剩余骨高度 ≤ 5 mm时应用不同骨移植材料行液压法上颌窦内提升术并同期种植的临床效果  

Clinical Outcomes of Hydraulic Maxillary Sinus Lift and Simultaneous Implantation Using Different Graft in Cases with Residual Bone Height Less than 5 mm

作　　者：杨真瑜 付钢 

机构地区：[1]重庆医科大学附属口腔医院种植科,口腔疾病与生物医学重庆市重点实验室,重庆市高校市级口腔生物医学工程重点实验,重庆

出　　处：《临床医学进展》2024年第4期2841-2850,共10页Advances in Clinical Medicine

摘　　要：目的:评估剩余牙槽嵴骨高度 ≤ 5 mm时,使用aPRF或/和Bio-Oss骨粉作为骨移植材料行液压法上颌窦内提升术并同期植入种植体的临床效果。方法:选取2020年12月至2022年8月期间在重庆医科大学附属口腔医院种植科行液压法上颌窦内提升术同期植入种植体的患者作为研究对象。根据植入材料的不同,分为aPRF组、Bio-Oss骨粉组和aPRF Bio-Oss骨粉组。收集患者术前、术后即刻、术后9个月的一般和专科检查、临床表现及影像学结果并进行临床效果评价。结果:共纳入33例患者,植入41颗种植体,种植体留存率为100%。aPRF组、Bio-Oss骨粉组和aPRF Bio-Oss骨粉组的平均垂直骨增量分别为6.3 ± 1.99 mm、8.16 ± 2.04 mm和7.4 mm ± 1.16 mm。3组的垂直骨吸收量分别为3.09 ± 2.67 mm,5.39 ± 4.09 mm,1.34 ± 1.75 mm。结论:对于牙槽骨高度 ≤ 5 mm的患者,行液压法上颌窦内提升术获得的窦底提升高度满足临床需求且种植体短期留存率较高。考虑到更低的手术成本及更少的骨吸收量,使用aPRF和Bio-Oss材料的混合物或许是更有利的选择。Objective: This study aims to evaluate the clinical effect of hydraulic sinus elevation with simultaneous implant placement using aPRF and/or Bio-Oss as bone graft materials when the residual bone height was ≤ 5 mm. Methods: The patients who underwent maxillary sinus augmentation with hydraulic technique and implanted implants in the Department of Implantology, Stomatological Hospital of Chongqing Medical University from December 2020 to August 2022 were selected as the research objects. The patients were divided into three groups: aPRF group, Bio-Oss group and aPRF Bio-Oss group. The general and specialized examinations, clinical manifestations and imaging results of the patients were collected before operation, immediately after operation and 9 months after operation, and the clinical effect was evaluated. Results: A total of 33 patients were included, and 41 implants were placed. The implant retention rate was 100%. The average vertical bone gain was 6.3 ± 1.99 mm in aPRF group, 8.16 ± 2.04 mm in Bio-Oss group, and 7.4 ± 1.16 mm in aPRF Bio-Oss group, respectively. The vertical bone resorption of the three groups was 3.09 ± 2.67 mm, 5.39 ± 4.09 mm, 1.34 ± 1.75 mm, respectively. Conclusions: For patients with alveolar bone height ≤ 5 mm, the height of sinus floor elevation obtained by hydraulic sinus elevation can meet the clinical needs and the short-term retention rate of the implant is high. Considering the lower surgical cost and less bone resorption, a mixture of aPRF and Bio-Oss may be a more favorable choice.

关 键 词：上颌窦底内提升术 液压法 CAS-KIT aPRF BIO-OSS 

分 类 号：R78[医药卫生—口腔医学]