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上颌窦底提升术:骨凿法与外侧开窗即刻及延期种植体植入的比较。中期报告。

Maxillary sinus floor augmentation: comparing osteotome with lateral window immediate and delayed implant placements. An interim report.

作者信息

Jurisic Milan, Markovic Aleksa, Radulovic Milan, Brkovic Bozidar M B, Sándor George K B

机构信息

Clinic of Oral Surgery, Faculty of Dentistry, University of Belgrade, Belgrade, Serbia.

出版信息

Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2008 Dec;106(6):820-7. doi: 10.1016/j.tripleo.2008.04.025. Epub 2008 Jul 7.

Abstract

OBJECTIVE

A retrospective study was performed to observe clinical outcomes of dental implants placed in augmented maxillary sinuses using an osteotome or a lateral approach technique with synchronous or delayed implant placement.

STUDY DESIGN

A total of 61 patients were enrolled in the study. The distribution and frequency of sinus augmentation techniques and implant placements were evaluated according to the implant site and Cawood-Howell classifications. The implant survival rates were assessed clinically and radiographically over a minimum of 3 years of follow-up.

RESULTS

The number of implants placed was fewer in the molar region compared with the premolar region and was independent of the surgical techniques used. Significantly fewer implants were placed in implant site class D and Cawood-Howell class V. Optimal survival rates were evident in all groups, with no significant changes.

CONCLUSION

The most predictable region for sinus augmentation with simultaneous implant placement was the maxillary premolar area. All 80 implants were successful using either osteotome or lateral approaches to augment the maxillary sinus floor.

摘要

目的

进行一项回顾性研究,以观察采用骨凿或外侧入路技术同步或延迟植入种植体时,在上颌窦提升后植入种植体的临床效果。

研究设计

共有61例患者纳入本研究。根据种植体植入部位和Cawood-Howell分类评估窦提升技术和种植体植入的分布及频率。在至少3年的随访期内,通过临床和影像学评估种植体存活率。

结果

与前磨牙区相比,磨牙区植入的种植体数量较少,且与所采用的手术技术无关。在种植体植入部位D类和Cawood-Howell V类中植入的种植体明显较少。所有组的种植体存活率均达到最佳,且无显著变化。

结论

同步植入种植体时,上颌窦提升最可预测的区域是上颌前磨牙区。采用骨凿或外侧入路提升上颌窦底时,所有80枚种植体均成功。

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