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作 者:夏海斌[1] 徐珺怡 Xia Haibin;Xu Junyi(Department of Implantology,School and Hospital of Stomatology,Wuhan University,State Key Laboratory of Oral&Maxillofacial Reconstruction and Regeneration,Key Laboratory of Oral Biomedicine Ministry of Education,Hubei Key Laboratory of Stomatology,Wuhan 430079,China)
机构地区:[1]武汉大学口腔医(学)院种植科、口颌系统重建与再生全国重点实验室、口腔生物医学教育部重点实验室、口腔医学湖北省重点实验室,430079
出 处:《中国口腔种植学杂志》2024年第2期109-117,共9页Chinese Journal of Oral Implantology
基 金:武汉大学口腔医院临床研究专项(LYZX202103)。
摘 要:在上颌后牙区剩余骨高度不足时,与上颌窦底外提升相比,上颌窦底内提升同期种植的手术创伤较小、术后反应较轻、治疗周期较短,但是手术视野和提升高度受限,容易发生上颌窦黏骨膜穿孔亦或剥离不足,因此传统观念里内提升仅适用于上颌后牙区剩余骨高度轻度不足的病例。随着外科器械的改良、上颌窦底内提升新技术的涌现以及数字化技术的辅助,研究者们对上颌窦底内提升同期植入种植体的适应证及手术方案有了新的认知。本文通过文献回顾,对上颌窦底内提升同期植入种植体的基础及临床研究现状作一综述。When the residual bone height is insufficient in the maxillary posterior region,the transalveolar technique for sinus floor elevation with simultaneous implant placement is less invasive,resulting in milder postoperative reactions and shorter treatment periods compared to the lateral window technique.However,due to the limited surgical vision and elevation technique,the transalveolar technique is susceptible to mucoperiosteal perforation or compromised osteogenesis and is therefore traditionally considered suitable only for cases where the residual bone height is mildly inadequate.With modifications to surgical instruments,improvements in clinical skills,and the assistance of digital technology,researchers have gained new insights into the indications and surgical protocols for transalveolar sinus floor elevation with simultaneous placement of dental implants.This paper presents an overview of the current basic and clinical research status of the transalveolar technique for sinus floor elevation with simultaneous implantation by reviewing recent literature.
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