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使用锥形束计算机断层扫描评估牙种植体和上颌窦底提升术后的上颌窦情况。

Evaluation of maxillary sinus findings after dental implant and sinus floor augmentation procedures with cone-beam computed tomography.

作者信息

Karslioglu H, Sumer A P

机构信息

Department of Dentomaxillofacial Radiology, Faculty of Dentistry, University of Baskent, Ankara, Turkey.

Department of Dentomaxillofacial Radiology, Faculty of Dentistry, University of Ondokuz Mayis, Samsun, Turkey.

出版信息

Niger J Clin Pract. 2020 Oct;23(10):1477-1482. doi: 10.4103/njcp.njcp_695_19.

Abstract

BACKGROUND

To assess maxillary sinus findings using dental volumetric tomography before and after surgery in patients with dental implants in the maxillary posterior region with or without sinus floor elevation due to insufficient bone height.

MATERIALS AND METHODS

Cone-beam computerized tomography images taken for surgical planning before implantation and controlling after implantation were reviewed in 50 patients applied to the Department of Oral, Dental and Maxillofacial Surgery and Radiology of Dentistry Faculty at Ondokuz Mayıs University. Maxillary sinus diseases (focal mucosal thickening, polyp, mucous retention cyst, sinusitis) were evaluated. The relationship between dental implant and sinus floor augmentation procedures and maxillary sinus findings was statistically evaluated using the Chi-square test and Wilcoxon rank test.

RESULTS

In this study, 26 female (52%) and 24 male (48%) patients were examined. The mean age of all patients was 53.82 years (± 8.63). Focal mucosal thickening was most frequently observed in the study. There was no statistically significant correlation between implant applications and sinus pathologies with both internal and external elevation procedures and implant applications (P > 0.05).

CONCLUSIONS

Sinus floor augmentation and dental implant applications seemed not to increase the risk of maxillary sinüs pathologies. However, it is suggested to carry out similar studies with more samples.

摘要

背景

评估在上颌后牙区植入牙种植体且因骨高度不足进行或未进行上颌窦底提升术的患者手术前后使用牙科容积断层扫描对上颌窦的检查结果。

材料与方法

回顾了在奥尔杜大学医学院口腔、牙科和颌面外科及放射科就诊的50例患者在植入术前用于手术规划以及植入术后用于对照的锥形束计算机断层扫描图像。评估上颌窦疾病(局限性黏膜增厚、息肉、黏液潴留囊肿、鼻窦炎)。使用卡方检验和威尔科克森秩和检验对牙种植体与上颌窦底提升手术和上颌窦检查结果之间的关系进行统计学评估。

结果

本研究共检查了26例女性(52%)和24例男性(48%)患者。所有患者的平均年龄为53.82岁(±8.63)。研究中最常观察到局限性黏膜增厚。在内提升和外提升手术及种植体植入与鼻窦病变之间未发现统计学上的显著相关性(P>0.05)。

结论

上颌窦底提升和牙种植体植入似乎不会增加上颌窦病变的风险。然而,建议进行更多样本的类似研究。

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