经牙槽嵴顶入路治疗牙源性上颌窦炎及种植修复的临床观察  

Clinical observation of alveolar ridge approach for odontogenic maxillary sinusitis and implant restoration

作　　者：郭泽鸿 宁颖圆 徐淑兰 詹捷玲 丁祥龙 高岩 GUO Zehong;NING Yingyuan;XU Shulan;ZHAN jieling;DING Xianglong;GAO Yan(Center of Oral Implantology,Stomatological Hospital,Southern Medical University,Guangzhou 510280,China)

机构地区：[1]南方医科大学口腔医院种植中心

出　　处：《口腔疾病防治》2019年第8期505-509,共5页Journal of Prevention and Treatment for Stomatological Diseases

基　　金：广东省援疆科技(特派员)项目(2017B0202 47009);南方医科大学口腔医院临床新技术立项项目(2018006);南方医科大学口腔医院科研培育项目(PY2017013)

摘　　要：目的探讨由牙槽嵴顶入路治疗牙源性上颌窦炎及相应区域缺牙种植修复的临床效果。方法对20例患牙源性上颌窦炎的患者去除其牙源性致病因素,经牙槽嵴顶入路进行冲洗、引流、抗炎等方式进行治疗,术后复查CBCT评估上颌窦炎治疗效果。在确定上颌窦炎愈合后行上颌窦提升手术同期或延期种植修复,术后随访。结果20例牙源性上颌窦炎患者经牙槽嵴顶入路治疗,17例获得治愈,治愈率85%,对其中上颌窦炎治愈的17例患者行种植修复后随访1年,效果良好。结论经牙槽嵴顶入路治疗牙源性上颌窦炎可行,并为相应区缺牙的种植修复提供了一种微创的治疗方法。Objective To explore the clinical effect of the alveolar crest approach in the treatment of odontogenic maxillary sinusitis and the repair of edentulous implants in this area.Methods This was a retrospective case series of20 patients with odontogenic sinusitis.The pathogenesis in each case was investigated.After elimination of the dental origin,each patient was treated with flushing,drainage and anti-inflammatories through the alveolar crest approach.Postoperative CBCT reexamination was performed to evaluate the therapeutic effect.Maxillary sinus elevation surgery with simultaneous or delayed implantation was performed after maxillary sinusitis healing was confirmed.The patients were followed postoperatively.Results Twenty patients with odontogenic sinusitis were treated by the alveolar crest approach,and 17 were cured,for a cure rate of 85%.Among them,17 of the maxillary sinusitis patients were followed for1 year,with good results.Conclusion The alveolar crest approach is feasible for the treatment of odontogenic maxillary sinusitis and can serve as a minimally invasive method for the repair of edentulism in this area and implantation.

关 键 词：上颌窦炎 牙源性 治疗 牙槽嵴顶入路 上颌窦提升术 种植 修复 

分 类 号：R782.1[医药卫生—口腔医学]