剩余骨高度<4 mm上颌窦经牙槽嵴提升不植骨的可行性研究

doi:10.13701/j.cnki.kqyxyj.2021.05.003

摘要/Abstract

摘要： 上颌后牙区由于拔牙后骨吸收导致牙槽嵴高度降低常需要上颌窦提升,传统观念认为骨高度4 mm以下的后牙区无法使用经牙槽嵴上颌窦提升。由于不使用骨材料上颌窦提升的成功以及经牙槽嵴上颌窦提升的优势,近年不断有学者挑战低剩余骨高度的不植骨经牙槽嵴提升并取得良好效果。本文旨在对剩余骨高度<4 mm不植骨进行上颌窦经牙槽嵴提升的现状进行系统综述。

关键词: 上颌窦提升, 牙种植, 牙槽嵴高度, 植骨

Abstract: Maxillary sinus lift is commonly used to obtain sufficient bone height in the severely absorbed posterior area of maxilla. The traditional viewpoint is that osteotome sinus floor elevation (OSFE) cannot achieve promising outcome when residual bone height is less than 4 mm. To date, many studies using osteotome technique without grafting material in severely atrophic posterior maxilla have got promising outcomes. The aim of this review is to evaluate the possibility and the practicability of using osteotome-mediated sinus floor elevation without grafting materials when the residual bone height<4 mm

Key words: sinus floor augmentation, dental implant, alveolar bone height, bone graft

余海纳, 孟维艳. 剩余骨高度<4 mm上颌窦经牙槽嵴提升不植骨的可行性研究[J]. 口腔医学研究, 2021, 37(5): 389-392.

YU Haina, MENG Weiyan. Review on Transcrestal Sinus Floor Elevation without Grafting Materials When the Residual Bone Height<4 mm[J]. Journal of Oral Science Research, 2021, 37(5): 389-392.

参考文献

[1] Summers RB. The osteotome technique: Part 3-Less invasive methods of elevating the sinus floor [J]. Compendium, 1994, 15(6):698, 700, 702-4 passim; quiz 710.
[2] Kühl S, Payer M, Kirmeier R, et al. The influence of particulated autogenous bone on the early volume stability of maxillary sinus grafts with biphasic calcium phosphate: a randomized clinical trial [J]. Clin Implant Dent Relat Res, 2015, 17(1):173-178.
[3] Boyne PJ. Analysis of performance of root-form endosseous implants placed in the maxillary sinus [J]. J Long Term Eff Med Implants, 1993, 3(2):143-59.
[4] 张兴,刘英,陈松龄,等.上颌窦内提升不植骨同期种植术-3年临床回顾性研究[J].口腔医学研究,2016,32(1): 46-49.
[5] Gonzalez S, Tuan MC, Ahn KM, et al. Crestal approach for maxillary sinus augmentation in patients with≤4 mm of residual alveolar bone [J]. Clin Implant Dent Relat Res, 2014, 16(6): 827-835.
[6] Nedir R, Nurdin N, Khoury P, et al. Short implants placed with or without grafting in atrophic sinuses: the 3-year results of a prospective randomized controlled study [J]. Clin Implant Dent Relat Res, 2016, 18(1): 10-18.
[7] Nedir R, Nurdin N, Abi Najm S, et al. Short implants placed with or without grafting into atrophic sinuses: the 5-year results of a prospective randomized controlled study [J]. Clin Oral Implants Res, 2017, 28(7): 877-886.
[8] Gu YX, Shi JY, Zhuang LF, et al. Transalveolar sinus floor elevation using osteotomes without grafting in severely atrophic maxilla: a 5-year prospective study [J]. Clin Oral Implants Res, 2016, 27(1): 120-125.
[9] Winter AA, Pollack AS, Odrich RB. Placement of implants in the severely atrophic posterior maxilla using localized management of the sinus floor: a preliminary study [J]. Int J Oral Maxillofac Implants, 2002, 17(5):687-695.
[10] Nedir R, Nurdin N, Khoury P, et al. Osteotome sinus floor elevation with and without grafting material in the severely atrophic maxilla. A 1-year prospective randomized controlled study [J]. Clin Oral Implants Res, 2013, 24(11): 1257-1264.
[11] Nedir R, Nurdin N, Szmukler-Moncler S, et al. Placement of tapered implants using an osteotome sinus floor elevation technique without bone grafting: 1-year results [J]. Int J Oral Maxillofac Implants, 2009, 24(4):727-733.
[12] Berbéri A, Al-Nemer F, Hamade E, et al. Mesenchymal stem cells with osteogenic potential in human maxillary sinus membrane: an in vitro study [J]. Clin Oral Investig, 2017, 21(5):1599-1609.
[13] Scala A, Lang NP, Urbizo Velez J, et al. Effects of a collagen membrane positioned between augmentation material and the sinus mucosa in the elevation of the maxillary sinus floor. An experimental study in sheep [J]. Clin Oral Implants Res, 2016, 27(11):1454-1461.
[14] 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.
[15] de Melo WM, de Oliveira FS, Marcantonio E Jr, et al. Autogenous bone combined with anorganic bovine bone for maxillary sinus augmentation: analysis of the osteogenic potential of cells derived from the donor and the grafted sites [J]. Clin Oral Implants Res, 2014, 25(5):603-609.
[16] Falah M, Sohn DS, Srouji S. Graftless sinus augmentation with simultaneous dental implant placement: clinical results and biological perspectives [J]. Int J Oral Maxillofac Surg, 2016, 45(9):1147-1153.
[17] Lai HC, Zhang ZY, Wang F, et al. Resonance frequency analysis of stability on ITI implants with osteotome sinus floor elevation technique without grafting: a 5-month prospective study [J]. Clin Oral Implants Res, 2008, 19(5): 469-475.
[18] Lundgren S, Cricchio G, Hallman M, et al. Sinus floor elevation procedures to enable implant placement and integration: techniques, biological aspects and clinical outcomes [J]. Periodontology 2000, 2017, 73(1): 103-120.
[19] Pjetursson BE, Lang NP. Sinus floor elevation utilizing the transalveolar approach [J]. Periodontology 2000, 2014, 66(1): 59-71.
[20] Qian SJ, Gu YX, Mo JJ, et al. Resonance frequency analysis of implants placed with osteotome sinus floor elevation in posterior maxillae [J]. Clin Oral Implants Res, 2016, 27(1): 113-119.
[21] Niu L, Wang J, Yu H, et al. New classification of maxillary sinus contours and its relation to sinus floor elevation surgery [J]. Clin Implant Dent Relat Res, 2018, 20(4): 493-500.
[22] Wen SC, Chan HL, Wang HL. Classification and management of antral septa for maxillary sinus augmentation [J]. Int J Periodontics Restorative Dent, 2013, 33(4):509-517.
[23] Wen SC, Lin YH, Yang YC, et al. The influence of sinus membrane thickness upon membrane perforation during transcrestal sinus lift procedure [J]. Clin Oral Implants Res, 2014, 26(10):1158-1164.
[24] Gargallo-Albiol J, Tattan M, Sinjab KH, et al. Schneiderian membrane perforation via transcrestal sinus floor elevation: A randomized ex vivo study with endoscopic validation [J]. Clin Oral Implants Res, 2019, 30(1): 11-19.
[25] Uribarri A, Bilbao E, Marichalar-Mendia X, et al. Bone remodeling around implants placed in augmented sinuses in patients with and without history of periodontitis [J]. Clin Implant Dent Relat Res, 2017, 19(2): 268-279.
[26] Samaneh G, Akbar F, Neda M, et al. Intra-and postoperative complications of lateral maxillary sinus augmentation in smokers vs nonsmokers: a systematic review and meta-analysis [J]. Int J Oral Maxillofac Implants, 2017, 32(4):759-767.
[27] Schwarz L, Schiebel V, Hof M, et al. Risk factors of membrane perforation and postoperative complications in sinus floor elevation surgery: review of 407 augmentation procedures [J]. J Oral Maxillofac Surg, 2015, 73(7): 1275-1282.
[28] Kim DY, Itoh Y, Kang TH. Evaluation of the effectiveness of a water lift system in the sinus membrane-lifting operation as a sinus surgical instrument [J]. Clin Implant Dent Relat Res, 2012, 14(4): 585-594.
[29] López-Quiles J, Melero-Alarcón C, Cano-Duran JA, et al. Maxillary sinus balloon lifting and deferred implantation of 50 osseointegrated implants: a prospective, observational, non-controlled study [J]. Int J Oral Maxillofac Surg, 2018, 47(10): 1343-1349.