Department of Periodontics, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea.
Department of Medical Life Science, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea.
Medicine (Baltimore). 2024 Oct 25;103(43):e40331. doi: 10.1097/MD.0000000000040331.
In cases where the bone presence is <4 mm, the lateral approach is typically the first approach considered. Nevertheless, for patients who prefer minimally invasive procedures or wish to reduce postoperative discomfort, the crestal approach is a viable option. The objective of this study was to investigate the potential of crestal sinus augmentation for achieving adequate bone in individuals with residual bone measuring <3 mm. The study comprised 11 participants (63.6 ± 10.9 years of age) who were treated at Seoul St. Mary's Hospital between 2021 and 2023 and received crestal approach sinus augmentation due to insufficient bone density of <3 mm using the crestal approach kit. Pre-augmentation and post-augmentation cone-beam computed tomographic images were analyzed using the imaging software to measure vertical bone height, bucco-palatal width, and mesio-distal width. Before the intervention, the height of the vertical bone was 2.1 ± 0.5 mm, while the width from buccal to palatal was 10.6 ± 2.9 mm, and the width from mesial to distal was 9.9 ± 1.2 mm. Following the intervention, these measurements increased to 8.8 ± 0.9 mm, 12.2 ± 2.2 mm, and 10.2 ± 1.2 mm, respectively. The change in height of the vertical bone was 6.7 ± 1.0 mm, in bucco-palatal width was 1.6 ± 1.4 mm, and in mesio-distal width was 0.3 ± 0.4 mm. The results revealed a significant rise in the height of the vertical bone and bucco-palatal width. Crestal sinus augmentation has been demonstrated to be a highly effective approach for achieving an adequate quantity of bone in patients with residual bone <3 mm. Nonetheless, further observation is required to evaluate the long-term prognosis of the procedures.
在骨量存在 <4 mm 的情况下，通常首先考虑采用外侧入路。然而，对于那些更喜欢微创手术或希望减少术后不适的患者来说，颊侧入路是一种可行的选择。本研究旨在探讨颊侧入路鼻窦增高术在骨量 <3 mm 的个体中获得足够骨量的潜力。本研究纳入了 2021 年至 2023 年期间在首尔圣玛丽医院接受治疗的 11 名患者（63.6±10.9 岁），这些患者因骨密度不足 <3 mm 而采用颊侧入路套件进行了颊侧入路鼻窦增高术。使用成像软件对术前和术后的锥形束 CT 图像进行分析，以测量垂直骨高度、颊腭宽度和近远中宽度。干预前，垂直骨高度为 2.1±0.5 mm，颊腭宽度为 10.6±2.9 mm，近远中宽度为 9.9±1.2 mm。干预后，这些测量值分别增加到 8.8±0.9 mm、12.2±2.2 mm 和 10.2±1.2 mm。垂直骨高度增加了 6.7±1.0 mm，颊腭宽度增加了 1.6±1.4 mm，近远中宽度增加了 0.3±0.4 mm。结果显示，垂直骨高度和颊腭宽度显著增加。颊侧窦增高术已被证明是一种非常有效的方法，可以在骨量 <3 mm 的患者中获得足够的骨量。然而，需要进一步观察来评估这些手术的长期预后。
