中国口腔种植学杂志 ›› 2025, Vol. 29 ›› Issue (6): 549-554.DOI: 10.12337/zgkqzzxzz.2024.12.014

• “侧壁开窗上颌窦底提升”重点栏目 • 上一篇    下一篇

侧壁开窗上颌窦底提升的研究现状及展望

高邵静雅, 蔡潇潇   

  1. 口腔疾病研究国家重点实验室 国家口腔疾病临床医学研究中心 四川大学华西口腔医院种植科,成都 610041
  • 收稿日期:2024-09-13 出版日期:2025-01-02 发布日期:2025-01-02
  • 通讯作者: 蔡潇潇,Email:xcai@scu.edu.cn,电话:028-85503579
  • 作者简介:高邵静雅 主治医师、专职博士后,研究方向:核酸纳米材料、口腔种植并发症和上颌窦;蔡潇潇 教授、主任医师、博士研究生导师,研究方向:核酸纳米材料与口腔组织工程、口腔种植学
  • 基金资助:
    国家自然科学基金(82401145、82370929、81970916); 四川大学华西口腔医院探索研发项目(LCYJ2020-DC-1)

Current status and prospects of lateral window technique for sinus floor elevation

Gao Shaojingya, Cai Xiaoxiao   

  1. State Key Laboratory of Oral Diseases, National Clinical Research Center for Oral Diseases, Department of Oral Implantology, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, Sichuan, China
  • Received:2024-09-13 Online:2025-01-02 Published:2025-01-02
  • Contact: Cai Xiaoxiao, Email: xcai@scu.edu.cn, Tel: 0086-28-85503579
  • Supported by:
    National Natural Science Foundation of China (82401145, 82370929, 81970916); Exploration and R&D Project of West China Hospital of Stomatology (LCYJ2020-DC-1)

摘要: 本文综述了侧壁开窗上颌窦底提升(lateral window technique for sinus floor elevation)的发展历程、技术变革及其在临床应用中的现状与未来趋势。侧壁开窗上颌窦底提升是一种在上颌后牙区牙槽骨高度不足的情况下进行的手术,通过侧壁开窗方式提升施耐德膜并填充骨增量材料,为种植体稳定支持提供充足的骨量。尽管该技术能够提供良好的手术视野和操作自由度,但其创伤较大,存在一定的并发症风险。随着微创手术概念的提出和数字化技术的应用,侧壁开窗上颌窦底提升手术的精确性和安全性有了显著提升。本文探讨了在剩余骨高度不足时同期种植的挑战和解决策略。尽管侧壁开窗上颌窦底提升技术具有明显的优势,但在实际操作中需仔细处理技术细节,以确保手术的高成功率和安全性。未来的研究需要更多的临床数据来进一步验证不同技术参数对手术结果的影响,以为临床提供科学的指导和参考。

关键词: 侧壁开窗上颌窦底提升, 微创骨窗技术, 同期种植

Abstract: This study provides a comprehensive review of the development, technological advancements, and both the current and future trends of the lateral window technique for sinus floor elevation in clinical applications. lateral window technique for sinus floor elevation is a surgical procedure performed in cases of insufficient alveolar bone height in the posterior maxillary region by elevating the Schneiderian membrane via a lateral window and filling it with bone substitute materials to support dental implants. Although this technique provides excellent surgical visibility and operational flexibility, it is associated with considerable trauma and potential complications. Advances in minimally invasive techniques and the application of digital technologies have significantly improved the precision and safety of lateral window technique for sinus floor elevation procedures. This study also discusses the challenges and solutions for simultaneous implantation in cases of low residual bone height. Finally, the article points out that despite the obvious advantages of the lateral window technique for sinus floor elevation, careful handling of technical details is required in practical operations to ensure high success rates and surgical safety. Future studies need more clinical data to further verify the impact of different technical parameters on surgical outcomes, in order to provide both scientific guidance and valuable reference for clinical practice.

Key words: Lateral window technique for sinus floor elevation, Minimally invasive bone window techniques, Simultaneous implantation