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使用球囊系统进行微创上颌窦提升术:病例系列

Minimally invasive maxillary sinus elevation using balloon system: A case series.

作者信息

Dhandapani Radha Bharathi, Baskaran Shivakumar, Arun Kurumathur Vasudevan, Kumar Thirunelveli Saravanan Subbu

机构信息

Department of Periodontics, Ragas Dental College, Chennai, Tamil Nadu, India.

出版信息

J Indian Soc Periodontol. 2016 Jul-Aug;20(4):468-471. doi: 10.4103/0972-124X.194265.

DOI:10.4103/0972-124X.194265
PMID:28298833
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5341326/
Abstract

The posterior maxillary segment frequently exhibits insufficient bone mass to support dental implants. Sinus floor augmentation enables implant placement in the posterior maxilla. This case series included ten sites, in which sinus floor elevation was done using sinus lift balloon system followed by augmentation utilizing irradiated cancellous bone allograft. Postoperative radiographic assessment of vertical bone gain was done at 3 and 6 months follow-up period. The mean initial and final bone height were 6.16 and 10.50 mm, respectively, with a mean increase of 4.34 mm at 6 months being observed with nil complication. The presented technique might represent a viable alternative for sinus elevation in posterior atrophied maxilla. Irradiated cancellous bone allograft can be advocated as an ideal bone graft material for sinus augmentation procedures.

摘要

上颌后段常常表现出骨量不足,难以支持牙种植体。上颌窦底提升术可使种植体植入上颌后部。该病例系列包括10个位点,其中使用上颌窦提升球囊系统进行上颌窦底提升,随后使用辐照松质骨异体骨进行增量。在术后3个月和6个月的随访期进行垂直骨增量的影像学评估。初始和最终骨高度的平均值分别为6.16 mm和10.50 mm,6个月时平均增加4.34 mm,无并发症发生。所呈现的技术可能是上颌后部萎缩区域上颌窦提升的一种可行替代方法。辐照松质骨异体骨可被推荐为上颌窦增量手术的理想骨移植材料。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/965f/5341326/a59a145a8e72/JISP-20-468-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/965f/5341326/d1bd097f8168/JISP-20-468-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/965f/5341326/d161e066c3e0/JISP-20-468-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/965f/5341326/b681cf5c041e/JISP-20-468-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/965f/5341326/6b5df61ae340/JISP-20-468-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/965f/5341326/a59a145a8e72/JISP-20-468-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/965f/5341326/d1bd097f8168/JISP-20-468-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/965f/5341326/d161e066c3e0/JISP-20-468-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/965f/5341326/b681cf5c041e/JISP-20-468-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/965f/5341326/6b5df61ae340/JISP-20-468-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/965f/5341326/a59a145a8e72/JISP-20-468-g005.jpg

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本文引用的文献

1
Three-year results from a randomised controlled trial comparing prostheses supported by 5-mm long implants or by longer implants in augmented bone in posterior atrophic edentulous jaws.一项随机对照试验的三年结果,该试验比较了在后部萎缩性无牙颌骨增量骨中由5毫米长种植体或更长种植体支持的假体。
Eur J Oral Implantol. 2014 Winter;7(4):383-95.
2
Antral balloon sinus elevation and grafting prior to dental implant placement: review of 34 cases.经口内镜下咽旁间隙肿瘤切除术的临床应用(附 16 例报告)
Int J Oral Maxillofac Implants. 2014 Mar-Apr;29(2):414-8. doi: 10.11607/jomi.3075.
3
Effectiveness of sinus lift procedures for dental implant rehabilitation: a Cochrane systematic review.
上颌窦提升术用于牙种植修复的有效性:一项Cochrane系统评价
Eur J Oral Implantol. 2010 Spring;3(1):7-26.
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Histomorphometric analysis after maxillary sinus floor augmentation using cancellous bone-block allograft.使用松质骨块移植物进行上颌窦底提升后的组织形态计量学分析。
J Periodontol. 2010 Aug;81(8):1147-52. doi: 10.1902/jop.2010.090751.
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ABC sinus augmentation classification.ABC鼻窦增量分类。
Int J Periodontics Restorative Dent. 2008 Aug;28(4):383-9.
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Minimally invasive antral membrane balloon elevation: report of 36 procedures.微创性上颌窦膜球囊提升术:36例手术报告
J Periodontol. 2007 Oct;78(10):2032-5. doi: 10.1902/jop.2007.070103.
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Systematic review of survival rates for implants placed in the grafted maxillary sinus.对上颌窦植骨区种植体存活率的系统评价。
Int J Periodontics Restorative Dent. 2004 Dec;24(6):565-77.
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Effect of maxillary sinus augmentation on the survival of endosseous dental implants. A systematic review.上颌窦提升术对骨内种植体存留率的影响。一项系统评价。
Ann Periodontol. 2003 Dec;8(1):328-43. doi: 10.1902/annals.2003.8.1.328.
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