中国美容医学
中國美容醫學
중국미용의학
CHINESE JOURNAL OF AESTHETIC MEDICINE
2015年
11期
38-41
,共4页
上颌窦底内提升%牙种植%可吸收珊瑚羟基磷灰石
上頜竇底內提升%牙種植%可吸收珊瑚羥基燐灰石
상합두저내제승%아충식%가흡수산호간기린회석
osteotome sinus floor elevation%dental implantation%coralline hydroxyapatite
目的：评价使用可吸收珊瑚羟基磷灰石行上颌窦底内提升植骨同期植入种植体的临床效果。方法：12例上颌后牙缺失患者，上颌窦底剩余牙槽骨骨量为4～7mm（平均5.08mm），采用牙槽嵴顶入路上颌窦底内提升，植入可吸收珊瑚羟基磷灰石,同期植入德国Ankylos种植体12枚，术后6个月行上部结构修复，随访12个月。结果：术中无1例上颌窦黏膜破裂，术后局部伤口疼痛和头痛等2例，鼻腔出血1例，有3枚种植体在骨整合期脱落,脱落5个月后均重新种植成功，12颗种植体平均上颌窦底提升高度为7.36mm(5.4～11.2mm)，植骨术后6个月上颌窦底形态均会有明显的骨改建，成骨效果良好。结论：与开窗式上颌窦外提升相比，上颌窦底内提升植骨手术创伤小，成骨快，可有效解决上颌后部牙槽骨高度严重不足的牙种植问题。
目的：評價使用可吸收珊瑚羥基燐灰石行上頜竇底內提升植骨同期植入種植體的臨床效果。方法：12例上頜後牙缺失患者，上頜竇底剩餘牙槽骨骨量為4～7mm（平均5.08mm），採用牙槽嵴頂入路上頜竇底內提升，植入可吸收珊瑚羥基燐灰石,同期植入德國Ankylos種植體12枚，術後6箇月行上部結構脩複，隨訪12箇月。結果：術中無1例上頜竇黏膜破裂，術後跼部傷口疼痛和頭痛等2例，鼻腔齣血1例，有3枚種植體在骨整閤期脫落,脫落5箇月後均重新種植成功，12顆種植體平均上頜竇底提升高度為7.36mm(5.4～11.2mm)，植骨術後6箇月上頜竇底形態均會有明顯的骨改建，成骨效果良好。結論：與開窗式上頜竇外提升相比，上頜竇底內提升植骨手術創傷小，成骨快，可有效解決上頜後部牙槽骨高度嚴重不足的牙種植問題。
목적：평개사용가흡수산호간기린회석행상합두저내제승식골동기식입충식체적림상효과。방법：12례상합후아결실환자，상합두저잉여아조골골량위4～7mm（평균5.08mm），채용아조척정입로상합두저내제승，식입가흡수산호간기린회석,동기식입덕국Ankylos충식체12매，술후6개월행상부결구수복，수방12개월。결과：술중무1례상합두점막파렬，술후국부상구동통화두통등2례，비강출혈1례，유3매충식체재골정합기탈락,탈락5개월후균중신충식성공，12과충식체평균상합두저제승고도위7.36mm(5.4～11.2mm)，식골술후6개월상합두저형태균회유명현적골개건，성골효과량호。결론：여개창식상합두외제승상비，상합두저내제승식골수술창상소，성골쾌，가유효해결상합후부아조골고도엄중불족적아충식문제。
Objective To evaluate the clinical value of coralline hydroxyapatite for Osteotome Sinus Floor Elevation(OSFE) with simultaneous implantation. Methods 12 cases with maxillary posterior tooth loss were underwent Osteotome Sinus Floor Elevation(OSFE) with simultaneous implant placement,whose height of residual alveolar bone were 4.0-7.0mm(mean 5.08mm).The coralline hydroxyapatite was inserted into the sinus floor during the procedure.Restoration of upper structure was constructed after 6 months.Follow-up period remained 12 months. Results Twelve implants were inserted in 12 cases,the mean elevated sinus membrane height was 7.36mm(5.4-11.2mm). Three implants failed to osseointegrate and lost within 4 months,these failed cases were reimplanted successfully after 5 months.the main complications were postoperative headache and nasal bleeding, but the symptoms disappeared after antibiotic therapy.The grafting materials inside the floor of sinus was remodeled obviously after 6 months of operation and the Schneiderian membrane was well retained above the implant apex. Conclusion Osteotome Sinus Floor Elevation(OSFE)in combination with coralline hydroxyapatite is a less invasive procedure than the lateral window elevation technique. the simultaneous placement of implants using the OSFE is a feasible treatment option for patients with inadequate vertical dimension in the posterior maxillary region.
