Lotfazar Mehrdad, Amid Reza, Moscowchi Anahita
Periodontist, Private Practice, Shiraz, Iran.
Dental Research Center, Research Institute for Dental Sciences, School of Dentistry, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Saudi Dent J. 2024 Jan;36(1):187-191. doi: 10.1016/j.sdentj.2023.10.005. Epub 2023 Oct 11.
Many patients require edentulous ridge augmentation for dental implant placement. The main objective of this study was to evaluate the results of maxillary edentulous ridge augmentation exclusively with xenograft materials with and without simultaneous sinus floor elevation. This study reports the data retrieved from the records of 16 patients. The treatment outcome was assessed at least 6 months, postoperatively. Paired samples -test or Wilcoxon Signed Rank test was used to compare the pre-and postoperative ridge dimensions. Dental implants were placed simultaneously in 7 patients, while 9 patients underwent delayed implant placement. In total, 68 implants were placed, and 12 patients also underwent maxillary sinus floor augmentation. A significant bone gain was achieved in both horizontal and vertical dimensions of edentulous maxillary ridges ( < 0.001). Ridge width increased by an average of 4.35 ± 1.90 mm (95% CI: 3.84 to 4.85 mm) while ridge height in areas of sinus floor augmentation increased by 8.19 ± 2.91 mm (95% CI: 7.33 to 9.05 mm). Within the study limitations, it appears that maxillary ridge augmentation according to the guided bone regeneration (GBR) protocols with exclusive use of xenograft particulate materials can provide optimal bone quantity for dental implant placement.
许多患者需要进行无牙颌骨增量术以植入牙种植体。本研究的主要目的是评估单纯使用异种移植材料进行上颌无牙颌骨增量术的效果,同时评估是否进行同期上颌窦底提升术。本研究报告了从16例患者记录中检索到的数据。术后至少6个月评估治疗效果。采用配对样本t检验或Wilcoxon符号秩检验比较术前和术后的牙槽嵴尺寸。7例患者同期植入牙种植体,9例患者延期植入牙种植体。总共植入了68颗种植体,12例患者还接受了上颌窦底提升术。上颌无牙颌牙槽嵴的水平和垂直尺寸均实现了显著的骨增量(P<0.001)。牙槽嵴宽度平均增加4.35±1.90mm(95%CI:3.84至4.85mm),而上颌窦底提升区域的牙槽嵴高度增加8.19±2.91mm(95%CI:7.33至9.05mm)。在本研究的局限性范围内,根据引导骨再生(GBR)方案单纯使用异种移植颗粒材料进行上颌骨增量术似乎可为牙种植体植入提供最佳骨量。