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三种分类方法上颌窦提升术后上颌窦形态与剩余骨高度的关系:回顾性研究。

The Relation between Morphology of Maxillary Sinus after Augmentation in Three Classification Methods and Residual Bone Height: A Retrospective Study.

机构信息

Second Clinical Division, School and Hospital of Stomatology, Peking University, Beijing 100101, China.

Department of Dental Materials, Peking University School and Hospital of Stomatology, Beijing 100081, China.

出版信息

Int J Clin Pract. 2022 Sep 29;2022:1850012. doi: 10.1155/2022/1850012. eCollection 2022.

Abstract

Maxillary sinus augmentation is critical to oral implantology, particularly in some cases. The morphology of the sinus floor reflects the lifting effect to a certain extent; however, there has been limited research on the morphology after sinus augmentation. The present study aims to investigate the relationship between residual bone height (RBH) and the morphology of the sinus floor and determine whether a correlation exists between the different evaluation classifications. Maxillary sinus floor augmentation procedures were performed in 56 patients and 68 teeth using the sinus crest approach (SCA). Imaging results obtained after one year of sinus augmentation were analyzed and simultaneously classified along the coronal plane, the sagittal plane, and the biplane (coronal-sagittal). The higher the RBH, the closer the result tends to be to A, A', or type 1 (more satisfactory). There was a significant correlation between the three different evaluation classifications ( < 0.05). The morphology of perforation cases was involved in types C, D, C', and D'. A more satisfactory post-lifting morphology (tent type and flat type) is probably related to an optimal preoperative bone height, and an unsatisfactory post-lifting morphology is related to a low preoperative sinus floor height. The sagittal plane evaluation correlates with the coronal plane and biplane evaluation and is thus more recommended.

摘要

上颌窦提升术对口腔种植学至关重要,特别是在某些情况下。窦底的形态在一定程度上反映了提升效果;然而,对于窦底提升后的形态,研究有限。本研究旨在探讨剩余骨高度 (RBH) 与窦底形态之间的关系,并确定不同评价分类之间是否存在相关性。采用窦嵴顶进路 (SCA) 对 56 例 68 颗上颌后牙进行了上颌窦底提升术。对窦底提升术后一年的影像学结果进行分析,并同时沿冠状面、矢状面和双平面(冠状-矢状面)进行分类。RBH 越高,结果越接近 A、A'或 1 型(更满意)。三种不同的评价分类之间存在显著相关性(<0.05)。穿孔病例的形态涉及 C、D、C'和 D'型。提升后形态更满意(帐篷型和平坦型)可能与术前骨高度最佳有关,而提升后形态不满意则与术前窦底高度较低有关。矢状面评价与冠状面和双平面评价相关,因此更推荐使用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b460/9536978/b8b17677b406/IJCLP2022-1850012.001.jpg

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