上颌窦底内提升同期植入种植体的研究现状

doi:10.12337/zgkqzzxzz.2024.04.004

中国口腔种植学杂志 ›› 2024, Vol. 29 ›› Issue (2): 109-117.DOI: 10.12337/zgkqzzxzz.2024.04.004

• “穿牙槽嵴上颌窦底提升”重点栏目 • 上一篇下一篇

上颌窦底内提升同期植入种植体的研究现状

夏海斌, 徐珺怡

武汉大学口腔医（学）院种植科口颌系统重建与再生全国重点实验室口腔生物医学教育部重点实验室口腔医学湖北省重点实验室 430079

收稿日期:2024-02-29 出版日期:2024-04-30 发布日期:2024-05-08
通讯作者: 夏海斌,Email：xhaibin@whu.edu.cn,电话：027-87686222
作者简介:夏海斌,教授、主任医师、博士生导师,武汉大学口腔医院口腔种植科主任;中华口腔医学会口腔种植专业委员会和口腔材料专业委员会常委,湖北省第二届和第五届口腔种植专业委员会主任委员,国家自然科学基金通信评审专家。2007年赴美国阿拉巴马大学(伯明翰校区)牙学院留学一年。先后主持国家自然科学基金项目4项,其团队获得第三届全国高校教师教学创新大赛一等奖。长期从事牙缺损与缺失的修复治疗,尤其擅长于牙种植外科与种植修复,在美学种植、骨增量术式改进、种植牙周手术以及牙种植疑难病例方面具有丰富经验。
基金资助:
武汉大学口腔医院临床研究专项（LYZX202103）

Current research status of transalveolar technique for sinus floor elevation with simultaneous placement of dental implants

Xia Haibin, Xu Junyi

Department of Implantology, School and Hospital of Stomatology, Wuhan University, State Key Laboratory of Oral & Maxillofacial Reconstruction and Regeneration, Key Laboratory of Oral Biomedicine Ministry of Education, Hubei Key Laboratory of Stomatology, Wuhan 430079, China

Received:2024-02-29 Online:2024-04-30 Published:2024-05-08
Contact: Xia Haibin, Email: xhaibin@whu.edu.cn, Tel: 0086-27-87686222
Supported by:
School & Hospital of Stomatology, Wuhan University（LYZX202103）

摘要/Abstract

摘要： 在上颌后牙区剩余骨高度不足时,与上颌窦底外提升相比,上颌窦底内提升同期种植的手术创伤较小、术后反应较轻、治疗周期较短,但是手术视野和提升高度受限,容易发生上颌窦黏骨膜穿孔亦或剥离不足,因此传统观念里内提升仅适用于上颌后牙区剩余骨高度轻度不足的病例。随着外科器械的改良、上颌窦底内提升新技术的涌现以及数字化技术的辅助,研究者们对上颌窦底内提升同期植入种植体的适应证及手术方案有了新的认知。本文通过文献回顾,对上颌窦底内提升同期植入种植体的基础及临床研究现状作一综述。

关键词: 上颌窦底内提升, 同期种植, 牙种植

Abstract: When the residual bone height is insufficient in the maxillary posterior region, the transalveolar technique for sinus floor elevation with simultaneous implant placement is less invasive, resulting in milder postoperative reactions and shorter treatment periods compared to the lateral window technique. However, due to the limited surgical vision and elevation technique, the transalveolar technique is susceptible to mucoperiosteal perforation or compromised osteogenesis and is therefore traditionally considered suitable only for cases where the residual bone height is mildly inadequate. With modifications to surgical instruments, improvements in clinical skills, and the assistance of digital technology, researchers have gained new insights into the indications and surgical protocols for transalveolar sinus floor elevation with simultaneous placement of dental implants. This paper presents an overview of the current basic and clinical research status of the transalveolar technique for sinus floor elevation with simultaneous implantation by reviewing recent literature.

Key words: Internal sinus floor elevation, Simultaneous implant placement, Dental implant

夏海斌,等徐珺怡. 上颌窦底内提升同期植入种植体的研究现状[J]. 中国口腔种植学杂志, 2024, 29(2): 109-117. DOI: 10.12337/zgkqzzxzz.2024.04.004

Xia Haibin, Xu Junyi. Current research status of transalveolar technique for sinus floor elevation with simultaneous placement of dental implants[J].Chinese Journal of Oral Implantology, 2024, 29(2): 109-117.DOI: 10.12337/zgkqzzxzz.2024.04.004.

参考文献

[1] Boyne PJ, James RA.Grafting of the maxillary sinus floor with autogenous marrow and bone[J]. J Oral Surg, 1980,38(8):613-616.
[2] Tatum H Jr.Maxillary and sinus implant reconstructions[J]. Dent Clin North Am, 1986,30(2):207-229.
[3] Summers RB. The osteotome technique: Part 3-less invasive methods of elevating the sinus floor[J]. Compendium, 1994,15(6):698, 700, 702-704 passim; quiz 710.
[4] Summers RB. A new concept in maxillary implant surgery: the osteotome technique[J]. Compendium, 1994,15(2):152, 154-156, 158 passim; quiz 162.
[5] Corbella S, Taschieri S, Del Fabbro M.Long-term outcomes for the treatment of atrophic posterior maxilla: a systematic review of literature[J]. Clin Implant Dent Relat Res, 2015,17(1):120-132. DOI: 10.1111/cid.12077.
[6] Scott RA.ITI treatment guide, volume 5: sinus floor elevation procedures[J]. British Dental Journal, 2012,212(10):512.DOI:10.1038/sj.bdj.2012.462.
[7] Pjetursson BE, Rast C, Brägger U, et al.Maxillary sinus floor elevation using the (transalveolar) osteotome technique with or without grafting material. Part I: implant survival and patient's perception[J]. Clin Oral Implants Res, 2009,20(7):667-676. DOI: 10.1111/j.1600-0501.2009.01704.x.
[8] Chen ST, Beagle J, Jensen SS, et al. Consensus statements and recommended clinical procedures regarding surgical techniques[J]. Int J Oral Maxillofac Implants, 2009,24 Suppl:272-278.
[9] 范震, 王方, 王佐林. 经牙槽嵴顶上颌窦底提升术——中华口腔医学会第五届口腔种植专业委员会学术共识[J]. 口腔颌面外科杂志, 2018,28(01):1-9.DOI:10.3969/j.issn.1005-4979.2018.01.001.
[10] Gonzalez S, Tuan MC, Ahn KM, et al.Crestal approach for maxillary sinus augmentation in patients with ≤4mm of residual alveolar bone[J]. Clin Implant Dent Relat Res, 2014,16(6):827-835.DOI:10.1111/cid.12067.
[11] Rammelsberg P, Kilian S, Büsch C, et al.The effect of transcrestal sinus-floor elevation without graft on the long-term prognosis of maxillary implants[J]. J Clin Periodontol, 2020,47(5):640-648.DOI:10.1111/jcpe.13278.
[12] Sul SH, Choi BH, Li J, et al.Effects of sinus membrane elevation on bone formation around implants placed in the maxillary sinus cavity: an experimental study[J]. Oral Surg Oral Med Oral Pathol Oral Radiol Endod, 2008,105(6):684-687.DOI:10.1016/j.tripleo.2007.09.024.
[13] Pjetursson BE, Lang NP.Sinus floor elevation utilizing the transalveolar approach[J]. Periodontol 2000, 2014,66(1):59-71.DOI:10.1111/prd.12043.
[14] Al-Dajani M.Recent trends in sinus lift surgery and their clinical implications[J]. Clin Implant Dent Relat Res, 2016,18(1):204-212.DOI:10.1111/cid.12275.
[15] Călin C, Petre A, Drafta S.Osteotome-mediated sinus floor elevation: a systematic review and meta-analysis[J]. Int J Oral Maxillofac Implants, 2014,29(3):558-576.DOI:10.11607/jomi.3206.
[16] Franceschetti G, Trombelli L, Minenna L, et al.Learning curve of a minimally invasive technique for transcrestal sinus floor elevation: a split-group analysis in a prospective case series with multiple clinicians[J]. Implant Dent, 2015,24(5):517-526.DOI:10.1097/ID.0000000000000270.
[17] Tan WC, Lang NP, Zwahlen M, et al.A systematic review of the success of sinus floor elevation and survival of implants inserted in combination with sinus floor elevation. Part II:transalveolar technique[J]. J Clin Periodontol, 2008,35(8 Suppl):241-254.DOI:10.1111/j.1600-051X.2008.01273.x.
[18] Emmerich D, Att W, Stappert C.Sinus floor elevation using osteotomes: a systematic review and meta-analysis[J]. J Periodontol, 2005,76(8):1237-1251.DOI:10.1902/jop.2005.76.8.1237.
[19] 林盛筱, 冯源, 解涓, 等. 冲压法上颌窦底提升同期种植体植入94例五年临床回顾[J].中华口腔医学杂志,2014,49(3):161-165. DOI: 10.3760/cma.j.issn.1002-0098.2014.03.008.
[20] Nkenke E, Schlegel A, Schultze-Mosgau S, et al.The endoscopically controlled osteotome sinus floor elevation: a preliminary prospective study[J]. Int J Oral Maxillofac Implants, 2002,17(4):557-566.
[21] Chen L, Cha J.An 8-year retrospective study: 1,100 patients receiving 1,557 implants using the minimally invasive hydraulic sinus condensing technique[J]. J Periodontol, 2005,76(3):482-491.DOI:10.1902/jop.2005.76.3.482.
[22] Asmael HM.Is antral membrane balloon elevation truly minimally invasive technique in sinus floor elevation surgery? A systematic review[J]. Int J Implant Dent, 2018,4(1):12. DOI: 10.1186/s40729-018-0123-9.
[23] Cho YS, Chong D, Yang SM, et al.Hydraulic transcrestal sinus lift: different patterns of elevation in pig sinuses[J]. Implant Dent, 2017,26(5):706-710.DOI:10.1097/ID.0000000000000608.
[24] Jank S, Kurrek A, Wainwright M, et al.Rupture length of the sinus membrane after 1.2 mm puncture and surgical sinus elevation: an experimental animal cadaver study[J]. Oral Surg Oral Med Oral Pathol Oral Radiol Endod, 2011,112(5):568-572.DOI:10.1016/j.tripleo.2010.11.014.
[25] Chan HL, Oh TJ, Fu JH, et al.Sinus augmentation via transcrestal approach: a comparison between the balloon and osteotome technique in a cadaver study[J]. Clin Oral Implants Res, 2013,24(9):985-990.DOI:10.1111/j.1600-0501.2012.02506.x.
[26] Yassin Alsabbagh A, Alsabbagh MM, Darjazini Nahas B, et al.Comparison of three different methods of internal sinus lifting for elevation heights of 7 mm: an ex vivo study[J]. Int J Implant Dent, 2017,3(1):40. DOI: 10.1186/s40729-017-0103-5.
[27] Gao J, Yin W, Liu Y, et al.Effectiveness and complications of transcrestal sinus floor elevation using the cushioned grind-out technique: a retrospective cohort study with up to 7 years of follow-up[J]. J Clin Periodontol, 2023,50(9):1202-1216.DOI:10.1111/jcpe.13832.
[28] 高巍, 李良玉, 张峰. 经牙槽嵴顶入路两种微创上颌窦提升方法的应用及3~5年临床观察[J]. 口腔医学研究,2016,32(06):643-647.DOI:10.13701/j.cnki.kqyxyj.2016.06.022.
[29] Zhou X, Hu XL, Li JH, et al.Minimally invasive crestal sinus lift technique and simultaneous implant placement[J]. Chin J Dent Res, 2017,20(4):211-218.DOI:10.3290/j.cjdr.a39220.
[30] Gargallo-Albiol J, Tattan M, Sinjab KH, et al.Schneiderian membrane perforation via transcrestal sinus floor elevation: a randomized ex vivo study with endoscopic validation[J]. Clin Oral Implants Res, 2019,30(1):11-19.DOI:10.1111/clr.13388.
[31] Gargallo-Albiol J, Sinjab KH, Barootchi S, et al.Microscope and micro-camera assessment of Schneiderian membrane perforation via transcrestal sinus floor elevation: a randomized ex vivo study[J]. Clin Oral Implants Res, 2019,30(7):682-690.DOI:10.1111/clr.13453.
[32] 赵保东, 王艳辉, 许家森, 等. 用盘钻法行上颌窦底提升植骨同期牙种植的临床研究[J]. 中国口腔种植学杂志, 2009,14(02):114-115.DOI:10.3969/j.issn.1007-3957.2009.02.139.
[33] 李亚男, 任玉卿, 王文雪, 等. 盘钻法经牙槽嵴顶上颌窦底提升术应用于上颌窦间隔的临床效果观察[J].中华口腔医学杂志, 2023,58(3):258-264. DOI: 10.3760/cma.j.cn112144-20220708-00368.
[34] Jin HY, Teng MH, Wang D, et al.Modified disk-up sinus reamer for sinus floor elevation and simultaneous implant placement: an animal study with miniature pigs[J]. J Invest Surg, 2020,33(6):520-529.DOI:10.1080/08941939.2018.1545881.
[35] 鄢少君, 章宏毅, 夏海斌. 超声骨刀在上颌窦底提升牙种植术中的应用[J]. 实用口腔医学杂志, 2012,28(06):788-790.
[36] Sohn DS, Lee JS, An KM, et al.Piezoelectric internal sinus elevation (PISE) technique: a new method for internal sinus elevation[J]. Implant Dent, 2009,18(6):458-463.DOI:10.1097/ID.0b013e3181b8e17f.
[37] Berengo M, Bacci C, Sartori M, et al.Histomorphometric evaluation of bone grafts harvested by different methods[J]. Minerva Stomatol, 2006,55(4):189-198.
[38] Wu H, Wang J, Wang C, et al.A comparison of elevation, perforation rate, and time spent for the crestal sinus elevation intervened by piezosurgery, CAS-Kit, and osteotome in a novel goat model[J]. J Maxillofac Oral Surg, 2022,21(4):1191-1198.DOI:10.1007/s12663-022-01793-4.
[39] 范震, 王方, 王佐林. 超声骨刀在上颌窦内提升术中的应用[J]. 口腔颌面外科杂志, 2010,20(01):24-27.DOI: 10.3969/j.issn.1005-4979.2010.01.007.
[40] Baldi D, Menini M, Pera F, et al.Sinus floor elevation using osteotomes or piezoelectric surgery[J]. Int J Oral Maxillofac Surg, 2011,40(5):497-503.DOI:10.1016/j.ijom.2011.01.006.
[41] Wu BZ, Ma FF, Sun F.Analysis of the accuracy of a dynamic navigation system when performing dental implant surgery with transcrestal sinus floor elevation: a pilot study[J]. J Dent Sci, 2023,18(4):1747-1755.DOI:10.1016/j.jds.2022.12.014.
[42] Chen MH, Shi JY.Clinical and radiological outcomes of implants in osteotome sinus floor elevation with and without grafting: a systematic review and a meta-analysis[J]. J Prosthodont, 2018,27(5):394-401.DOI:10.1111/jopr.12576.
[43] Qian SJ, Mo JJ, Si MS, et al.Long-term outcomes of osteotome sinus floor elevation with or without bone grafting: the 10-year results of a randomized controlled trial[J]. J Clin Periodontol, 2020,47(8):1016-1025.DOI:10.1111/jcpe.13260.
[44] Shi QH, Luo Y, Cheng YT, et al.The prognostic outcome of transalveolar sinus floor elevation with or without grafting materials: a meta-analysis[J]. Int J Oral Maxillofac implants, 2022,37(5):869-878.DOI:10.11607/jomi.9758.
[45] Srouji S, Kizhner T, Ben David D, et al.The Schneiderian membrane contains osteoprogenitor cells: in vivo and in vitro study[J]. Calcif Tissue Int, 2009,84(2):138-145. DOI: 10.1007/s00223-008-9202-x.
[46] Berbéri A, Al-Nemer F, Hamade E, et al.Mesenchymal stem cells with osteogenic potential in human maxillary sinus membrane: an in vitro study[J]. Clin Oral Investig, 2017,21(5):1599-1609.DOI:10.1007/s00784-016-1945-6.
[47] Boyne PJ.Analysis of performance of root-form endosseous implants placed in the maxillary sinus[J]. J Long Term Eff Med Implants, 1993,3(2):143-159.
[48] Si MS, Mo JJ, Zhuang LF, et al.Osteotome sinus floor elevation with and without grafting: an animal study in labrador dogs[J]. Clin Oral Implants Res, 2015,26(2):197-203.DOI:10.1111/clr.12313.
[49] Yan M, Liu R, Bai S, et al.Transalveolar sinus floor lift without bone grafting in atrophic maxilla: a meta-analysis[J]. Sci Rep, 2018,8(1):1451.DOI:10.1038/s41598-018-19515-7.
[50] Nedir R, Nurdin N, Abi Najm S, et al.Short implants placed with or without grafting into atrophic sinuses: the 5-year results of a prospective randomized controlled study[J]. Clin Oral Implants Res, 2017,28(7):877-886. DOI: 10.1111/clr.12893.
[51] Wang M, Yan M, Xia H, et al.Sinus elevation through transcrestal window approach and delayed implant placement in 1- to 2-mm residual alveolar bone: a case report[J]. Implant Dent, 2016,25(6):866-869.DOI:10.1097/ID.0000000000000503.
[52] Block MS.The crestal window approach for sinus floor grafting with delayed implant placement: a preliminary report[J]. J Oral Maxillofac Surg, 2018,76(11):2319-2330.DOI:10.1016/j.joms.2018.06.171.
[53] Soardi CM, Soardi B, Wang HL.Crestal window sinus lift and its long-term clinical outcomes[J]. Int J Periodontics Restorative Dent, 2020,40(5):757-764.DOI:10.11607/prd.4292.

上颌窦底内提升同期植入种植体的研究现状

Current research status of transalveolar technique for sinus floor elevation with simultaneous placement of dental implants

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