中华口腔医学研究杂志（电子版）
中華口腔醫學研究雜誌（電子版）
중화구강의학연구잡지（전자판）
CHINESE JOURNAL OF STOMATOLOGICAL RESEARCH(ELECTRONIC VERSION)
2014年
6期
480-484
,共5页
赵继刚%潘文仪%丁伟峰
趙繼剛%潘文儀%丁偉峰
조계강%반문의%정위봉
上颌窦内提升%植骨%骨整合
上頜竇內提升%植骨%骨整閤
상합두내제승%식골%골정합
Maxillary sinus augmentation%Bone graft%Osseointegration
目的：探讨上颌窦内提升术植骨与不植骨对种植体骨整合的影响及两者之间的差异。方法将120枚需要进行内提升手术的种植体随机平均分为两组，第一组60枚为实验组，在上颌窦内提升后植入骨材料同期植入种植体；第二组60枚为对照组，上颌窦内提升后不植骨同期植入种植体。对两组种植体进行临床追踪(平均18个月)，观察种植体骨整合、临床检查指标、种植体存留率及影像学变化。结果仅有1例种植体覆盖螺丝暴露，种植体颈部出现骨吸收。所有两组种植体均能完成修复，种植体存留率达到100%，无1例脱落。种植体均能正常行使咀嚼功能，骨整合良好。影像学检查种植体周围均有新骨生长，骨整合良好。结论上颌窦内提升术后不植骨可以取得与植骨同样的效果，可以明显减少患者的种植牙费用，是一种值得推广应用的手术方法。
目的：探討上頜竇內提升術植骨與不植骨對種植體骨整閤的影響及兩者之間的差異。方法將120枚需要進行內提升手術的種植體隨機平均分為兩組，第一組60枚為實驗組，在上頜竇內提升後植入骨材料同期植入種植體；第二組60枚為對照組，上頜竇內提升後不植骨同期植入種植體。對兩組種植體進行臨床追蹤(平均18箇月)，觀察種植體骨整閤、臨床檢查指標、種植體存留率及影像學變化。結果僅有1例種植體覆蓋螺絲暴露，種植體頸部齣現骨吸收。所有兩組種植體均能完成脩複，種植體存留率達到100%，無1例脫落。種植體均能正常行使咀嚼功能，骨整閤良好。影像學檢查種植體週圍均有新骨生長，骨整閤良好。結論上頜竇內提升術後不植骨可以取得與植骨同樣的效果，可以明顯減少患者的種植牙費用，是一種值得推廣應用的手術方法。
목적：탐토상합두내제승술식골여불식골대충식체골정합적영향급량자지간적차이。방법장120매수요진행내제승수술적충식체수궤평균분위량조，제일조60매위실험조，재상합두내제승후식입골재료동기식입충식체；제이조60매위대조조，상합두내제승후불식골동기식입충식체。대량조충식체진행림상추종(평균18개월)，관찰충식체골정합、림상검사지표、충식체존류솔급영상학변화。결과부유1례충식체복개라사폭로，충식체경부출현골흡수。소유량조충식체균능완성수복，충식체존류솔체도100%，무1례탈락。충식체균능정상행사저작공능，골정합량호。영상학검사충식체주위균유신골생장，골정합량호。결론상합두내제승술후불식골가이취득여식골동양적효과，가이명현감소환자적충식아비용，시일충치득추엄응용적수술방법。
Objective To investigate the effect of bone grafting on osseointegration of dental implant during maxillary sinus augmentation. Methods One hundred and twenty implants with maxillary sinus augmentation were divided into two groups. The experimental group included 60 implants which were placed simultaneously after osteotome sinus floor elevation with bone grafting; the control group (also 60 implants) otherwise without bone grafting. Implant osseointegration, clinical parameters, the implant survival rate and radiological finding of all implants were estimated after clinical tracking (average 18 months). Results Only one implant with its cover screw exposed and bone absorption in its neck was observed. All the implants were completed with the prosthetic rehabilitation. The implant survival rate was 100% and no implant lost. Efficient mastication and good osseointegration were obtained by all implants and new bone regeneration around implant was found by radiological examination. Conclusion The similar result of implant osseointegration was observed in the case of osteotome sinus floor elevation with or without bone grafting. Osteotome sinus floor elevation without bone grafting can largely reduce the cost of the patient and would be worth to recommend.
