单纯应用低替代率异种骨增量材料行上颌窦底提升的思考

doi:10.12337/zgkqzzxzz.2023.10.006

摘要/Abstract

摘要： 上颌窦底提升是恢复患者后牙区垂直骨量的关键技术。然而,上颌窦底提升目前仍具有创伤较大、有时需要开辟第二术区、治疗周期过长等局限性,这些局限与其成骨机制及所采用的骨增量方案密不可分。本文基于窦腔成骨机制,从空间维系能力和新骨形成质量角度,梳理上颌窦底提升骨增量材料“金标准”的演变,并重点介绍单纯应用去蛋白牛骨矿物质的临床应用现状,为临床规范化治疗和转化研究提供思路。

关键词: 上颌窦底提升, 骨代用品, 去蛋白牛骨矿物质, 引导骨再生

Abstract: The maxillary sinus floor elevation is a key technique for restoring the vertical bone volume in the patient’s posterior region. However, the maxillary sinus floor elevation still has limitations such as significant trauma, sometimes requiring a second surgical area, and a long treatment cycle. These limitations are closely related to its osteogenic mechanism and the bone augmentation protocol. The article summarizes the evolution of the “gold standard” of bone augmentation materials for maxillary sinus floor elevation from the perspectives of spatial maintenance ability and new bone formation quality based on the mechanism of sinus cavity osteogenesis, then focuses on the current clinical application status of simply using deproteinized bovine bone matrix, in order to provide ideas for standardized clinical treatment and conversion research.

Key words: Maxillary sinus floor elevation, Bone substitute, Deproteinized bovine bone mineral, Guided bone regeneration

武诗语,陈卓凡,黄宝鑫,等. 单纯应用低替代率异种骨增量材料行上颌窦底提升的思考[J]. 中国口腔种植学杂志, 2023, 28(5): 327-331. DOI: 10.12337/zgkqzzxzz.2023.10.006

Wu Shiyu, Chen Zhuofan, Huang Baoxin, Chen Zetao, Liu Yuanxiang. Reflections on the sole application of xenograft of low substitution rate for maxillary sinus floor elevation[J].Chinese Journal of Oral Implantology, 2023, 28(5): 327-331.DOI: 10.12337/zgkqzzxzz.2023.10.006.

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