针对伴有牙列完整下颌骨的萎缩性上颌骨，颧骨种植体还是上颌窦提升术：哪种选择更好？

Zygoma Implants or Sinus Lift for the Atrophic Maxilla with a Dentate Mandible: Which is the Better Option?

作者信息

Dominguez Enif A, Guerrero Cesar, Shehata Ehab, Van Sickels Joseph E

机构信息

Division of Oral and Maxillofacial Surgery, Department of Oral Health Science, University of Kentucky, College of Dentistry, Albert B. Chandler Hospital, D508, 800 Rose Street, Lexington, KY 40536, USA.

Private Practice, Clear Choice Dental Implant Center, 929 Gessner Road, Suite 2050, Houston, TX 77024, USA; The Woodlands Oral & Facial Surgery Center, 10857 Kuykendahl Road. Ste 150, The Woodlands, Tx 77382, USA; Private Practice, Oral and Maxillofacial Surgery, 907 Bay Area Boulevard, Houston, TX 77058, USA.

出版信息

Dent Clin North Am. 2019 Jul;63(3):499-513. doi: 10.1016/j.cden.2019.02.013.

DOI:10.1016/j.cden.2019.02.013

PMID:31097141

Abstract

Rehabilitation of maxillary atrophy with dental implants is challenging to the clinician despite the wide variety of surgical techniques available. Finding the right indication for a procedure is highly important for the long-term stability of dental implants. With the introduction of the concept of "teeth-in-a-day," clinicians have explored innovative techniques to attain the goal of immediate implant-supported provisional prosthesis. However, costs and comorbidities are limitations to advancing these techniques. This article focuses on algorithms to rehabilitate the atrophic maxilla with the purpose of providing immediate provisional prosthetic teeth regardless of the mandibular dentition.

摘要

尽管有多种可用的外科技术，但对上颌萎缩进行牙种植修复对临床医生来说仍具有挑战性。找到合适的手术适应症对于牙种植体的长期稳定性非常重要。随着“一日得牙”概念的引入，临床医生探索了创新技术以实现即刻种植支持的临时修复体这一目标。然而，成本和合并症限制了这些技术的推广。本文重点介绍用于上颌骨萎缩修复的算法，目的是无论下颌牙列情况如何，都能提供即刻临时修复牙。