中国口腔种植学杂志 ›› 2023, Vol. 28 ›› Issue (2): 128-132.DOI: 10.12337/zgkqzzxzz.2023.04.011

• 继续教育园地 • 上一篇    

穿牙槽嵴上颌窦底提升的临床程序

陈德平1,2, 刘倩1,2, 皮雪敏1,2, 潘红1,2, 任斌1,2, 宿玉成1,2,3   

  1. 1北京瑞城口腔医院 100032;
    2北京口腔种植培训中心 100032;
    3中国医学科学院北京协和医院口腔种植中心 100032
  • 收稿日期:2023-01-14 出版日期:2023-04-30 发布日期:2023-05-04
  • 通讯作者: 宿玉成,Email:yuchengsu@163.com,电话:010-66212299
  • 作者简介:陈德平,硕士、副主任医师,研究方向:口腔颌面外科、口腔种植外科、数字化口腔种植临床应用及口腔激光临床应用研究; 宿玉成,博士、主任医师、教授、博士生导师,研究方向:口腔种植外科和正颌外科相关研究

Clinical procedure of transalveolar technique for sinus floor elevation

Chen Deping1,2, Liu Qian1,2, Pi Xuemin1,2, Pan Hong1,2, Ren Bin1,2, Su Yucheng1,2,3   

  1. 1Beijing Citident Hospital of Stomatology, Beijing 100032, China;
    2Beijing Implant Training College, Beijing 100032, China;
    3Department Implant Center, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences,Beijing 100032, China
  • Received:2023-01-14 Online:2023-04-30 Published:2023-05-04
  • Contact: Su Yucheng, Email: yuchengsu@163.com, Tel: 0086-10-66212299

摘要: 穿牙槽嵴上颌窦底提升是上颌后牙区垂直向骨量不足种植时一种常用的手术方法,本文对该项技术的演变及常用的临床方法技术要点进行介绍。但因该项技术在需同期骨增量时对上颌窦膜的完整性评估困难,电子内镜辅助有助于更好地确认种植窝预备深度和上颌窦黏骨膜状态,能有效避免因上颌窦黏骨膜穿孔同期骨增量所引发的并发症,因此本文对在施行穿牙槽嵴上颌窦底提升时,配合内镜使用该项技术的临床应用程序及使用中的注意事项进行了重点阐述,以为临床医生提供参考和提高该术式的可预期性。

关键词: 穿牙槽嵴上颌窦底提升, 临床程序, 电子内镜

Abstract: The transalveolar technique for sinus floor elevation is a common surgical approach when there is insufficient vertical bone height in the maxillary posterior region for implant treatment. This article describes the evolution of this technique and the technical points of the clinical approach. It is very difficult to assess the intactness of the maxillary sinus mucoperiosteum in transalveolar technique when simultaneous bone augmentation is required. The use of electronic endoscope is a very helpful method to better confirm the preparation depth of the implant site and the status of the maxillary sinus mucoperiosteum, thus effectively avoiding complications of bone augmentation due to the maxillary sinus mucoperiosteum perforation. This article focuses on the clinical procedures and considerations in the use of transalveolar technique for sinus floor elevation to provide a reference for clinicians to improve the predictability of this technique.

Key words: Transalveolar technique for sinus floor elevation, Clinical procedures, Electronic endoscope