上颌窦挤压内提升同期牙种植术的临床疗效分析-analysis of the clinical effect of maxillary sinus compression and internal elevation combined with dental implantation.docxVIP

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上颌窦挤压内提升同期牙种植术的临床疗效分析-analysis of the clinical effect of maxillary sinus compression and internal elevation combined with dental implantation.docx

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上颌窦挤压内提升同期牙种植术的临床疗效分析-analysis of the clinical effect of maxillary sinus compression and internal elevation combined with dental implantation

上海交通大学医学院上海交通大学医学院七年制硕士学位论文 PAGE PAGE 4 patients, the procedure of OSFE without bone grafting was applied. The RBH was 4.97±1.47mm. Radiographs were taken immediately 3 and 9 months after implant placement. The endo-sinus bone gain around the implants and the crest bone loss (CBL) were measured. Also the correlations between RBH implant penetration in the sinus sinus membrane perforation and endo-sinus bone gain CBL were observed. Results: The overall survival rate was 95.71% during the study period. 268 out of the 280 implants were clinically stable and were loaded without pain or any sbujective sensation. In both grafting group and without grafting group, different RBH diameter and length of the implants lead to no significant statistical difference of the survival rate (P 0.05). There was a significant statistically difference in comparative analysis of the survival rate in procedure with and without bone grafting (P 0.05) for the same RBH, but no significant difference was observed among three different grafting materials. The radiographic results demonstrated that the endo-sinus bone gain was 2.66±0.87mm and the crest bone loss was 1.20±0.48mm 9 months after implant placement. The endo-sinus bone gain was correlated with implant penetration in the sinusP﹤0.001, but no significant correlation with RBHP 0.05. Conclusion: (1) OSFE proved to be an effective and predictable Htreatment for atrophic edentulous posterior maxillary region, without bone grafting was better. It may be feasible even with severely insufficient RB H 4mm. (2) Nine months after implant placement without bone grafting, the increase of endo-sinus bone was apparent and it was affected by implant penetration in the sinus. KEY WORDS: Sinus floor elevation, Osteotome, Survival rate, Bone augmentation, Dental implant 上海交通大学学位论文原创性声明本人郑重声明所呈交的学位论文是本人在导师的指导下独立进行研究工作所取得的成果除文中已经注明引用的内容外本论文不包含任何其他个人或集体已经发表或撰写过的作品成果对本文的研究做出重要贡献的个人和集体均已在文中以明确方式标明本人完全意