摘要
目的：观察采用冲压法上颌窦地提升同期种植体植入治疗上颌后牙区失牙的效果。方法选择上颌后牙区失牙且垂直骨量不足的患者共50例，局麻下给予冲压法上颌窦底提升术同期种植体植入。手术当天、术后2周、3个月、9个月对种植体拍摄根尖 X 线片，观察骨结合情况。结果50例患者中2例（4％）患者发生上颌窦黏骨膜损伤，及时给予相应处理后未见明显并发症。术后5例（10．00％）患者种植体周围牙龈出现明显红肿，BOP（＋），给予牙周基础治疗配合口腔卫生指导1周后症状消失。所有种植体的骨结合情况较好，随访未见松动或脱落。植入1年，种植体颈部骨吸收（0．9±0．3）mm。种植体周围骨质未见明显病理性吸收，影像学检查可见明显连续的上颌窦底影像。患者对修复体修复完成后的咀嚼、发音、美观、固位以及舒适度的满意度均为100％，49例患者对手术耐受满意，满意率98％。结论在严格把握适应证的前提下采用冲压法上颌窦底提升术同期种植体植入能取得较为理想的修复效果，患者满意度较高。
Objective To observe the effect of maxillary sinus floor augmentation with transalveolar tech-nique and simultaneous implant.Methods 50 cases of patients with missing tooth in maxillary posterior region with insufficient vertical bone treated by author were selected.Maxillary sinus floor augmentation with transalveolar tech-nique and simultaneous implantation were given after local anesthesia.X -ray was given on the right day,2 weeks, 3 months and 9 months after operation.And the situation of osseointegration was observed.Results There were 2 cases of injuries of maxillary sinus mucoperiosteum in the 50 cases （4%）,and no obvious complication was found for timely treatment.There were 5 cases of gingiva with obviously swollen around implant and BOP（＋）,and the symptoms were obliterated one week after paradental basic therapy and oral health guidance were given.All the situations of the osseointegration of implants were good,and no loosening or dropping case was found in follow up.One year after operation,the mean obsorbation of bone around the neck of implant was （0.9 ±0.3）mm.There was no obvious absorption of bone around implant,and obvious continuous image of maxillary sinus floor could be observed by imaging examination.The satisfaction of chew,pronounce,aesthetics,maintenance and comfort was all 100%,and 49 cases were satisfied with operation tolerance,and satisfaction rate was 98%.Conclusion Ther effect is desired to apply maxillary sinus floor augmentation with transalveolar technique and simultaneous implant under strict indication.And the satisfaction degree is high.
出处
《中国基层医药》
CAS
2015年第19期2959-2962,共4页
Chinese Journal of Primary Medicine and Pharmacy
关键词
种植
骨垂直高度
上颌窦
冲压法
窦底提升术
Implant
Vertical bone
Antrum highmori
Transalveolar technique
Maxillary sinus floor
