盘钻法行上颌窦内提升同期种植体植入的实验研究.docVIP

盘钻法行上颌窦内提升同期种植体植入的实验研究 　　【摘 要】目的：本实验以建立动物模型的方法，比较和评估盘钻法与冲顶式行上颌窦内提升牙种植的效果，探求盘钻法行上颌窦内提升的可行性及优势，为其应用于临床提供理论依据。方法：对30个新鲜成年山羊头颅标本随机编号。拔除双侧上颌第三前磨牙及第一、二磨牙，随机选择一侧上颌为实验侧，用盘钻法行上颌窦内提升；另一侧为对照，用冲顶法提升。根据提升高度不同分为三组：A组提升3mm，B组提升5mm，C组提升8mm。同期植入种植体，共计180个位点。对术后形态、黏膜完整度、种植体稳定度、组织学观察进行分析。结果： 实验侧在影像学、形态学、黏膜穿孔率、种植体稳定度均优于对照侧，有统计学意义。结论： 用盘钻法行上颌窦内提升牙种植具有可靠性及可行性，对临床有指导意义。 　　【关键词】牙种植；上颌窦内提升；盘钻；动物实验 　　【Abstract】Methods： Thirty fresh skulls of adult goats are numbered randomly. The third premolar， the first and the second molars of bilateral maxillae were extracted. One side of the skulls was randomly chosen as the experimental side， on which the Disk-up Sinus Reamer was applied， while the other side was the control side， on which the osteotome was applied. According to the elevation height， the implantation sites were divided into three groups， namely， 3 millimeters for group A， 5 millimeters for group B and 8 millimeters for group C. There are altogether 180 implantation sites in simultaneous implants. In the wake of the implantation， analysis was conducted as to the shape， integrity of the sinus membrane， implant stability and histomorphological observation.Objectives： The present study aimed to compare and evaluate the outcomes of internal maxillary sinus floor elevation with simultaneous implants placement by Disk-up Sinus Reamer （DSR） and osteotome. The animal model was established， in order to explore the feasibility and superiority of the Disk-up Sinus Reamer applied to internal maxillary sinus floor elevation and to provide theoretical foundation for clinical application.Results： The experimental side is superior to the control side in terms of imaging， shape， membrane perforation ratio and implant stability， providing statistical significance.Conclusions： Internal maxillary sinus floor elevation with dental implants by DSR proves to be reliable and practicable， and will provide guidance to clinical application. 　　【Key words】Dental implant； Maxillary sinus floor elevation； The