“冰淇淋蛋筒技术”在上颌窦穿孔患者种植义齿修复中的应用1例

doi:10.13701/j.cnki.kqyxyj.2023.08.019

口腔医学研究 ›› 2023, Vol. 39 ›› Issue (8): 760-762.DOI: 10.13701/j.cnki.kqyxyj.2023.08.019

• 研究生病例精粹———口腔修复系列(8) • 上一篇

“冰淇淋蛋筒技术”在上颌窦穿孔患者种植义齿修复中的应用1例

朱肖^1,2, 张杰^1,3#, 周毅^1,2*

1.口颌系统重建与再生全国重点实验室,口腔生物医学教育部重点实验室,口腔医学湖北省重点实验室,武汉大学口腔医(学)院湖北武汉 430079;
2.武汉大学口腔医院修复科湖北武汉 430079;
3.武汉大众口腔洪山保利花园门诊部湖北武汉 430070

收稿日期:2023-07-22 发布日期:2023-08-17
通讯作者: *周毅,E-mail: dryizhou@whu.edu.cn
作者简介:朱肖(1988~ ),湖北武汉人,博士,主治医师,研究方向:口腔修复学。张杰(1995~ ),湖南益阳人,硕士,研究方向:口腔修复学。#为共同第一作者

Application of "Ice-Cream Cone" Technique in Dental Implant Surgery for Patient with Oroantral Communication: A Case Report

ZHU Xiao^1,2, ZHANG Jie^1,3#, ZHOU Yi^1,2*

1. State Key Laboratory of Oral & Maxillofacial Reconstruction and Regeneration, Key Laboratory of Oral Biomedicine Ministry of Education, Hubei Key Laboratory of Stomatology, School & Hospital of Stomatology, Wuhan University, Wuhan 430079, China;
2. Department of Prosthodontics, School of Stomatology, Wuhan University, Wuhan 430079, China;
3. Public Oral Health Hongshan Baoli Garden Clinic, Wuhan 430070, China

Received:2023-07-22 Published:2023-08-17

摘要/Abstract

摘要： 口腔上颌窦穿孔(oroantral communication,OAC)是拔牙的常见并发症之一。未妥善处理的OAC会导致上颌窦底皮质骨不连续,上颌窦膜与口腔黏膜粘连,增加种植治疗的难度。本病例首次将“冰淇淋蛋筒技术”用于处理OAC,并同期行牙槽嵴水平骨增量,最后顺利完成种植修复。此技术操作简单,牛心包来源胶原膜和冰淇淋蛋筒共同形成稳定的成骨空间,可用于处理小直径OAC。

关键词: 冰淇淋蛋筒技术, 口腔上颌窦穿孔, 胶原膜, 骨增量, 种植修复

Abstract: Oroantral communication (OAC) is a common complication following tooth extraction. Improperly treated OAC may result in the cortical bone discontinuity at the floor of maxillary sinus and the adhesion of maxillary sinus membrane to oral mucosa, so as to increase the complexity of implant treatment. In this case, for the first time, the "ice cream cone technique" was employed to address OAC, concurrently accompanied with horizontal bone augmentation. This innovative approach successfully facilitated implant surgery. The technique is characterized by its simplicity to create a stable bone-forming space through the ice cream cone technique using a collagen membrane from bovine pericardium, which is suitable to manage small-diameter OACs.

Key words: ice-cream cone technique, oroantral communication, collagen membrane, bone augmentation, implant restoration

朱肖, 张杰, 周毅. “冰淇淋蛋筒技术”在上颌窦穿孔患者种植义齿修复中的应用1例[J]. 口腔医学研究, 2023, 39(8): 760-762.

ZHU Xiao, ZHANG Jie, ZHOU Yi. Application of "Ice-Cream Cone" Technique in Dental Implant Surgery for Patient with Oroantral Communication: A Case Report[J]. Journal of Oral Science Research, 2023, 39(8): 760-762.

参考文献

[1] Franco-Carro B, Barona-Dorado C, Martínez-González MJ, et al. Meta-analytic study on the frequency and treatment of oral antral communications [J]. Med Oral Patol Oral Cir Bucal, 2011, 16(5):e682-e687.
[2] Punwutikorn J, Waikakul A, Pairuchvej V. Clinically significant oroantral communications--a study of incidence and site [J]. Int J Oral Maxillofac Surg, 1994, 23(1):19-21.
[3] Jung YH, Cho BH. Assessment of the relationship between the maxillary molars and adjacent structures using cone beam computed tomography [J]. Imaging Sci Dent, 2012, 42(4):219-224.
[4] Ananda GK, Nambiar P, Mutalik S, et al. Anatomical considerations for implant placements in first maxillary molar extracted sites in East Asian patients [J]. Surg Radiol Anat, 2015, 37(9):1099-1108.
[5] Parvini P, Obreja K, Begic A, et al. Decision-making in closure of oroantral communication and fistula [J]. Int J Implant Dent, 2019, 5(1):13.
[6] Dym H, Wolf JC. Oroantral communication [J]. Oral Maxillofac Surg Clin North Am, 2012, 24(2):239-47, Ⅷ-Ⅸ.
[7] Elian N, Cho SC, Froum S, et al. A simplified socket classification and repair technique [J]. Pract Proced Aesthet Dent, 2007, 19(2):99-104.
[8] Tan-Chu JH, Tuminelli FJ, Kurtz KS, et al. Analysis of buccolingual dimensional changes of the extraction socket using the "ice cream cone" flapless grafting technique [J]. Int J Periodontics Restorative Dent, 2014, 34(3):399-403.
[9] Sarnachiaro GO, Chu SJ, Sarnachiaro E, et al. Immediate implant placement into extraction sockets with labial plate dehiscence defects: A clinical case series [J]. Clin Implant Dent Relat Res, 2016, 18(4):821-829.
[10] Kara MI, Yanik S, Sari F, et al. Simultaneous oroantral communication closure, sinus-lifting, and particulate bone grafting and immediate dental implant perforation [J]. Niger J Clin Pract, 2016, 19(4):556-558.
[11] Kapustecki M, Niedzielska I, Borgiel-Marek H, et al. Alternative method to treat oroantral communication and fistula with autogenous bone graft and platelet rich fibrin [J]. Med Oral Patol Oral Cir Bucal, 2016, 21(5):e608-e613.
[12] Proussaefs P, Lozada J, Kim J, et al. Repair of the perforated sinus membrane with a resorbable collagen membrane: a human study [J]. Int J Oral Maxillofac Implants, 2004, 19(3):413-420.
[13] Al-Juboori MJ. Conservative socket regeneration with buccal wall defect using guided tissue [J]. Open Dent J, 2016, 10:561-567.
[14] 周艺群,吴汉江. 三种GBR膜材料的比较研究[J]. 现代口腔医学杂志,2004,18(5):418-421.

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“冰淇淋蛋筒技术”在上颌窦穿孔患者种植义齿修复中的应用1例

Application of "Ice-Cream Cone" Technique in Dental Implant Surgery for Patient with Oroantral Communication: A Case Report

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