对伴上颌窦底骨缺损重度牙周病变磨牙实施微创拔牙及拔牙位点保存的初步探索（病例系列研究）

doi:10.12337/zgkqzzxzz.2021.04.004

中国口腔种植学杂志 ›› 2021, Vol. 26 ›› Issue (2): 96-101.DOI: 10.12337/zgkqzzxzz.2021.04.004

对伴上颌窦底骨缺损重度牙周病变磨牙实施微创拔牙及拔牙位点保存的初步探索（病例系列研究）

韦宁¹, 徐涛^1,2, 胡文杰¹, 刘云松³

¹北京大学口腔医学院·口腔医院牙周科国家口腔医学中心国家口腔疾病临床医学研究中心口腔数字化医疗技术和材料国家工程实验室 100081;
²北京大学口腔医学院·口腔医院急诊科国家口腔医学中心国家口腔疾病临床医学研究中心口腔数字化医疗技术和材料国家工程实验室 100081;
³北京大学口腔医学院·口腔医院修复科国家口腔医学中心国家口腔疾病临床医学研究中心口腔数字化医疗技术和材料国家工程实验室 100081

收稿日期:2020-11-04 出版日期:2021-04-10 发布日期:2021-07-14
通讯作者: 胡文杰,Email：huwenjie@pkuss.bjmu.edu.cn,电话：010-62173402
作者简介:韦宁, 北京大学口腔医学院八年制本博连读生,研究方向：牙周病种植治疗和牙周数字化技术相关研究;胡文杰, 主任医师、教授、博士研究生导师,研究方向：牙周病多学科综合治疗和设计,牙周病种植治疗、微笑美学和前牙美学系列临床和相关基础研究、CBCT在牙周疾病诊断和治疗中的作用,牙周病和种植体周围病与口腔微生物组学、免疫学和代谢组学研究
基金资助:
北京大学临床科学家计划专项（BMU2019LCKXJ010）,北京市科学技术委员会首都临床特色应用研究基金(Z161100000516042),首都卫生发展科研专项基金（2011-4025-04）

Preliminary analysis of minimally invasive extraction and ridge preservation in maxillary molar with bone defect corresponding to the sinus floor due to severe periodontal lesions：a case analysis

Wei Ning¹, Xu Tao^1,2, Hu Wenjie¹, Liu Yunsong³

¹Department of Periodontology, Peking University School and Hospital of Stomatology & National Center of Stomatology & National Clinical Research Center for Oral Diseases & National Engineering Laboratory for Digital and Material Technology of Stomatology & Beijing Key Laboratory of Digital Stomatology & Research Center of Engineering and Technology for Computerized Dentistry Ministry of Health & NMPA Key Laboratory for Dental Materials, Beijing 100081, China;
²Department of Emergency, Peking University School and Hospital of Stomatology & National Center of Stomatology & National Clinical Research Center for Oral Diseases & National Engineering Laboratory for Digital and Material Technology of Stomatology & Beijing Key Laboratory of Digital Stomatology & Research Center of Engineering and Technology for Computerized Dentistry Ministry of Health & NMPA Key Laboratory for Dental Materials, Beijing 100081;
³Department of Prosthodontics, Peking University School and Hospital of Stomatology & National Center of Stomatology & National Clinical Research Center for Oral Diseases & National Engineering Laboratory for Digital and Material Technology of Stomatology & Beijing Key Laboratory of Digital Stomatology & Research Center of Engineering and Technology for Computerized Dentistry Ministry of Health & NMPA Key Laboratory for Dental Materials, Beijing 100081, China

Received:2020-11-04 Online:2021-04-10 Published:2021-07-14
Contact: Hu Wenjie, Email: huwenjie@pkuss.bjmu.edu.cn, Tel:0086-10-62173402
Supported by:
Peking University Clinical Scientist Program (BMU2019LCKXJ010); Capital Foundation for Clinical Characteristics and Application Research (Z161100000516042); The Capital Medical Development and Research Fund, PRC (2011-4025-04)

摘要/Abstract

摘要： 上颌磨牙作为牙周炎的好发牙位之一,根周及根尖区的骨缺损可能波及邻近的上颌窦,增加后期种植修复的风险和复杂程度。而在微创拔牙、彻底清创同期,利用拔牙位点保存可处理上颌窦底骨缺损,并维持牙槽骨的高度和轮廓,减少后期对上颌窦底提升的需求,降低手术风险,简化治疗过程,获得良好的种植修复效果。文章完整展示了1例伴有重度牙周病变致上颌窦底骨缺损的上颌磨牙,包括病情分析、治疗设计、采用微创拔牙及拔牙位点保存创造良好硬组织条件、完成种植修复并随访17个月的具体实施过程,为此类伴有上颌窦底骨缺损的重度牙周病变磨牙的临床处置积累了经验。

关键词: 上颌磨牙, 微创拔牙, 拔牙位点保存, 牙种植, 上颌窦底

Abstract: Maxillary molars with severe periodontal lesions are often accompanied with bone defects even reaching the corresponding maxillary sinus floor. These bone defects will increase the difficulty and risk for implantation after the extraction of maxillary molars. The application of minimally invasive extraction with thorough debridement and site preservation of the maxillary molars can not only maintain the dimensions of alveolar ridge, but also reduce the requirement of sinus floor elevation.This paper illustrates the treatment procedures of implant replacement of a maxillary molar with severe periodontal lesions involving maxillary sinus floor using this technique.Changes of bone conditions were compared and analyzed in order to provide evidence and clinical experience for the management of similar cases.

Key words: Maxillary molar, Atraumatic extraction, Ridge preservation, Dental implant, Maxillary sinus floor

韦宁,徐涛,胡文杰,等. 对伴上颌窦底骨缺损重度牙周病变磨牙实施微创拔牙及拔牙位点保存的初步探索（病例系列研究）[J]. 中国口腔种植学杂志, 2021, 26(2): 96-101. DOI: 10.12337/zgkqzzxzz.2021.04.004

Wei Ning, Xu Tao, Hu Wenjie, Liu Yunsong. Preliminary analysis of minimally invasive extraction and ridge preservation in maxillary molar with bone defect corresponding to the sinus floor due to severe periodontal lesions：a case analysis[J].Chinese Journal of Oral Implantology, 2021, 26(2): 96-101.DOI: 10.12337/zgkqzzxzz.2021.04.004.

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对伴上颌窦底骨缺损重度牙周病变磨牙实施微创拔牙及拔牙位点保存的初步探索（病例系列研究）

Preliminary analysis of minimally invasive extraction and ridge preservation in maxillary molar with bone defect corresponding to the sinus floor due to severe periodontal lesions：a case analysis

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