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经嵴状入路鼻窦底提升微创技术的学习曲线:一项针对多名临床医生的前瞻性病例系列研究的分组分析

Learning Curve of a Minimally Invasive Technique for Transcrestal Sinus Floor Elevation: A Split-Group Analysis in a Prospective Case Series With Multiple Clinicians.

作者信息

Franceschetti Giovanni, Trombelli Leonardo, Minenna Luigi, Franceschetti Giulio, Farina Roberto

机构信息

*Part-time Faculty, Research Centre for the Study of Periodontal and Peri-Implant Diseases, University of Ferrara, Ferrara, Italy; and Private practice, Ferrara, Italy. †President, School of Medicine, University of Ferrara, Italy; Director and Chair of Periodontology, Research Centre for the Study of Periodontal and Peri-Implant Diseases, University of Ferrara, Ferrara, Italy; Director, Operative Unit of Dentistry, University-Hospital, Ferrara, Italy. ‡Full-Time Researcher and Chair of Oral Implantology, Research Centre for the Study of Periodontal and Peri-Implant Diseases, University of Ferrara, Ferrara, Italy; Operative Unit of Dentistry, University-Hospital, Ferrara, Italy.

出版信息

Implant Dent. 2015 Oct;24(5):517-26. doi: 10.1097/ID.0000000000000270.

Abstract

AIMS

To assess the learning curve of a minimally invasive procedure for maxillary sinus floor elevation with a transcrestal approach (tSFE) and evaluate the influence of clinician's experience in implant surgery on its outcomes.

MATERIALS AND METHODS

Patients were treated by clinicians with different levels of experience in implant surgery and inexperienced with respect to the investigated tSFE technique. The initial (n = 13) and final (n = 13) groups treated by the expert clinician were compared for tSFE outcomes. Additionally, the high, moderate, and low groups (n = 20 each) treated by the expert, moderately experienced, and low experienced clinician, respectively, were compared.

RESULTS

(1) No significant differences in clinical and radiographic outcomes were observed between initial and final groups; (2) high, moderate, and low groups showed substantial vertical augmentation in limited operation time with treatment outcomes being influenced by the level of experience in implant surgery.

CONCLUSIONS

The investigated technique allows for a substantial vertical augmentation at limited operation times when used by different clinicians. The extent of sinus lift (as radiographically assessed) seems to be influenced by the clinician's level of experience in implant dentistry.

摘要

目的

评估经牙槽嵴入路(tSFE)上颌窦底提升微创手术的学习曲线,并评估种植外科医生的经验对其手术效果的影响。

材料与方法

患者由在种植外科有不同经验水平且对所研究的tSFE技术无经验的临床医生进行治疗。比较由专家临床医生治疗的初始组(n = 13)和最终组(n = 13)的tSFE手术效果。此外,还比较了分别由专家、经验中等和经验不足的临床医生治疗的高、中、低经验组(每组n = 20)。

结果

(1)初始组和最终组在临床和影像学结果上未观察到显著差异;(2)高、中、低经验组在有限的手术时间内均实现了显著的垂直骨增量,治疗效果受种植外科经验水平的影响。

结论

当由不同临床医生使用时,所研究的技术在有限的手术时间内可实现显著的垂直骨增量。上颌窦提升的程度(如影像学评估)似乎受种植牙科临床医生经验水平的影响。

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