Zheng Xiao-Fei, Mo An-Chun, Zhu Juan-Fang, Wang Su-Ping, Du Ya-Jing, Yao Yong-Zhi
Center of Stomatology, The First Affiliated Hospital of Zhengzhou University, Zhengzhou 450052, China.
State Key Laboratory of Oral Diseases & National Clinical Research Center for Oral Diseases & Dept. of Dental Implant, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, China.
Hua Xi Kou Qiang Yi Xue Za Zhi. 2020 Dec 1;38(6):652-656. doi: 10.7518/hxkq.2020.06.008.
To investigate the effect of three anatomical parameters (maxillary sinus width, maxillary sinus angle, and residual bone height) on the outcomes of transcrestal sinus lift with simultaneous implant placement.
A total of 60 maxillary sinuses in 42 patients were included in this study. All patients were treated with transcrestal sinus lift procedure associated with simultaneous implant placement using a composite graft material of autogenous bone and Bio-Oss. For each patient, beam computed tomography (CBCT) scans were performed preoperatively, immediately after surgery, and 6 months after surgery. The parameters were measured on the preoperative and postoperative CBCT images. The correlation of three anatomical parameters with graft resorption was analyzed using Pearson's correlation test.
The average residual bone height was (4.46±1.55) mm. The average width of maxillary sinus was (13.86±2.71) mm. The average sinus angle was 78.09°±10.27°. A significant positive correlation was observed between maxillary sinus width and graft resorption (P<0.01). A positive association was also found between sinus angle and graft resorption (P<0.01).
The findings show that graft bone resorption in elevated sinus has a positive correlation with the sinus width and sinus angle.
探讨三个解剖学参数(上颌窦宽度、上颌窦角度和剩余骨高度)对同期植入种植体的经牙槽嵴上颌窦提升术效果的影响。
本研究共纳入42例患者的60个上颌窦。所有患者均采用经牙槽嵴上颌窦提升术并同期植入种植体,使用自体骨和Bio-Oss复合移植材料。对每位患者在术前、术后即刻及术后6个月进行锥形束计算机断层扫描(CBCT)。在术前和术后的CBCT图像上测量参数。采用Pearson相关检验分析三个解剖学参数与植骨吸收的相关性。
平均剩余骨高度为(4.46±1.55)mm。上颌窦平均宽度为(13.86±2.71)mm。平均窦角为78.09°±10.27°。观察到上颌窦宽度与植骨吸收之间存在显著正相关(P<0.01)。窦角与植骨吸收之间也存在正相关(P<0.01)。
研究结果表明,上颌窦提升术中植骨吸收与窦宽度和窦角呈正相关。