使用自体移植上颌第三磨牙关闭口腔上颌窦瘘的新手术技术评估：一项1年随访研究
Evaluation of a New Surgical Technique for Closing Oroantral Fistula Using Auto-transplanted Upper Third Molar: A 1-Year Follow-Up Study.
作者信息
Assad Mounzer, Alkhaled Maysaa, Alhajj Mohammed N
机构信息
1Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, University of Tishreen, Lattakia, Syria.
2Department of Prosthodontics, Faculty of Dentistry, Thamar University, Dhamar, Yemen.
出版信息
J Maxillofac Oral Surg. 2018 Mar;17(1):84-88. doi: 10.1007/s12663-017-1010-2. Epub 2017 Mar 30.
BACKGROUND
Oroantral fistula (OAF) is considered a frequent complication in dental practice. Many surgical techniques/methods have been proposed to close it. The aim of this study was to evaluate the auto-transplantation of upper third molar for closing OAF.
MATERIALS AND METHODS
Twenty patients participated in this study aged between 20 and 40 years old. The OAF was closed by auto-transplantation of upper third molar placed directly in the socket of the extracted tooth. Results were evaluated clinically and radiographically through the period of observation which lasted for 1 year.
RESULTS
Final results showed that the success rate of closing OAF was 95% while the success rate of upper third molar auto-transplantation was 90%.
CONCLUSION
This technique is simple, applicable, provides immediate replacement of the missing tooth, and does not require complicated instruments or procedures.
背景
口腔上颌窦瘘（OAF）被认为是牙科实践中常见的并发症。已经提出了许多手术技术/方法来封闭它。本研究的目的是评估上颌第三磨牙自体移植用于封闭口腔上颌窦瘘的效果。
材料与方法
20名年龄在20至40岁之间的患者参与了本研究。通过将上颌第三磨牙直接自体移植到拔牙窝来封闭口腔上颌窦瘘。在持续1年的观察期内，通过临床和影像学评估结果。
结果
最终结果显示，封闭口腔上颌窦瘘的成功率为95%，而上颌第三磨牙自体移植的成功率为90%。
结论
该技术简单、适用，能立即替代缺失牙，且不需要复杂的器械或操作。
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