上颌窦提升术后感染的临床治疗
Clinical treatment of postoperative infection following sinus augmentation.
作者信息
Hong Seung-Bum, Kim Jae-Suk, Shin Seung-Il, Han Ji-Young, Herr Yeek, Chung Jong-Hyuk
机构信息
Gangnam Hyundai Dental Clinic, Seoul, Korea.
出版信息
J Periodontal Implant Sci. 2010 Jun;40(3):144-9. doi: 10.5051/jpis.2010.40.3.144. Epub 2010 Jun 25.
PURPOSE
The aim of this case report is to present the successful clinical treatment of two cases of postoperative infection following maxillary sinus augmentation.
METHODS
In the two cases of postoperative infection, immediate total removal of the grafted material from the sinus was conducted to stop the spread of the infection, after which a high dose of antibiotics was administrated. Re-augmentation procedures were then conducted after the infection subsided.
RESULTS
No further complications occurred after sinus re-augmentation. The dental implants placed in the re-augmented sinus were clinically osseointegrated, and the implant-supported restorations in the two cases of postoperative infection have been functioning very well for over 2 years.
CONCLUSIONS
In the case of infection of the grafted sinuses, it is necessary to completely remove the graft materials and then administer a high dose of antibiotics to treat the acute infection, after which sinus re-augmentation is suggested.
目的
本病例报告旨在介绍两例上颌窦提升术后感染的成功临床治疗案例。
方法
在这两例术后感染病例中，立即从窦腔中完全取出移植材料以阻止感染扩散，随后给予高剂量抗生素。感染消退后进行再次提升手术。
结果
窦腔再次提升后未出现进一步并发症。在再次提升的窦腔中植入的牙种植体在临床上实现了骨整合，两例术后感染病例中种植体支持的修复体已良好运行超过2年。
结论
对于移植窦腔感染的情况，有必要完全清除移植材料，然后给予高剂量抗生素治疗急性感染，之后建议进行窦腔再次提升。
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