McCrea Shane J J
Principal, The Dental Implant and Gingival-plastic Surgery Centre, Bournemouth, Dorset, UK.
Eur J Dent. 2014 Oct;8(4):553-558. doi: 10.4103/1305-7456.143642.
When multiple implants are to be placed, and a pneumatized sinus exists, the published reports suggest that the lateral window approach (LWA) is favored for sinus floor augmentation. Simultaneously, if a transcrestal sinus floor augmentation has been carried out (bone-added osteotome sinus floor elevation), the reports are restricted to single implant placement at any site. The aim of this study was to evaluate the clinical and radiographic outcomes at adjacent transcrestal sinus augmentation grafts using deproteinized bovine bone material, with the immediate placement of submerged adjacent implants, and so determining the fate of the graft material. The progressive loss of the inter-implant graft is reported for the LWA Technique. However, this novel coalescence method has shown a progressive increase in the inter-implant graft region, thus inferring a positive bony regeneration and remodelling at the region. These results indicate that the carrying out of a large scale study is warranted to confirm the efficacy of this technique.
当需要植入多个种植体且存在气化鼻窦时,已发表的报告表明,外侧开窗法(LWA)更适合用于鼻窦底提升。同时,如果已经进行了经牙槽嵴鼻窦底提升术(骨增量骨凿鼻窦底提升),报告仅限于在任何部位植入单个种植体。本研究的目的是评估使用脱蛋白牛骨材料进行相邻经牙槽嵴鼻窦提升移植,并立即植入相邻的潜入式种植体后的临床和影像学结果,从而确定移植材料的转归。对于外侧开窗法技术,有报告称种植体间移植骨会逐渐吸收。然而,这种新的联合方法显示种植体间移植区域逐渐增加,从而推断该区域有积极的骨再生和重塑。这些结果表明,有必要进行大规模研究以证实该技术的有效性。