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自体环钻式骨块上颌窦提升同期种植术:病例报告

Autogenous Trephine Core Sinus Lift and Simultaneous Implant Placement: A Case Report.

作者信息

Murali G, Tamrakar Amit K, Faisal Mohammad, Bhasin Saranjit S, Mallick Rizwana

机构信息

Prosthodontics, Faculty of Dentistry, Jamia Millia Islamia, New Delhi, IND.

Oral and Maxillofacial Surgery, Faculty of Dentistry, Jamia Millia Islamia, New Delhi, IND.

出版信息

Cureus. 2025 Jul 4;17(7):e87267. doi: 10.7759/cureus.87267. eCollection 2025 Jul.

DOI:10.7759/cureus.87267
PMID:40755629
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12318352/
Abstract

This article describes a case of indirect sinus lift augmentation using autogenous trephine alveolar bone cores and simultaneous placement of dental implants in a highly resorbed posterior maxillary region. In comparison to the direct sinus lift approach, the procedure described in this case report is less invasive, results in reduced treatment time, and yields a more predictable outcome. This procedure involves a mucosal incision followed by surgical exposure of the alveolar bone, and then using a trephine drill to create a bone trephine core. The Schneiderian membrane is then gently pushed up along with the bone trephine core using an osteotome and mallet, followed by simultaneous dental implant placement. Although this technique is skill-sensitive, it results in successful osseointegration of the implant with fewer complications.

摘要

本文描述了一例在高度吸收的上颌后牙区使用自体环钻牙槽骨骨芯进行间接窦底提升术并同时植入牙种植体的病例。与直接窦底提升术相比,本病例报告中描述的手术侵入性较小,治疗时间缩短,且预后更可预测。该手术包括黏膜切口,然后手术暴露牙槽骨,接着使用环钻钻取骨环钻芯。然后用骨凿和骨锤将上颌窦黏膜与骨环钻芯一起轻轻向上推,随后同时植入牙种植体。尽管该技术对操作技能要求较高,但能使种植体成功实现骨结合,且并发症较少。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3e32/12318352/ba7d14434971/cureus-0017-00000087267-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3e32/12318352/f7953112e491/cureus-0017-00000087267-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3e32/12318352/9c3fc76c0a91/cureus-0017-00000087267-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3e32/12318352/1e4d513dde6b/cureus-0017-00000087267-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3e32/12318352/ba7d14434971/cureus-0017-00000087267-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3e32/12318352/f7953112e491/cureus-0017-00000087267-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3e32/12318352/9c3fc76c0a91/cureus-0017-00000087267-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3e32/12318352/1e4d513dde6b/cureus-0017-00000087267-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3e32/12318352/ba7d14434971/cureus-0017-00000087267-i04.jpg

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1
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本文引用的文献

1
The Impact of Maxillary Sinus Pneumatization on the Quality of the Alveolar Bone in Dentated and Edentulous Patients: A Cone-Beam Computed Tomography Radiographic Analysis.上颌窦气化对有牙和无牙患者牙槽骨质量的影响:锥形束计算机断层扫描影像学分析
Cureus. 2023 Sep 26;15(9):e46005. doi: 10.7759/cureus.46005. eCollection 2023 Sep.
2
Restoratively driven planning for implants in the posterior maxilla - Part 1: alveolar bone healing, bone assessment and clinical classifications.基于修复为导向的上颌后牙区种植规划——第 1 部分:牙槽嵴骨愈合、骨评估及临床分类。
Br Dent J. 2023 Oct;235(8):585-592. doi: 10.1038/s41415-023-6391-7. Epub 2023 Oct 27.
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Maxillary sinus floor augmentation: a review of current evidence on anatomical factors and a decision tree.
上颌窦底提升术:对解剖因素的当前证据的回顾和决策树。
Int J Oral Sci. 2023 Sep 15;15(1):41. doi: 10.1038/s41368-023-00248-x.
4
Success Rates of Zygomatic Implants for the Rehabilitation of Severely Atrophic Maxilla: A Systematic Review.颧骨种植体修复严重萎缩上颌骨的成功率:一项系统评价
Dent J (Basel). 2022 Aug 12;10(8):151. doi: 10.3390/dj10080151.
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Long-term apical bone gain after implant placement combined with internal sinus-floor elevation without graft.种植体植入联合不植骨的内提升技术同期行上颌窦底提升后长期的牙槽嵴顶骨量增加。
BMC Oral Health. 2020 Jul 9;20(1):197. doi: 10.1186/s12903-020-01178-4.
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A review on computer-aided design and manufacturing of patient-specific maxillofacial implants.基于患者特定的颌面植入物的计算机辅助设计和制造的综述。
Expert Rev Med Devices. 2020 Apr;17(4):345-356. doi: 10.1080/17434440.2020.1736040. Epub 2020 Mar 12.
7
Indirect Sinus Lift Done Using "Autogenous Core Lift" Technique in Combination with Alloplastic Phosphosilicate Putty in Atrophic Maxillary Posterior Region: A Clinical Report with 1-Year Follow-Up.在萎缩性上颌后牙区使用“自体骨块提升”技术联合异体磷酸硅粘固剂进行间接窦底提升:一项1年随访的临床报告
Contemp Clin Dent. 2017 Oct-Dec;8(4):627-631. doi: 10.4103/ccd.ccd_80_17.
8
Pterygoid Implant for Atrophic Posterior Maxilla.用于萎缩性上颌骨后部的翼状植入物。
J Pharm Bioallied Sci. 2017 Nov;9(Suppl 1):S261-S263. doi: 10.4103/jpbs.JPBS_103_17.
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Short dental implants in the posterior maxilla: a review of the literature.上颌后牙区的短种植体:文献综述
J Korean Assoc Oral Maxillofac Surg. 2017 Apr;43(2):70-76. doi: 10.5125/jkaoms.2017.43.2.70. Epub 2017 Apr 25.
10
Inadequate vertical bone dimension managed by indirect sinus grafting technique and simultaneous implant placement.采用间接窦底提升技术和同期种植体植入术处理垂直骨量不足的情况。
Natl J Maxillofac Surg. 2016 Jul-Dec;7(2):213-216. doi: 10.4103/0975-5950.201355.