Ekhlasmandkermani Mehdi, Amid Reza, Kadkhodazadeh Mahdi, Hajizadeh Farhad, Abed Pooria Fallah, Kheiri Lida, Kheiri Aida
Department of Periodontics, School of Dentistry, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Dental Research Center, Research Institute of Dental Sciences, School of Dentistry, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
J Korean Assoc Oral Maxillofac Surg. 2021 Dec 31;47(6):411-426. doi: 10.5125/jkaoms.2021.47.6.411.
Combining different procedures to reduce the number of surgical sessions and patient discomfort in implant placement and sinus floor elevation has been recommended, and evidence supports good outcomes. The aim of this study was to review the results of clinical studies on sinus floor elevation through extraction sockets and simultaneous immediate posterior implant placement. An electronic search was carried out in PubMed, Scopus, and Web of Science to find English articles published in or before August 2020. A manual search was also performed. Titles, abstracts, and the full-text of the retrieved articles were studied. Thirteen studies met our eligibility criteria: 6 retrospective case series, 3 case reports, 2 prospective cohort caseseries, 1 prospective case series, and 1 randomized controlled trial. Overall, 306 implants were placed; 2 studies reported implant survival rates of 91.7% and 98.57%. The others either did not report the survival rate or reported 100% survival. Sinus floor elevation through a fresh extraction socket and simultaneous immediate implant placement appears to be a predictable modality with a high success rate. However, proper case selection and the expertise of the clinician play fundamental roles in the success of such complex procedures.
有人建议结合不同的手术方法，以减少种植体植入和上颌窦底提升手术的次数及患者的不适感，且有证据支持这样做能取得良好的效果。本研究的目的是回顾通过拔牙窝进行上颌窦底提升并同期即刻植入后牙种植体的临床研究结果。在PubMed、Scopus和Web of Science上进行了电子检索，以查找2020年8月及以前发表的英文文章。还进行了手动检索。对检索到的文章的标题、摘要和全文进行了研究。13项研究符合我们的纳入标准：6项回顾性病例系列研究、3项病例报告、2项前瞻性队列病例系列研究、1项前瞻性病例系列研究和1项随机对照试验。总共植入了306颗种植体；2项研究报告的种植体存活率分别为91.7%和98.57%。其他研究要么未报告存活率，要么报告的存活率为100%。通过新鲜拔牙窝进行上颌窦底提升并同期即刻植入种植体似乎是一种成功率很高的可预测方法。然而，合适的病例选择和临床医生的专业技能在这类复杂手术的成功中起着至关重要的作用。
