中国口腔种植学杂志 ›› 2019, Vol. 24 ›› Issue (4): 171-173.DOI: 10.12337/zgkqzzxzz.2019.12.006

• 临床研究 • 上一篇    下一篇

A-PRF 在上颌窦内提升术中的临床应用

雷双喜, 高萍, 杨诚, 万彩霞   

  1. 735200 甘肃省嘉峪关市中医医院口腔科
  • 出版日期:2019-12-10 发布日期:2021-09-07
  • 通讯作者: 雷双喜
  • 基金资助:
    甘肃省嘉峪关市雄关人才扶持计划项目

Clinical application of A-PRFin intra-maxillary sinus lifting

LEI Shuangxi, GAO Ping, YANG Cheng, et al   

  1. Chinese Medicine Hospital of Jiayuguan, Jiayuguan 735200, Gansu Province, China
  • Online:2019-12-10 Published:2021-09-07

摘要: 目的: 探讨改良型富血小板纤维蛋白(advanced platelet-rich fibrin,A-PRF)在上颌窦内提升术中的临床应用。方法: 选择我院上颌后牙剩余牙槽嵴高度不足的种植患者,26例42颗牙,采用Osstem TSⅢ型种植体系统,骨挤压与液压法联合经牙槽嵴入路内提升术,应用A-PRF作为植入物,并同期植入种植体。术后6-8月进行义齿修复。结果: 术后曲面断层片显示上颌窦内提升幅度在3.3-7.8mm(平均6.1mm),26例患者42颗牙齿均取得良好的骨结合。结论: 改良型富血小板纤维蛋白(A-PRF)是完全自体血液来源的组织,不存在排异反应,且具有诱导软硬组织形成作用,可作为一种有效的低成本的上颌窦提升生物材料应用于临床。

关键词: 新型富血小板纤维蛋白, 上颌窦内提升术, 骨增量

Abstract: Objective: To investigate the clinical application of advanced platelet-rich fibrin(A-PRF) in intramaxillary sinus lifting. Methods: 26 patients(42teeth) with insufficient residual alveolar ridge height of maxillary posterior teeth of implant patients in our hospital were selected. Osstem TS Ⅲ implant system was adopted. Bone condensing and hydraulic lifting method were combined with internal lifting via alveolarridge approach. A-PRF was used as implant and implant was implanted at the same time.Denture repair was performed from 6 to 8 months after operation. Results: Curved surface tomography showed that the elevation of maxillary sinus was 3.3mm-7.8mm(average 6.1mm), and 42 teeth of 26 patients achieved good bone union. Conlusion: Advanced platelet rich fibrin(A-PRF) is a completely autogenous blood derived tissue, which has no foreign body reaction and can induce soft and hard tissue formation. It can be used as an effective and low-cost biomaterial for maxillary sinus lifting.

Key words: advanced platelet rich fibrin(A-PRF), intra-maxillary sinus floor lifting, bone augmentation

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