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用于上颌后牙区垂直骨增量的三明治式骨移植术:一项9年随访的病例报告

Sandwich bone graft for vertical augmentation of the posterior maxillary region: a case report with 9-year follow-up.

作者信息

Tanaka Kenko, Sailer Irena, Kataoka Yoshihiro, Nogami Shinnosuke, Takahashi Tetsu

机构信息

Division of Oral and Maxillofacial Surgery, Department of Oral Medicine and Surgery, Tohoku University Graduate School of Dentistry, 4-1 Seiryo-machi, Aoba-ku, Sendai, 980-8575, Miyagi, Japan.

Division of Fixed Prosthodontics and Biomaterials Clinic of Dental Medicine, University of Geneva, 19 rue Barthélemy-Menn, CH-1205, Geneva, Switzerland.

出版信息

Int J Implant Dent. 2017 Dec;3(1):20. doi: 10.1186/s40729-017-0063-9. Epub 2017 May 19.

Abstract

The loss of teeth followed by bone resorption often lead to defects in the alveolar ridge, making installation of dental implants difficult. Correction of such bone defects, especially lack of height of the ridge, is a difficult problem for all dental surgeons. This report describes the outcome of treatment after alveolar ridge augmentation in the atrophic posterior maxillary region via segmental sandwich osteotomy combined with placement of an interpositional autograft prior to placement of endosseous implants. The technique was successfully used to treat a deficiency in the vertical dimension of the posterior maxillary region. Six months after graft surgery, two implants were successfully placed in accordance with the original treatment protocol, and they survived for 9 years of follow-up.

摘要

牙齿缺失后伴有骨吸收,常导致牙槽嵴缺损,使得种植牙植入困难。对于所有牙科医生来说,矫正此类骨缺损,尤其是牙槽嵴高度不足,是一个难题。本报告描述了在萎缩的上颌后牙区,通过节段性三明治截骨术联合植入自体骨移植材料,然后再植入骨内种植体,进行牙槽嵴增高术后的治疗结果。该技术成功用于治疗上颌后牙区垂直维度的骨缺损。植骨手术后6个月,按照原治疗方案成功植入两颗种植体,随访9年种植体均存活。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aa89/5436997/5ba26576cf9c/40729_2017_63_Fig1_HTML.jpg

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