应用SCA器械行上颌窦内提升同期植入种植体临床观察.docVIP

应用SCA器械行上颌窦内提升同期植入种植体临床观察 　　摘要：目的 评价应用SCA器械（Sinus Crestal Approach KIT）行上颌窦内提升同期植入种植体的临床观察。方法 将我院2011年3月～2014年3月31例患者共计40个种植牙位剩余牙槽骨高度（Residual Bone Height，RBH）不足作为该项技术的使用与观察对象，术前经CBCT检查，40个种植牙位剩余牙槽骨高度2～9 mm，全部病例均选用的是SCA器械行上颌窦内提升，其中行GBR（Guide Bone Regeneration）技术28例37个种植位点，未行GBR技术3例3个种植位点，种植体全部采取潜入式种植，术后4～6个月上部结构修复。结果 40个种植位点在手术过程中无上颌窦粘膜穿孔撕裂，术后无严重肿胀，出血，感染，无急性上颌窦炎等并发症。至2014年9月，上部结构修复后6个月～3年，无种植体脱落，近期存活率100%。结论 应用SCA器械行上颌窦内提升手术创伤小，操作简易安全，近期临床效果满意 关键词：口腔种植；上颌窦内提升；SCA上颌窦内提升器械 Clinical Observation of Maxillary Sinus Augmentation with Simultaneous Implant Placement Using SCA Instruments LI Li-li （Shenyang Aoxin National Hospital，Shenyang 110015，Liaoning，China） Abstract：Objective To evaluate the application of SCA instrument（Sinus Crestal Approach KIT）clinical observation for maxillary sinus elevation with simultaneous implant placement.Methods In our hospital during March 2011～2014 March，31 patients with a total of 40 implants of residual alveolar bone height（Residual Bone Height，RBH）as the object of observation and lack of use of the technology before the operation，the CBCT examination，40 implants of residual alveolar bone height 2～9 mm，all cases were using SCA instruments for maxillary sinus elevation，including GBR（Guide Bone Regeneration）technology in 28 cases of 37 implant sites，without GBR technique in 3 cases of 3 implant sites， all implants take the submerged plant， 4～6 months after repair of upper structure.Results 40 implant sites during the surgery，the maxillary sinus mucosa perforation tear， no severe swelling， postoperative bleeding，infection，acute maxillary sinusitis and other complications.To September of 2014，the upper structure repair after 6 months to 3 years，no implant failure，the short-term survival rate 100%.Conclusion SCA devices for maxillary sinus in a small surgical trauma，simple operation and safety，the recent clinical effect is satisfactory. Key words：Dental implant；Maxillary sinus elevation；SCA maxillary sinus lifting instrument