Al-Almaie Saad, Kavarodi Abdul Majeed, Al Faidhi Abdullah
Consultant Prosthodontist, Implantologist and Chairman of Supervising Committee, SBARD Board Program, Eastern Province Program Director for SSC-Prosthodontic Board Program, KFMMC Department of Dental Surgery, Military Medical Complex Eastern Dhahran, Saudi Arabia, e-mail:
J Contemp Dent Pract. 2013 May 1;14(3):405-13. doi: 10.5005/jp-journals-10024-1336.
The aim of the study was to evaluate retrospectively maxillary sinus functions and complications by using generally accepted diagnostic criteria with lateral window and osteotome sinus floor elevation (OSFE) procedures followed by dental implants placement.
A group of 60 patients in whom a SFE with the two procedures (lateral window and OSFE) followed by dental implants placement had been performed were evaluated retrospectively for sinus functions and complications from the time of procedure up to 24 months using a questionnaire, conventional clinical and radiographic examination.
Number of patients suffered dizziness accompanied by nausea immediately after OSFE was more than the lateral window procedure and the symptoms disappeared within 2 to 4 weeks. Maxillary sinus membrane perforations occurred and small for 4 out of 79 procedures, two cases for OSFE and two for lateral window procedure had been repaired. No more complications had been detected for all the patients up to 24 months.
Based on the results of this study, SFE with lateral window and osteotome procedures followed by dental implants placement did not interfere with maxillary sinus function and no obvious complications had been detected up to 24 months.
The clinician performs SFE with either lateral window or osteotome procedures needs to understand the difficulties and morbidity arising in the event of complications and must be able to correctly judge the individual risk and the presence of modifying factors that may cause these complications.
本研究的目的是通过使用公认的诊断标准,对采用侧方开窗和骨凿上颌窦底提升(OSFE)术并随后植入牙种植体的患者进行回顾性评估,以评价上颌窦功能及并发症情况。
对一组60例患者进行回顾性评估,这些患者均接受了侧方开窗和OSFE这两种术式的上颌窦底提升术并随后植入牙种植体,采用问卷调查、传统临床检查和影像学检查,从手术时起至术后24个月评估其窦功能及并发症情况。
OSFE术后即刻出现头晕伴恶心的患者数量多于侧方开窗术,症状在2至4周内消失。79例手术中有4例发生上颌窦黏膜穿孔且穿孔较小,其中2例为OSFE术,2例为侧方开窗术,均已修复。至24个月时,所有患者均未检测到其他并发症。
基于本研究结果,采用侧方开窗和骨凿术式进行上颌窦底提升并随后植入牙种植体,不影响上颌窦功能,至24个月时未发现明显并发症。
临床医生采用侧方开窗或骨凿术式进行上颌窦底提升时,需要了解并发症发生时出现的困难和发病率,并且必须能够正确判断个体风险以及可能导致这些并发症的影响因素的存在情况。