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

• 口腔种植学研究 • 上一篇    下一篇

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   

  1. 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   

  1. 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: 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