Department of Periodontics, College of Dentistry, Kyungpook National University, Daegu, Republic of Korea.
Implant Dent. 2011 Dec;20(6):465-70. doi: 10.1097/ID.0b013e31823545b2.
The aim of this study was to evaluate and compare the radiographic results of bone-added osteotome sinus floor elevation (BAOSFE) and lateral approach sinus floor elevation techniques.
The 43 patients who had undergone implant procedure with either BAOSFE or lateral approach method on their maxillary molar edentulous area were included. Their dental records were confirmative and the radiographic-changes using orthopantomographs were consistently checked up during 2 years after the procedure (immediately after procedure and 6 months, 12 months, and 24 months after implant placement).
The radiographic evaluation after 2 years of implantation with sinus elevation showed the significant amount of bone formation (6.75 mm for BAOSFE and 11.36 mm for lateral approach method). Largest amount of grafted height loss occurred during the first 6 months (62.8% of total amount of bone loss), but the resorption was minimal (1.35 mm for BAOSFE and 1.36 mm for lateral approach method) for overall 24 months.
Long-term stability of graft height was achieved using both BAOSFE and lateral approach sinus floor elevation. Overall, graft height decreased gradually during 2 years after procedures, but the changes were minimal.
本研究旨在评估和比较骨添加骨凿窦底提升(BAOSFE)和外侧入路窦底提升技术的影像学结果。
本研究纳入了 43 例在上颌磨牙缺失区接受种植手术的患者,分别采用 BAOSFE 或外侧入路方法。这些患者的牙科记录是可确认的,并且在术后 2 年内(即术后即刻、术后 6 个月、12 个月和 24 个月)一直使用全景片检查影像学变化。
在接受窦底提升的 2 年后的影像学评估显示,有显著的骨形成(BAOSFE 为 6.75mm,外侧入路方法为 11.36mm)。最大的移植物高度损失发生在术后的前 6 个月(占总骨丢失量的 62.8%),但在 24 个月的总体观察期间,吸收量最小(BAOSFE 为 1.35mm,外侧入路方法为 1.36mm)。
BAOSFE 和外侧入路窦底提升均可实现移植物高度的长期稳定性。总的来说,术后 2 年内移植物高度逐渐下降,但变化很小。