods A total of112consecutives as posterior teeth defect were divided randomly into control and observation groups and each of56cases.The patients in control group received ridge preservation,that was filling Bio-Oss Collagen,covering Bio-Gide film,delayed placing implants and bone substitute materials.The patients in observation group adopted maxillary sinus floor lifting from alveolar crest without bone graft with simultaneous implant placement,then to compare the effects after6months in follow-up.Results The height defect value before operation and elevated value after operation of the alveolar bone in the two groups were no statistical differences(P>0.05).The bone mineral density before and after operation in the two groups were either no statistical differences(P>0.05).The treatment period in observation group was shorter(P<0.05),while,the stability rate and fusion rate of implant,satisfactory rate of occlusal function by cone beam CT in the two groups were no statistical differences(P>0.05).Conclusion Maxillary sinus floor lifting from alveolar crest without bone graft with simultaneous dental implant placement in ridge preservation is better of the short effect,the longer effect is still proved.

关 键 词：经牙槽嵴上颌窦底提升术 种植体 位点保存 锥形束CT 

分 类 号：R782.12[医药卫生—口腔医学]