影响经牙槽嵴顶上颌窦底提升术成骨效果的解剖因素分析  

The impact of anatomic factors on trans-crestal sinus floor elevation

作　　者：林柏均 吕鸣樾 袁泉[1] LIN Bojun;LYU Mingyue;YUAN Quan(State Key Laboratory of Oral Diseases&National Clinical Research Center for Oral Diseases&Department of Implant,West China Hospital of Stomatology,Sichuan University,Chengdu 610041,China)

机构地区：[1]口腔疾病研究国家重点实验室,国家口腔疾病临床医学研究中心,四川大学华西口腔医院种植科,四川成都610041

出　　处：《口腔医学》2022年第3期193-199,共7页Stomatology

基　　金：国家自然科学基金(82125006)。

摘　　要：上颌窦底提升手术是上颌后牙骨量不足时常采用的骨增量方式,根据手术进入上颌窦的路径分为经侧壁上颌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相比经侧壁上颌窦底提升有创口小、治疗时间短及患者更易接受等优势,在临床工作中被广泛应用。经牙槽嵴顶上颌窦底提升术后的骨增量效果受到多种因素的影响,其中解剖因素是最为重要的因素之一。该文对剩余牙槽骨、施耐德膜及其病理状态、上颌窦宽度及上颌窦形态等主要解剖因素进行综述分析,以期为临床工作中经牙槽嵴顶上颌窦底提升技术的应用提供帮助。Sinus lift procedure aims to increase bone volume to install dental implants in the maxillary posterior region, and includes lateral sinus floor elevation and trans-crestal sinus floor elevation. Compared with lateral sinus floor elevation, trans-crestal sinus floor elevation has advantages of less invasiveness, shorter operation time and more acceptance among patients, which is widely used in clinical practice nowadays. Many factors may affect bone regeneration and implant success after lifting. Anatomic factors are one of the most important factors. This article will review and analyze main anatomic factors, such as remaining alveolar bone, maxillary sinus characteristics, maxillary sinus width, maxillary sinus morphology and etc., in order to provide reference for the application of trans-crestal sinus floor elevation in clinical practice.

关 键 词：经牙槽嵴顶上颌窦底提升 解剖因素 成骨 

分 类 号：R782.05[医药卫生—口腔医学]