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鼻窦提升术中穿孔的施奈德膜修复并同期即刻种植体植入。

Perforated schneiderian membrane repair during sinus augmentation in conjunction with immediate implant placement.

作者信息

Fathima K Hameed, Harish V S, Jayavely Perumal, Harinath P

机构信息

Department of Dentistry, Sri Muthukumaran Medical College and Research Institute, Kotputli, Rajasthan, India.

Department of Oral and Maxillofacial Surgery, Eklavya Dental College, Kotputli, Rajasthan, India.

出版信息

J Pharm Bioallied Sci. 2014 Jul;6(Suppl 1):S174-7. doi: 10.4103/0975-7406.137446.

DOI:10.4103/0975-7406.137446
PMID:25210366
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4157262/
Abstract

Dental implant associated rehabilitation of the posterior maxilla poses unique challenge owing to the presence of pneumatized sinuses and atrophied alveolar bone. Sinus augmentation procedure to manage expanded sinuses frequently results in membrane tear resulting in unfavorable stabilization of the graft and associated bone regeneration. Simultaneous implant placement during sinus augmentation procedures frequently requires a minimal alveolar bone height, which when not present forces clinician to defer implant placement resulting in extended treatment duration and multiple surgical appointments. The present case report is about a piezosurgery assisted lateral wall osteotomy approach for sinus augmentation associated with membrane repair with simultaneous implant placement in the posterior maxilla.

摘要

由于上颌窦气化和牙槽骨萎缩,牙种植体相关的上颌后牙区修复面临独特挑战。处理扩大的上颌窦的窦底提升手术常常导致膜破裂,从而使植骨块的稳定及相关骨再生情况不佳。在窦底提升手术中同时植入种植体通常需要最小的牙槽骨高度,若不存在该高度,则迫使临床医生推迟种植体植入,导致治疗时间延长和多次手术预约。本病例报告介绍了一种使用压电手术辅助的侧壁截骨术进行上颌后牙区窦底提升并同时植入种植体,且伴有膜修复的方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3694/4157262/acf85155dae5/JPBS-6-174-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3694/4157262/a54a9f5c3049/JPBS-6-174-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3694/4157262/08b1412290af/JPBS-6-174-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3694/4157262/7a9738e835b9/JPBS-6-174-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3694/4157262/acf85155dae5/JPBS-6-174-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3694/4157262/a54a9f5c3049/JPBS-6-174-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3694/4157262/08b1412290af/JPBS-6-174-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3694/4157262/7a9738e835b9/JPBS-6-174-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3694/4157262/acf85155dae5/JPBS-6-174-g004.jpg

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本文引用的文献

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Bone reformation with sinus membrane elevation: a new surgical technique for maxillary sinus floor augmentation.伴窦膜提升的骨改建:一种上颌窦底提升的新手术技术
Clin Implant Dent Relat Res. 2004;6(3):165-73.
2
Long-term evaluation of osseointegrated implants placed in sites augmented with sinus floor elevation associated with vertical ridge augmentation: a retrospective study of 38 consecutive implants with 1- to 7-year follow-up.对采用上颌窦底提升联合垂直牙槽嵴增高术的位点植入的骨整合种植体进行长期评估:一项对38颗连续种植体进行1至7年随访的回顾性研究。
Int J Periodontics Restorative Dent. 2004 Jun;24(3):208-21.
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A simplified classification and repair system for sinus membrane perforations.
一种用于鼻窦膜穿孔的简化分类与修复系统。
J Periodontol. 2003 Oct;74(10):1534-41. doi: 10.1902/jop.2003.74.10.1534.
4
Maxillary sinus grafting with anorganic bovine bone: a clinical report of long-term results.使用无机牛骨进行上颌窦植骨:长期结果的临床报告
Int J Oral Maxillofac Implants. 2003 Jul-Aug;18(4):556-60.
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Sinus augmentation bone grafts for the provision of dental implants: report of clinical outcome.用于种植牙植入的鼻窦增高骨移植:临床结果报告
Int J Oral Maxillofac Implants. 2003 May-Jun;18(3):377-82.
6
A prospective 1-year clinical and radiographic study of implants placed after maxillary sinus floor augmentation with bovine hydroxyapatite and autogenous bone.一项关于在上颌窦底使用牛羟基磷灰石和自体骨进行增量术后植入种植体的前瞻性1年临床和影像学研究。
J Oral Maxillofac Surg. 2002 Mar;60(3):277-84; discussion 285-6. doi: 10.1053/joms.2002.30576.
7
The piezoelectric bony window osteotomy and sinus membrane elevation: introduction of a new technique for simplification of the sinus augmentation procedure.压电骨窗截骨术与窦膜提升术:一种简化窦腔增大手术的新技术介绍
Int J Periodontics Restorative Dent. 2001 Dec;21(6):561-7.
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Maxillary bone grafting for insertion of endosseous implants: results after 12-124 months.用于植入骨内种植体的上颌骨移植:12至124个月后的结果
Clin Oral Implants Res. 2001 Jun;12(3):279-86. doi: 10.1034/j.1600-0501.2001.012003279.x.
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Sinus graft procedures and implant dentistry: a review of 21 years of surgical experience (1979-2000).鼻窦移植手术与种植义齿修复:21年手术经验回顾(1979 - 2000年)
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Reconstruction of severely resorbed alveolar ridge crests with dental implants using a bovine bone mineral for augmentation.使用牛骨矿物质增量,通过牙种植体重建严重吸收的牙槽嵴顶。
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