Kfir Efraim, Kfir Vered, Eliav Eli, Kaluski Edo
Division of Orofacial Pain, New Jersey Dental School, University of Medicine and Dentistry of New Jersey, Newark, NJ 07103, USA.
J Periodontol. 2007 Oct;78(10):2032-5. doi: 10.1902/jop.2007.070103.
The posterior maxillary segment frequently has insufficient bone mass to support dental implants. This registry evaluated the feasibility and safety of minimally invasive antral membrane balloon elevation (MIAMBE), followed by bone augmentation and implant fixation.
Thirty-six consecutive patients referred for posterior maxillary bone augmentation underwent alveolar crest exposure and implant osteotomy followed by MIAMBE (> 10 mm). Fibrin and bone particles were injected beneath the antral membrane, implants were placed into the osteotomies, and primary closure was executed at the same sitting.
All 36 patients successfully concluded the procedure with no significant procedural complications or discomfort. Procedure time was 48 +/- 15 minutes. Incremental bone height consistently exceeded 8 mm, and implant survival of 97% was observed at 6 to 8 months.
MIAMBE resulted in high procedural success and satisfactory bone augmentation implant survival and complication rates. Because it is minimally invasive, this procedure may be an alternative to the currently used surgical methods.
上颌后段骨量常常不足，难以支持牙种植体。本登记研究评估了微创上颌窦膜球囊提升术（MIAMBE），随后进行骨增量和种植体固定的可行性和安全性。
连续36例因上颌后段骨增量而转诊的患者接受了牙槽嵴暴露和种植体截骨术，随后进行MIAMBE（>10毫米）。将纤维蛋白和骨颗粒注入上颌窦膜下方，将种植体植入截骨处，并在同一次手术中进行一期缝合。
所有36例患者均成功完成手术，无明显手术并发症或不适。手术时间为48±15分钟。骨高度增量始终超过8毫米，在6至8个月时观察到种植体存活率为97%。
MIAMBE手术成功率高，骨增量效果满意，种植体存活率高，并发症发生率低。由于该手术微创，可能是目前使用的手术方法的一种替代方案。
