中国组织工程研究
中國組織工程研究
중국조직공정연구
Journal of Clinical Rehabilitative Tissue Engineering Research
2015年
3期
394-398
,共5页
组织构建%口腔生物材料%牙%上颌窦提升%牙种植%同期种植%牙槽嵴高度
組織構建%口腔生物材料%牙%上頜竇提升%牙種植%同期種植%牙槽嵴高度
조직구건%구강생물재료%아%상합두제승%아충식%동기충식%아조척고도
Subject headings:Maxilary Sinus%Dental Implantation%Dental Implants%Alveolar Process
背景:研究已经证实,上颌窦黏膜具有促进成骨的能力,上颌窦内膜与种植体之间的空间随着时间的延长会有新生骨的形成。
<br> 目的:通过对两种上颌窦提升术不植骨同期种植牙的研究,明确不植骨对两种上颌窦提升后种植体成活状态的影响。
<br> 方法:将上颌后牙区骨量不足的50例患者随机分成上颌窦外提升和上颌窦内提升两组,分别在不植入骨替代材料的情况下同期进行种植体的植入,共植入种植体60个,外提升组25个植体,内提升组35个植体。
<br> 结果与结论:在不植骨的情况下,60个种植体经过12个月的观察,59个植体正常行使功能,1例外提升的种植体术后松动,治疗失败。内提升组手术时间和出血量均显著少于外提升组(P <0.05)。两组患者的近期稳定性(术后12个月)比较差异无显著性意义(P >0.05)。术后12个月外提升组种植体周围的骨量增加显著少于内提升组(P <0.05)。结果说明不植骨在上颌窦的两种提升术中是可行的,而且能简化手术过程,减少治疗费用,但对种植体长期稳定性的影响有待进一步观察。
揹景:研究已經證實,上頜竇黏膜具有促進成骨的能力,上頜竇內膜與種植體之間的空間隨著時間的延長會有新生骨的形成。
<br> 目的:通過對兩種上頜竇提升術不植骨同期種植牙的研究,明確不植骨對兩種上頜竇提升後種植體成活狀態的影響。
<br> 方法:將上頜後牙區骨量不足的50例患者隨機分成上頜竇外提升和上頜竇內提升兩組,分彆在不植入骨替代材料的情況下同期進行種植體的植入,共植入種植體60箇,外提升組25箇植體,內提升組35箇植體。
<br> 結果與結論:在不植骨的情況下,60箇種植體經過12箇月的觀察,59箇植體正常行使功能,1例外提升的種植體術後鬆動,治療失敗。內提升組手術時間和齣血量均顯著少于外提升組(P <0.05)。兩組患者的近期穩定性(術後12箇月)比較差異無顯著性意義(P >0.05)。術後12箇月外提升組種植體週圍的骨量增加顯著少于內提升組(P <0.05)。結果說明不植骨在上頜竇的兩種提升術中是可行的,而且能簡化手術過程,減少治療費用,但對種植體長期穩定性的影響有待進一步觀察。
배경:연구이경증실,상합두점막구유촉진성골적능력,상합두내막여충식체지간적공간수착시간적연장회유신생골적형성。
<br> 목적:통과대량충상합두제승술불식골동기충식아적연구,명학불식골대량충상합두제승후충식체성활상태적영향。
<br> 방법:장상합후아구골량불족적50례환자수궤분성상합두외제승화상합두내제승량조,분별재불식입골체대재료적정황하동기진행충식체적식입,공식입충식체60개,외제승조25개식체,내제승조35개식체。
<br> 결과여결론:재불식골적정황하,60개충식체경과12개월적관찰,59개식체정상행사공능,1예외제승적충식체술후송동,치료실패。내제승조수술시간화출혈량균현저소우외제승조(P <0.05)。량조환자적근기은정성(술후12개월)비교차이무현저성의의(P >0.05)。술후12개월외제승조충식체주위적골량증가현저소우내제승조(P <0.05)。결과설명불식골재상합두적량충제승술중시가행적,이차능간화수술과정,감소치료비용,단대충식체장기은정성적영향유대진일보관찰。
BACKGROUND:Studies have demonstrated the maxilary sinus mucosa has an ability to promote bone formation, and over time, new bone can be formed in the space between the maxilary sinus intima and implant.
<br> OBJECTIVE:To compare the effect of opening sinus lifting and internal sinus lifting for immediate dental implantation without bone transplantation and to detect the survival of dental implants.
<br> METHODS: Fifty patients with insufficient bone in the maxilary posterior area were colected to undergo maxilary sinus lifting with simultaneous dental implantation without bone transplantation, and randomly divided into two groups, 25 in opening sinus lifting group and 35 in internal sinus lifting group.
<br> RESULTS AND CONCLUSION: After a 12-month folow-up, 59 implants functioned normaly, and 1 implant was loose after opening sinus lifting. The operative time and the amount of bleeding were significantly lower in the internal sinus lifting group than the opening sinus lifting (P< 0.05), but there was no difference in the short-term stability (postoperative 12 months) between the two groups (P > 0.05). Twelve months after operation, the bone mass around the implant was significantly less in the opening sinus lifting group than the internal sinus lifting group (P < 0.05). These findings indicate that maxilary sinus lifting techniques with simultaneous implants but without bone transplantation is feasible, which is characterized as simple operation process and less cost, but the long-term stability needs further observation.