经牙槽嵴顶上颌窦底提升术植骨与否的研究进展  

Research progress on the study of the transcrestal sinus elevation with or without grafting material

作　　者：俞丹 王宇[1] 毛英杰[1] 何福明[1,2,4] YU Dan;WANG Yu;MAO Yingjie;HE Fuming(Department of Prosthodontics,The Affiliated Stomatology Hospital,Zhejiang University School of Medicine,Hangzhou 310006,China)

机构地区：[1]浙江大学医学院附属口腔医院修复科,浙江杭州310006 [2]浙江省口腔生物医学研究重点实验室,浙江大学口腔医学院,浙江杭州310006 [3]台州市立医院口腔科,浙江台州318000 [4]浙江大学医学院附属口腔医院种植科,浙江杭州310006

出　　处：《口腔医学》2020年第3期275-280,共6页Stomatology

摘　　要：上颌后牙区常因骨量不足而成为种植的难点区域,常用的解决办法为上颌窦侧壁开窗窦底提升术和经牙槽嵴顶上颌窦底提升术。经牙槽嵴顶上颌窦底提升术因为手术操作简单、创伤小、愈合时间短、术后不适感少等优点逐步得到广泛应用。该技术早期应用常伴有同期植骨,但由于骨替代材料存在感染、低吸收率及引发上颌窦再气化等风险,近些年来临床上开始主张经牙槽嵴顶上颌窦底提升时不再植骨。目前对经牙槽嵴顶上颌窦底提升术中植骨与不植骨的愈合状况和临床疗效等方面都有较多的研究报道。本文就经牙槽嵴顶上颌窦底提升术是否需要同期植骨的研究进展做如下综述。The posterior maxilla region is always regarded as the complicated area for dental implant because of insufficient bone volume.The frequently used method for solving this problem is maxillary sinus floor augmentation,which includes transalveolar osteotome technique and lateral window technique.Transcrestal sinus floor augmentation is widely applied because of simple operation,reduced trauma,short healing time and less postoperative discomfort.It is often accompanied by utilizing bone grafting material simultaneously in the early stage.However,transalveolar osteotome technique without bone grafting material has been recommended in recent years on account of the risk of infection,low absorption rate of bone substitutes,and the maxillary sinus re-pneumatization.Many studies have been done on transcrestal sinus floor augmentation with or without grafting material in recent years.This paper reviews the progress on the research of transcrestal sinus elevation with or without grafting material.

关 键 词：上颌窦底提升术 经牙槽嵴顶上颌窦底提升术 牙种植体 植骨材料 

分 类 号：R782.1[医药卫生—口腔医学]