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使用单皮质和双皮质锚固在上颌后牙区植入牙种植体的比较评价——一项分口前瞻性研究

Comparative evaluation of dental implants in posterior maxilla placed using unicortical and bicortical anchorage-A split-mouth prospective study.

作者信息

Bhave Sujay M, Chand Sharad, Yadav Lakshya, Pal Uma Shanker, Mohammad Shadab, Singh Vibha, Singh Geeta, Maurya Harshita

机构信息

Department of Oral and Maxillofacial Surgery, King George's Medical University, Lucknow, Uttar Pradesh, India.

Department of Prosthodontics and Crown and Bridge, King George's Medical University, Lucknow, Uttar Pradesh, India.

出版信息

Natl J Maxillofac Surg. 2023 Jan-Apr;14(1):109-118. doi: 10.4103/njms.njms_7_22. Epub 2023 Apr 14.

Abstract

BACKGROUND

The use of dental implants has become a very predictive method of rehabilitation for patients with partial or complete edentulism. It is more challenging to treat the posterior quadrants of the maxillary ridges using dental implants due to their anatomical and physiological characteristics. So to overcome the limitations of other techniques, short implants were introduced recently as a new approach to simplify implant placement in compromised alveolar bone and to prevent possible damage to vital structures.

PURPOSE

This study aims to compare the clinical outcomes of dental implants placed using the osteotomized sinus floor elevation (OSFE) technique side engaging the bony floor of the maxillary sinus (bicortical anchorage) on one side and the conventional technique by split mouth on the other side.

MATERIALS AND METHOD

This study included 15 patients. Study participants had dental implants placed on both sides of the mouth at the same time, so one side was implanted according to the test method, while the other side used the control method. Randomization determined which side would be implanted.

CONCLUSION

The OSFE technique provides greater stability to the implant via bicortical anchorage than conventional techniques, which only provide unicortical anchorage.

摘要

背景

对于部分或完全无牙患者,牙种植已成为一种非常可预测的修复方法。由于上颌牙槽嵴后牙区的解剖和生理特征,使用牙种植体治疗该区域更具挑战性。因此,为克服其他技术的局限性,短种植体作为一种新方法被引入,以简化在受损牙槽骨中的种植体植入,并防止对重要结构造成可能的损伤。

目的

本研究旨在比较采用骨切开式上颌窦底提升(OSFE)技术(一侧与上颌窦骨底侧方接触,即双皮质锚固)和另一侧采用传统劈开式口内对照技术植入牙种植体的临床效果。

材料与方法

本研究纳入15例患者。研究参与者同时在口腔两侧植入牙种植体,一侧根据试验方法植入,另一侧采用对照方法。随机分组确定植入哪一侧。

结论

与仅提供单皮质锚固的传统技术相比,OSFE技术通过双皮质锚固为种植体提供了更高的稳定性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f660/10235748/898178da771a/NJMS-14-109-g001.jpg

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