CBCT评估上颌窦提升术在口腔种植修复中应用.docVIP

CBCT评估上颌窦提升术在口腔种植修复中应用 　　【摘要】 目的：从CBCT的角度探讨上颌窦提升术在口腔种植修复中的应用。方法：选取2011年3月-2013年5月到本院修复种植科就诊的42例54颗上颌窦内外提升种植体，于术前、术后即刻、术后半年、术后1年半进行CBCT随访观察。结果：42例上颌窦内外提升均获得成功，所有病例随访期间无种植体脱落，牙齿功能良好，牙龈无形态色泽异常。除有3例（外提升2例，内提升1例）术中上颌窦底黏膜穿孔外，其余病例种植术中及术后均未发生并发症。CBCT复查显示所有病例骨种植体结合良好，治疗效果理想。结论：CBCT随访观察结果显示上颌窦外提升术与上颌窦内提升术均有可靠疗效，是上颌后牙区牙槽骨高度不足时扩大种植适应证的理想术式。 　　【关键词】 锥形束CT； 上颌窦提升； 牙种植 　　The Application of CBCT Assessing Maxillary Sinus Augmentation in Oral Implants/LU Yin，LAN Yu-yan，SHEN Xiao-ling，et al.//Medical Innovation of China，2015，12（34）：005-008 　　【Abstract】 Objective：To discuss the CBCT application perspective of maxillary sinus augmentation in oral implants.Method：54 implants of 42 cases with maxillary sinus inside and outside augmentation implant body in our hospital were selected from March 2011 to May 2013.The follow-up was observed by CBCT in preoperative，immediate postoperative ，after six months and after a year and a half.Result：42 cases of maxillary sinus augmentation were all successful， which during the follow-up without implants off， teeth function well， gum color and morphology no abnormal. In addition there were three cases （two cases used lateral window technique and one used transalveolar technique） intraoperative perforation of the maxillary sinus mucosa， the remaining cases were not planted intraoperative and postoperative complications. CBCT review showed that all cases of bone implant with good and ideal treatment effect.Conclusion：CBCT follow-up study shows that the maxillary sinus augmentation by lateral window technique and transalveolar technique are effective and reliable， which are the ideal dental implant surgical operation expanding indications of the height deficiency maxillary dental alveolar bone. 　　【Key words】 CBCT； Maxillary sinus augmentation； Dental implant 　　First-author’s address：Hospital of Stomatology Sichuan Medical College，Luzhou 646000，Chinia 　　doi：10.3969/j.issn.1674-4985.2015.34.002 　　近年来口腔种植技术发展迅速，除种植修复本身良好的美学性能及使用性能外，传统修复的缺陷如活动义齿的食物嵌塞问