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经牙槽嵴顶入路上颌窦底提升同期植入短种植体的回顾性研究

[Retrospective study on transcrestal sinus floor elevation with simultaneous implantation of short implants].

作者信息

Huang Jiang-Qin, Hu Chang-Qi, Xia Xun, Guo Shui-Gen, Gong Jin-Mei, Wei Hong-Wu

机构信息

Dept. of Stomatology, The Fourth Affiliated Hospital of Nanchang University, Nanchang 330009, China.

出版信息

Hua Xi Kou Qiang Yi Xue Za Zhi. 2020 Dec 1;38(6):667-671. doi: 10.7518/hxkq.2020.06.011.

Abstract

OBJECTIVE

To explore the changes in bone height of the maxillary sinus floor at different sinus ridge heights after transcrestal sinus floor elevation (tSFE) with the simultaneous implantation of short implants.

METHODS

A total of 74 Bicon short implants were implanted into 37 patients during the same period of maxillary sinus elevation. The residual bone height (RBH)<4 mm group has 43 sites, and the RBH≥4 mm group has 31 sites. After 5 years of follow-up observation, the implant survival rate and the change in bone height achieved in the maxillary sinus over time were measured and analyzed via clinical examination and X-ray imaging.

RESULTS

In the 74 implantation sites, the elevation height of the sinus floor was (6.64±1.32) mm and the bone height of the sinus floor was (3.35±1.29) mm 5 years after loading. No statistical difference was observed in the bone resorption of the implant neck between the RBH<4 mm and RBH≥4 mm groups. Meanwhile, a statistical difference was noted in the bone height obtained in the maxillary sinus between the two groups.

CONCLUSIONS

When RBH in the maxillary posterior tooth area was <4 mm, the simultaneous implantation of Bicon short implants with tSFE can achieve a high implant survival rate and bone gain in the maxillary sinus, but does not increase the absorption of the alveolar ridge bone.

摘要

目的

探讨在上颌窦底提升术(tSFE)同期植入短种植体后,不同窦嵴高度时上颌窦底骨高度的变化。

方法

在37例患者上颌窦提升同期共植入74枚Bicon短种植体。剩余骨高度(RBH)<4 mm组有43个位点,RBH≥4 mm组有31个位点。经过5年的随访观察,通过临床检查和X线影像测量并分析种植体存留率以及上颌窦骨高度随时间的变化情况。

结果

在74个种植位点中,种植体加载5年后窦底提升高度为(6.64±1.32)mm,窦底骨高度为(3.35±1.29)mm。RBH<4 mm组与RBH≥4 mm组种植体颈部骨吸收情况无统计学差异。同时,两组在上颌窦获得的骨高度方面存在统计学差异。

结论

当上颌后牙区RBH<4 mm时,tSFE同期植入Bicon短种植体可获得较高的种植体存留率,并使上颌窦骨量增加,但不增加牙槽嵴骨吸收。

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