Coronel Zabalbu Brayam, Cáceres Oswaldo Andreé, Vergara-Buenaventura Andrea
Departamento de Periodoncia, Facultad de Ciencias de la Salud, Universidad Peruana de Ciencias Aplicadas. Lima, Perú.
Rev Cient Odontol (Lima). 2024 Jun 27;12(2):e202. doi: 10.21142/2523-2754-1202-2024-202. eCollection 2024 Apr-Jun.
A maxillary sinus lift was performed without bone grafting in a 23-year-old female patient who required the placement of a dental implant in the edentulous area of tooth 16. The clinical and tomographic evaluation made it possible to plan and perform the maxillary sinus lift using the transcrestal approach and without the need for bone grafting. The residual ridge of 6mm allowed the placement of a simultaneous dental implant. After 6 months of tomographic follow-up, before prosthetic loading, a vertical bone height of 8.83 mm was achieved, resulting in a vertical bone gain of 2.83 mm. Additionally, an adequate integration of the dental implant was observed without postoperative complications. Transcrestal sinus lift without the use of bone graft is shown to be a viable, safe and effective technique for the simultaneous placement of dental implants in patients with bone atrophy in the maxillary area. This technique offers advantages such as reduced surgical time, less morbidity, lower cost and a faster healing process compared to conventional methods.
对一名23岁女性患者进行了不植骨的上颌窦提升术，该患者需要在16号牙无牙区植入牙种植体。临床和断层扫描评估使得采用经牙槽嵴入路并无需植骨来计划和实施上颌窦提升术成为可能。6mm的剩余牙槽嵴允许同期植入牙种植体。断层扫描随访6个月后，在进行修复加载前，垂直骨高度达到了8.83mm，垂直骨增量为2.83mm。此外，观察到牙种植体充分整合，且无术后并发症。结果表明，不使用骨移植的经牙槽嵴上颌窦提升术是一种在上颌骨萎缩患者中同期植入牙种植体的可行、安全且有效的技术。与传统方法相比，该技术具有手术时间缩短、发病率降低、成本较低以及愈合过程更快等优点。
