12例自体牙移植在上颌窦穿孔修补术中的应用效果评价  

Application of autologous tooth transplantation in the repair of oroantral communication in 12 cases

作　　者：布麦热姆·伊敏江 潘玥颖 艾力麦尔旦·艾尼瓦尔 古丽[1] 王玲[1] BUMAIREMU Yiminjiang;PAN Yue-ying;AILIMAIERDAN Ainiwaer;GU Li;WANG Ling(Outpatient Department of Oral Surgery,the First Affiliated Hospital(Affiliated Stomatological Hospital)of Xinjiang Medical University,Institute of Stomatology of Xinjiang Uygur Autonomous Region.Urumqi 830054,China;Department of Oral Prosthetics and Implants,the First Affiliated Hospital(Affiliated Stomatological Hospital)of Xinjiang Medical University,Institute of Stomatology of Xinjiang Uygur Autonomous Region.Urumqi 830054,China)

机构地区：[1]新疆医科大学第一附属医院(附属口腔医院)口腔外科门诊,新疆乌鲁木齐830054 [2]新疆医科大学第一附属医院(附属口腔医院)口腔修复种植科,新疆维吾尔自治区口腔医学研究所,新疆乌鲁木齐830054

出　　处：《中国口腔颌面外科杂志》2025年第2期174-179,共6页China Journal of Oral and Maxillofacial Surgery

摘　　要：目的:探讨自体牙移植在上颌窦穿孔修补术中的应用效果。方法:选择2022年9月—2023年9月就诊于新疆医科大学第一附属医院口腔外科门诊行自体牙移植治疗上颌窦穿孔的患者12例。所有患者均因上颌第一或第二磨牙严重龋病、根尖周病、牙周病、残根、残冠或因外伤无法保留拔除时出现上颌窦穿孔,自身条件符合自体牙移植适应证,且有意愿行自体牙移植治疗。回顾分析患者的临床和影像学资料,统计上颌窦穿孔修补及自体牙移植的成功率。结果:术后12个月,所有移植牙均咬合良好,功能正常,无临床或影像学病理征象。影像学显示所有行移植牙后的上颌窦底均有连续的骨膜形成。结论:拔除上颌第一或第二磨牙发生上颌窦底穿孔时,若患者有合适的第三磨牙,则自体牙移植是一种合适的治疗选择。PURPOSE:To investigate the effect of autogenous tooth transplantation in the repair of oroantral communication.METHODS:A total of 12 patients who underwent autologous tooth transplantation to repair oroantral communication in the Outpatient Department of Oral Surgery of the First Affiliated Hospital of Xinjiang Medical University from September 2022 to September 2023 were selected.All patients had oroantral communication due to extraction of the first or second maxillary molar because of severe dental caries,periapical disease,periodontal disease,residual root,residual crown,or trauma.The patient met the indications of autologous tooth transplantation and were willing to receive autologous tooth transplantation.The clinical and imaging data of the patients were retrospectively analyzed,and the success rate of oroantral communication repair and autologous tooth transplantation was statistically analyzed.RESULTS:At 12 months after operation,all the transplanted teeth had good occlusion and normal function,without clinical or imaging pathological signs.Imaging examinations showed that there was continuous periosteal formation in the maxillary sinus floor after transplanting teeth.CONCLUSIONS:When oroantral communication occurs during extraction of the maxillary first or second molar,autologous tooth transplantation is a suitable treatment option if the patient has a suitable third molar.

关 键 词：上颌窦穿孔 修补 自体牙移植 

分 类 号：R782.1[医药卫生—口腔医学]