中国口腔种植学杂志 ›› 2023, Vol. 28 ›› Issue (1): 9-18.DOI: 10.12337/zgkqzzxzz.2023.02.003

• 专家笔谈 • 上一篇    下一篇

上颌窦三维成骨模式构建

周延民, 朱悦萌   

  1. 吉林大学口腔医院,长春 130021
  • 收稿日期:2022-10-25 出版日期:2023-02-28 发布日期:2023-03-07
  • 通讯作者: 周延民, Email:zhouym@jlu.edu.cn ,电话:0431-88796025
  • 作者简介:周延民 二级教授,一级主任医师,博士生导师。中国白求恩式好医生,白求恩名师,国务院政府特殊津贴获得者。现任吉林大学唐敖庆学者领军教授B岗、长白山学者、国际牙医学院院士(fellow)、世界牙科会议组织(FDI)委员会委员、国际口腔种植学会(ITI)中国分会fellow、泛太平洋口腔种植协会(PPIS)委员、International College of Prosthodontists(ICP)委员、国际口腔重建科学委员会(FOR)中国分会委员、瑞典卡罗林斯卡学院高级访问学者。中华口腔医学会副会长、中国医师协会口腔医师分会副会长、中国医院协会口腔医院分会副主任委员、中华口腔医学会口腔种植专业委员会副主任委员、中华口腔医学会第七届口腔修复学专业委员会副主任委员。吉林省口腔医学会会长,吉林省口腔种植专业委员会主任委员。专业擅长:骨增量、软组织增量,疑难条件种植,种植美学,全口种植,精准微创种植,即刻种植即刻修复,数字化种植,固定义齿,全口种植义齿的复杂病例设计及修复,咬合重建等。

Construction of the 3-dimensional osteogenesis model for maxillary sinus

Zhou Yanmin, Zhu Yuemeng   

  1. Department of Oral Implantology, School and Hospital of Stomatology, Jilin University, Changchun 130021, China
  • Received:2022-10-25 Online:2023-02-28 Published:2023-03-07
  • Contact: Zhou Yanmin, zhouym@jlu.edu.cn, Tel: 0086-431-88796025

摘要: 上颌窦底提升已成为解决上颌后牙区种植体修复重建的可靠临床治疗策略,而提升后的成骨机制一直是学者关注的问题,上颌窦的解剖学特点以及标准化手术流程对于成骨模式的预测至关重要。对于同期种植的患者,学者依据循证医学以及基础研究,提出由窦底牙槽嵴骨壁、施耐德膜以及种植体表面三个空间位置的“上颌窦三维成骨模式”(3-dimensional osteogenesis model for maxillary sinus,3D-OMMS)。本文将对3D-OMMS的理论发展、具体内容以及成骨相关优势进行阐述,从而更好地认识“3D-OMMS”,同时为临床上颌后牙区缺失患者的治疗决策提供理论依据。

关键词: 牙种植, 上颌窦底提升, 骨增量, 施耐德膜, 组织工程

Abstract: Maxillary sinus floor elevation (MSFE) is a commonly used surgical procedure for the restoration and reconstruction of the maxillary posterior area, and the mechanism of MSFE has always been a problem for scholars. The anatomy characteristics of MS and the standardized surgical procedures are essential for predicting osteogenesis patterns. For patients undergoing simultaneous implantation, the scholar has theorized a 3-dimensional osteogenesis model for the maxillary sinus (3D-OMMS) in terms of evidence-based medicine and fundamental research, the three spatial positions of the alveolar ridge bone, Schneider's membrane, and the implant surface. The theoretical development, content, and advantages of osteogenesis are illustrated in this paper. Also, we discussed the technical points of realizing 3D-OMMS, to better understand the model, which would pave the way for clinical treatment decisions for patients with insufficient bone mass in the posterior maxillary region.

Key words: Dental implant, Maxillary sinus floor elevation, Bone augmentation, Schneiderian membrane, Tissue engineering