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在上颌后牙区使用或不使用β-磷酸三钙进行上颌窦底提升植骨后的早期种植体存留情况

Early implant survival in posterior maxilla with or without beta-tricalcium phosphate sinus floor graft.

作者信息

Uckan Sina, Deniz Kagan, Dayangac Emre, Araz Kenan, Ozdemir B Handan

机构信息

Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Baskent University, Ankara, Turkey.

出版信息

J Oral Maxillofac Surg. 2010 Jul;68(7):1642-5. doi: 10.1016/j.joms.2009.08.028. Epub 2010 Apr 10.

Abstract

PURPOSE

The sinus lift procedure provides a way to increase the amount of available bone and the placement of longer implants. The aim of this study was to evaluate and compare the survival rates of implants inserted in the posterior maxilla (without sinus lift) to simultaneous implant insertion with sinus lift.

PATIENTS AND METHODS

Seventy maxillary sinuses in 62 patients were augmented by beta-tricalcium phosphate and 121 implants were inserted into these augmented sinuses (study group) and 136 implants were inserted in the posterior maxilla in 65 patients (control group). Follow-up times were 29.8 and 32.3 months for the study and control groups, respectively.

RESULTS

One implant in the study group and 1 implant in the control group failed. All other implants in both groups were functioning well without any significant clinical finding. Implant survivals were 99.17% in the study group and 99.26% in the control group.

CONCLUSION

Simultaneous implant insertion and sinus lift with beta-tricalcium phosphate is a safe surgical procedure, and survival rates of implants inserted in the augmented sinus were similar to those of implants inserted in the posterior maxilla without sinus lift.

摘要

目的

上颌窦提升术提供了一种增加可用骨量和植入更长种植体的方法。本研究的目的是评估和比较在上颌后牙区植入种植体(不进行上颌窦提升)与同期进行上颌窦提升并植入种植体的存活率。

患者与方法

对62例患者的70个上颌窦用β-磷酸三钙进行增容,并将121枚种植体植入这些增容后的上颌窦(研究组),同时将136枚种植体植入65例患者的上颌后牙区(对照组)。研究组和对照组的随访时间分别为29.8个月和32.3个月。

结果

研究组有1枚种植体和对照组有1枚种植体失败。两组中的所有其他种植体均功能良好,无任何明显临床发现。研究组种植体存活率为99.17%,对照组为99.26%。

结论

同期进行种植体植入和用β-磷酸三钙进行上颌窦提升是一种安全的外科手术,植入增容后上颌窦的种植体存活率与未进行上颌窦提升的上颌后牙区植入的种植体存活率相似。

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