浓缩生长因子联合骨替代材料在上颌窦侧壁开窗提升术中的临床应用  

Clinical application of concentrated growth factor combined with bone substitute materials in maxillary sinus lateral wall fenestration and elevation surgery

作　　者：姜彬 吕清 JIANG Bin;LV Qing(Shandong Jining Health School,Jining 272000,China;Ontpatient Clinic of the Health Care Section,Medical Insurance Department,Jining First People′s Hospital,Jining 272011,China)

机构地区：[1]山东省济宁卫生学校,济宁272000 [2]济宁市第一人民医院医疗保险部保健科门诊,济宁272011

出　　处：《济宁医学院学报》2024年第5期395-397,共3页Journal of Jining Medical University

摘　　要：目的探讨浓缩生长因子联合骨替代材料在上颌窦侧壁开窗提升术中的临床疗效。方法收集2020年9月—2021年12月30例上颌后牙缺失伴垂直骨高度不足的病例,采用上颌窦侧壁开窗提升术联合浓缩生长因子与骨替代材料进行骨增量并即刻或延期植入种植体30颗,平均随访时间(12±2.5)个月,观察术后6~8个月获得的牙槽骨高度及垂直骨高度吸收的百分比。结果术后所有种植体均取得了良好的临床效果。种植体骨结合良好,术后6~8个月上颌窦提升获得的垂直骨高度为(8.81±0.76)mm,垂直高度吸收的百分比为6.3%±0.6%。结论浓缩生长因子联合骨替代材料在上颌窦侧壁开窗提升术中获得良好的短期疗效,但长期效果需要进一步随访观察。Objective To investigate the clinical efficacy of concentrated growth factors combined with bone substitute materials in lateral wall fenestration lifting procedures of the maxillary sinus.Methods A total of 30 cases of maxillary posterior missing teeth with insufficient vertical bone height were collected between September 2020 and December 2021.Bone augmentation using lateral wall fenestration lifting of the maxillary sinus combined with concentrated growth factors and bone substitute materials was performed and immediate or delayed implant placement was performed on 30 implants,and the percentage of alveolar bone height and vertical bone height resorption obtained at 6-8 months after surgery was observed over an average follow-up period 12±2.5 months.Results All implants achieved good clinical efficacy during the postoperative follow-up period.The implant integrated well with the surrounding bone,and the vertical bone height obtained by maxillary sinus lift was 8.81±0.76mm at 6-8 months postoperatively,with a percentage of vertical height resorption of 6.3%±0.6%.Conclusions Concentrated growth factors combined with bone substitute materials achieve good short-term outcomes in lateral wall fenestration lift of the maxillary sinus,but their long-term effects need to be observed in further follow-up.

关 键 词：上颌窦侧壁开窗提升术 骨替代材料 浓缩生长因子 

分 类 号：R782[医药卫生—口腔医学]