中国口腔种植学杂志 ›› 2024, Vol. 29 ›› Issue (2): 138-143.DOI: 10.12337/zgkqzzxzz.2024.04.008

• “穿牙槽嵴上颌窦底提升”重点栏目 • 上一篇    下一篇

穿牙槽嵴上颌窦底提升并发症的相关因素分析

钱雨馨, 吴维, 周永淼, 王明熙, 汤春波   

  1. 南京医科大学附属口腔医院种植科 江苏省口腔疾病研究重点实验室 江苏省口腔转化医学工程研究中心,南京 210029
  • 收稿日期:2023-12-15 出版日期:2024-04-30 发布日期:2024-05-08
  • 通讯作者: 汤春波,Email:cbtang@njmu.edu.cn,电话:025-69593084
  • 作者简介:钱雨馨,硕士研究生,研究方向:骨组织再生修复及颌面软组织修复;汤春波,教授、主任医师、博士生导师,研究方向:种植体表面改性、牙周组织再生和干细胞的信号传导调控机制,延长种植义齿使用寿命
  • 基金资助:
    国家自然科学基金面上项目(82170993)

Analysis of factors related to complications of transalveolar technique for sinus floor elevation

Qian Yuxin, Wu Wei, Zhou Yongmiao, Wang Mingxi, Tang Chunbo   

  1. Department of Dental Implantology, The Affiliated Stomatological Hospital of Nanjing Medical University, Jiangsu Province Key Laboratory of Oral Diseases, Jiangsu Province Engineering Research Center of Stomatological Translational Medicine, Nanjing 210029, China
  • Received:2023-12-15 Online:2024-04-30 Published:2024-05-08
  • Contact: Tang Chunbo, Email: cbtang@njmu.edu.cn, Tel: 0086-25-69593084
  • Supported by:
    The National Natural Science Foundation of China (82170993)

摘要: 在上颌后牙区骨量不足的情况下,上颌窦底内提升是增加种植所需骨量的一种较为常见且安全有效的方法,但是这项技术也可能会导致多种术中及术后并发症,需要临床医生关注多种危险因素,尽量降低并发症发生的概率。本文旨在探讨上颌窦底内提并发症的相关危险因素,将其分为术中和术后并发症两大类详细讨论。术中并发症中最常见的为上颌窦底黏骨膜穿孔和种植体异位进入上颌窦。术后并发症中较为值得关注的是上颌窦术后感染和上颌窦炎、术后植入物移位以及良性阵发性位置性眩晕等。针对以上并发症,本文对其危险因素做出详细的阐述,希望有助于临床医生在临床上更加安全有效地运用上颌窦底内提升。

关键词: 上颌窦底内提升, 并发症, 危险因素, 上颌窦黏骨膜穿孔

Abstract: In cases of insufficient bone in the maxillary posterior region, the transalveolar technique is a common, safe, and effective method to increase the amount of bone required for implantation. However, this technique may also lead to various intraoperative and postoperative complications. Clinicians need to pay attention to various risk factors to minimize the incidence of complications. The purpose of this article is to discuss the risk factors associated with complications of internal sinus floor elevation, which are categorized into intraoperative and postoperative complications. The most common intraoperative complications are perforations of the sinus floor mucosa and ectopic insertions of implants into the sinus. Postoperative complications, such as maxillary sinus infection and postoperative maxillary sinusitis, displacement of implants after surgery, and benign paroxysmal positional vertigo (BPPV), deserve more attention. Given these complications, this article provides a detailed description of the risk factors, hoping to help clinical doctors in using the internal sinus floor elevation more safely and effectively in the clinic.

Key words: Internal sinus floor elevation, Complications, Risk factors, Maxillary sinus membrane perforation