短种植体联合上颌窦内提升:中期临床效果观察

doi:10.13701/j.cnki.kqyxyj.2018.07.012

口腔医学研究 ›› 2018, Vol. 34 ›› Issue (7): 734-737.DOI: 10.13701/j.cnki.kqyxyj.2018.07.012

短种植体联合上颌窦内提升:中期临床效果观察

孟展, 张越, 魏洪武^*, 郭水根, 岑雯, 王轶, 黄江琴

南昌大学第四附属医院口腔科江西南昌 330000

收稿日期:2018-01-22 出版日期:2018-07-28 发布日期:2018-07-20
通讯作者: 魏洪武,E-mail:Nc.whw@163.com
作者简介:孟展(1990~ ),女,山东烟台人,硕士在读,研究方向为口腔种植修复。

Short Implant in Maxillary Sinus Elevation: A Mid-term Clinical Observation

MENG Zhan, ZHANG Yue, WEI Hong-wu^*, GUO Shui-gen, CEN Wen, WANG Yi, HUANG Jiang-qin

Department of Stomatology, The Forth Affiliated Hospital of Nanchang University, Nanchang 330000, China.

Received:2018-01-22 Online:2018-07-28 Published:2018-07-20

摘要/Abstract

摘要： 目的:评价上颌窦内提升同期植入短种植体在上颌后牙区垂直骨量≤3 mm的中期临床效果。方法:16例上颌后牙区垂直骨量≤3 mm的患者行上颌窦内提升同期植入26枚短种植体,随访5~6年,观察种植体周围软硬组织情况。结果: 26枚短种植体5年存留率为96.2%,随访期间种植体颈部近中平均骨增加(0.14±0.15) mm,远中平均骨吸收(-0.03±0.17) mm,联冠修复与单冠修复、游离端与非游离端远中骨吸收有显著性差异,其余均无显著性差异,种植体周围软组织无明显异常。结论: 上颌后牙区骨量严重不足的患者行上颌窦内提升同期植入短种植体,中期可获得良好的预后。

关键词: 短种植体, 上颌窦内提升, 骨吸收

Abstract: Objective: To evaluate the clinical and radiographic outcome of osteotome sinus floor elevation (OSFE) procedure and immediate short implants placement after 4-6 years. Methods: The study included 16 consecutive patients. A total of 26 short implants were inserted with the OSFE technique. The indication for sinus floor elevation was that the residual bone height was less than 3mm. Results: The survival rate was 96.2% in 5 years. The average mesial marginal bone change was (0.14±0.15) mm, and the average distal marginal bone change was (-0.03±0.17) mm. Soft tissue was all in good condition. The distal marginal bone change was different between splinted crown restoration and single crown restoration, free and non-free end implants. Conclusion: This study shows that the OSFE with immediate short implant placement could produce optimistic result in the treatment of patients with severely atrophy maxilla during 5-year following up.

Key words: Short implant, Osteotem sinus floor elevation, Bone resorption

孟展, 张越, 魏洪武, 郭水根, 岑雯, 王轶, 黄江琴. 短种植体联合上颌窦内提升:中期临床效果观察[J]. 口腔医学研究, 2018, 34(7): 734-737.

MENG Zhan, ZHANG Yue, WEI Hong-wu, GUO Shui-gen, CEN Wen, WANG Yi, HUANG Jiang-qin. Short Implant in Maxillary Sinus Elevation: A Mid-term Clinical Observation[J]. Journal of Oral Science Research, 2018, 34(7): 734-737.

参考文献

[1] Stern A,Green J. Sinus lift procedures: an overview of current techniques [J]. Dent Clin North Am, 2012, 56(1):219-233
[2] Chipaila N,Marini R,Sfasciotti G L,et al.Graftless sinus augmentation technique with contextual placement of implants: a case report [J]. J Med Case Rep,2014,8(1):1-11
[3] 周磊.上颌窦底提升术的研究进展[J].国际口腔医学杂志,2011,38(1):1-6
[4] Van Assche N,Michels S,Quirynen M,et al.Extra short dental implants supporting an overdenture in the edentulous maxilla: a proof of concept [J]. Clin Oral Implants Res,2012,23(5):567-576
[5] Pjetursson BE, Lang NP. Sinus floor elevation utilizing the transalveolar approach [J]. Periodontol, 2014, 66(1):59-71
[6] Albrektsson T, Zoob GA, Worthington P, et al. The longterm efficacy of currently used dental implants: A review and proposed criteria for success [J]. Int J Oral Maxillofac Implants, 1986,1:11-25
[7] Calin C,Petre A,Drafta S.Osteotome-mediated sinus floor elevation: a systematic review and meta-analysis [J]. Int J Oral Maxillofac Implants, 2014, 29(3):558-576
[8] 钟志华,唐祎,施斌.Bicon植体联合上颌窦内提升术用于上后牙种植[J].口腔医学研究,2017,33(7):787-789
[9] Anitua E, Flores J, Alkhraisat MH. Transcrestal sinus lift using platelet concentrates in association to short implant placement: a retrospective study of augmented bone height remodeling [J]. Clin Implant Dent Relat Res, 2015, 18(5):993-1002
[10] 滕腾, 孙鑫, 柳忠豪.平台转换技术中基台相关因素对种植体成功率的影响[J].口腔医学研究,2013, 29(12):1194-1196
[11] Yilmaz B, Seidt JD, Mcglumphy EA, et al. Strain comparisons for splinted and non-splinted crowns on short implants [C]. Aadr Meeting, 2010
[12] 李翠,郭新程,韦艺,等.应用三维有限元法对不同骨质牙种植修复体生物力学的研究[J].口腔颌面外科杂志,2011,21(1):15-18
[13] Rong Q, Li X, Chen SL, et al. Effect of the Schneiderian membrane on the formation of bone after lifting the floor of the maxillary sinus: an experimental study in dogs [J]. Br J Oral Maxillofac Surg, 2015, 53(7):607-612
[14] Starchjensen T, Jensen JD. Maxillary sinus floor augmentation: a review of selected treatment modalities [J]. J Oral Maxillofac Res, 2017, 8(3):e3
[15] Cricchio G, Sennerby L, Lundgren S. Sinus bone formation and implant survival after sinus membrane elevation and implant placement: a 1- to 6-year follow-up study [J]. Clin Oral Implants Res, 2011, 22(10):1200-1212
[16] Attar BM, Alaei S, Badrian H, et al. Clinical and radiological evaluation of implants placed with osteotome sinus lift technique: 19-month follow-up [J]. Ann Maxillofac Surg, 2016, 6(2):190-194

短种植体联合上颌窦内提升:中期临床效果观察

Short Implant in Maxillary Sinus Elevation: A Mid-term Clinical Observation

PDF (PC)

可视化

摘要/Abstract

引用本文

使用本文

参考文献

相关文章 15

编辑推荐

Metrics

[1]	胡常琦, 魏振宇, 魏洪武, 夏勋, 黄江琴, 龚金梅, 郭水根. 短种植体(≤6 mm)在萎缩后牙区5~7年疗效的回顾性研究[J]. 口腔医学研究, 2021, 37(1): 58-62.
[2]	张黎, 刘育菘, 吴芸菲, 符起亚. 基于IL-23/Th17炎症轴探讨葛根素对大鼠牙周炎牙槽骨吸收及OPG/RANKL/RANK通路的影响[J]. 口腔医学研究, 2020, 36(9): 844-849.
[3]	曹丹彤, 古丽比热·艾合买提, 高安天, 曹雅, 谭葆春, 王从跃, 林梓桐. 根管治疗后隐匿性牙根纵裂临床特征分析及CBCT影像学研究[J]. 口腔医学研究, 2020, 36(7): 644-647.
[4]	夏勋, 胡常琦, 黄江琴, 郭水根, 魏洪武. 短种植体冠根比对骨改建的影响:5年临床观察[J]. 口腔医学研究, 2020, 36(7): 683-687.
[5]	王智, 邹立东. 微创技术在上颌窦内提升植骨中应用效果的影像学评价[J]. 口腔医学研究, 2020, 36(7): 688-692.
[6]	张源, 李新月. 脂多糖抑制牙周膜细胞骨唾液酸蛋白表达中微小RNA的筛选与验证[J]. 口腔医学研究, 2020, 36(5): 477-480.
[7]	余科, 贺晓萍, 文才, 刘旭琳, 杨健. IL-6抑制剂控制种植体愈合期炎症性骨吸收的动物实验研究[J]. 口腔医学研究, 2020, 36(3): 251-254.
[8]	贾胜男, 邸萍, 林野. “All-on-4”种植即刻固定修复后下颌骨生物学改建模式的影像学研究[J]. 口腔医学研究, 2020, 36(10): 957-961.
[9]	周恬, 康娜. 乳铁蛋白在口腔领域的研究进展[J]. 口腔医学研究, 2019, 35(8): 730-733.
[10]	高丽, 高莺, 周根祥, 王璨, 张晓敏. 降钙素影响拔牙后牙槽骨吸收的动物实验研究[J]. 口腔医学研究, 2019, 35(7): 690-694.
[11]	李冬雪, 王国芳, 崔晓宇, 李小红, 轩亚茹, 王守儒. β-隐黄素对大鼠实验性牙周炎炎症因子的影响[J]. 口腔医学研究, 2019, 35(5): 471-475.
[12]	陈俊良, 刘旭琳, 张潇月, 田欣, 何芸. 短种植体修复牙槽骨严重吸收的下颌第二磨牙的三维有限元分析[J]. 口腔医学研究, 2019, 35(3): 246-250.
[13]	韦颂观, 廖红兵. 不同冠根比种植单冠修复的临床应用进展[J]. 口腔医学研究, 2018, 34(8): 812-814.
[14]	王丽萍, 郭雪琪, 董豫, 陈希立, 陈伟鸿, 葛林虎. Trausim种植体用于牙列缺损的短期临床疗效观察[J]. 口腔医学研究, 2018, 34(6): 675-678.
[15]	张丽丽, 王远勤, 李镭. 同期永久基台影响种植体周围组织变化的随机对照研究[J]. 口腔医学研究, 2018, 34(5): 522-526.