中国口腔种植学杂志 ›› 2021, Vol. 26 ›› Issue (1): 13-17.DOI: 10.12337/zgkqzzxzz.2021.02.004

• 论著·临床研究 • 上一篇    下一篇

伴慢性上颌窦炎上颌窦底提升的临床研究

王星星1, 陈旭涛1, 王蕾2, 施少杰1, 赵国强1, 赵文爽1, 宋应亮1   

  1. 1军事口腔医学国家重点实验室 国家口腔疾病临床医学研究中心 陕西省口腔生物工程技术研究中心第四军医大学口腔医院种植科,西安710032;
    2西安交通大学口腔医院 陕西省颅颌面精准医学研究重点实验室 710004
  • 收稿日期:2020-09-28 出版日期:2021-02-10 发布日期:2021-06-04
  • 通讯作者: 宋应亮,Email:songyingliang@163.com,电话:029-84776454,教授、主任医师、博士研究生导师,研究方向:临床种植与相关风险因素,以及激光技术在口腔种植中的应用
  • 作者简介:王星星,医师、硕士研究生,研究方向为:冲压法上颌窦底提升术后种植体周围骨改建及影响因素的分析研究

Clinical research of the osteotome sinus floor elevation in patients with chronic maxillary sinusitis

Wang Xingxing1, Chen Xutao1, Wang Lei2, Shi Shaojie1, Zhao Guoqiang1, Zhao Wenshuang1, Song Yingliang1   

  1. 1State Key Laboratory of Military Stomatology & National Clinical Research Center for Oral Diseases & Shanxi Engineering Research Center for Dental Materials and Advanced Manufacture, Department of Implant Dentistry, School of Stomatology, The Fourth Military Medical University, Xi'an 710032, Shanxi Province, China;
    2Key Laboratory of Shanxi Province for Craniofacial Precision Medicine Research, College of Stomatology, Xi'an Jiaotong University, 710004, Shanxi Province, China
  • Received:2020-09-28 Online:2021-02-10 Published:2021-06-04
  • Contact: Song Yingliang, Email:songyingliang@163.com, Tel:0086-29-84776454

摘要: 目的 分析伴有慢性上颌窦炎的患者行冲压法上颌窦底提升后种植体周围的骨改建情况。方法 回顾性选择2015年1月至2016年6月在本院就诊的患者60例,根据黏骨膜厚度分为炎症组和对照组,在术后不同时期观察骨量的变化。结果 通过独立t检验,术后6个月、3年时分别对两组病历的种植体根尖骨高度、边缘骨吸收进行对比,差异均无统计学意义(P>0.05)。在术后3年时,炎症组的垂直骨增量明显低于对照组,差异具有统计学意义(P<0.05)。结论 伴有慢性上颌窦炎的患者行冲压法上颌窦底提升安全可靠,患者预后良好。

关键词: 冲压法上颌窦底提升, 慢性上颌窦炎, 垂直骨增量, 边缘骨吸收

Abstract: Objective To analyze the bone remodeling around the implant in patients with chronic maxillary sinusitis after the osteotome sinus floor elevation (OSFE). Methods 60 patients with implant restoration in the posterior maxilla area by OSFE from January, 2015 to June, 2016 in our department were selected retrospectively in this study. They were divided into two groups according to the mucosal thickness. Changes in marginal bone level over time were observed. Results By the Independent sample t test, the apical bone height (ABH) and marginal bone loss (MBL) was compared between the two groups at 6 months and 3 years after surgery. There was no statistically significant difference in ABH and MBL between the two groups (P>0.05). 3 years after surgery, the VBG in the inflammation group was significantly lower than that of the control group, and the difference was statistically significant (P<0.05). Conclusion For patients with chronic maxillary sinusitis, it is feasible to use the Osteotome sinus floor elevation, and the prognosis is good.

Key words: osteotome sinus floor elevation, chronic maxillary sinusitis, vertical bone gain, crestal bone loss