中国口腔种植学杂志 ›› 2021, Vol. 26 ›› Issue (5): 334-338.DOI: 10.12337/zgkqzzxzz.2021.10.012

• 综述 • 上一篇    下一篇

侧壁开窗上颌窦底提升的骨窗设计研究进展

章雯1,2, 顾新华1   

  1. 1浙江大学医学院附属第一医院口腔科,杭州 310003;
    2衢州市中医医院口腔科,浙江 324002
  • 收稿日期:2021-09-05 出版日期:2021-10-30 发布日期:2021-11-12
  • 通讯作者: 顾新华,Email: guxh@zju.edu.cn,电话:0571-87236338
  • 作者简介:章雯,主治医师、硕士研究生,研究方向:口腔种植上颌窦底提升临床研究;顾新华,博士、主任医师、博士生导师,研究方向:人体硬组织仿生矿化和口腔种植临床研究

Research progress of bone window design for maxillary sinus floor elevation through lateral window approach

Zhang wen1,2, Gu Xinhua1   

  1. 1Department of Stomatology, The First Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou 310003, China;
    2Quzhou Hospital of Traditional Chinese Medicine, Zhejiang 324002, China
  • Received:2021-09-05 Online:2021-10-30 Published:2021-11-12
  • Contact: Gu Xinhua, Email:guxh@zju.edu.cn, Tel: 0086-571-87236338

摘要: 侧壁开窗上颌窦底提升的关键是暴露和提升窦底黏骨膜,而骨窗的设计是暴露窦底黏骨膜的重要影响因素。传统骨窗设计为单窗且较大,若存在窦间隔情况会设计2~3个骨窗以避开窦间隔,骨窗下界一般位于上颌窦底上方3~5 mm处。近年来,有较多学者在骨窗的大小、高度和离牙槽嵴顶距离方面不断改良,减少术中、术后不适,增加了患者满意度。本文通过对近期文献的查阅对骨窗的尺寸、位置、外形及数字辅助开窗技术进行综述。

关键词: 侧壁开窗上颌窦底提升, 骨窗, 数字化技术, CAD/CAM

Abstract: The key of maxillary sinus floor elevation through lateral window approach is to expose and lift the sinus membrane, and the design of bone window is the primary factor to expose the sinus membrane. The traditional bone window is designed as a single and large window. If there is a sinus septum, 2 or 3 bone windows will be designed to avoid sinus septum. The lower boundary of the bone window is generally 3-5 mm at the bottom of the maxillary sinus. In recent years, many scholars have continuously studied the size, height, and distance from the alveolar ridge border, which has reduced intraoperative and postoperative discomfort and increased patient satisfaction. This article reviews the size, position, and shape of the bone window and digitally assisted lateral window osteotomy by consulting the recent literature.

Key words: Maxillary sinus floor elevation, Bone window, Digital technology, CAD/CAM