可吸收珊瑚羟基磷灰石在上颌窦底内提升中临床应用.docVIP

可吸收珊瑚羟基磷灰石在上颌窦底内提升中临床应用 　　[摘要]目的：评价使用可吸收珊瑚羟基磷灰石行上颌窦底内提升植骨同期植入种植体的临床效果。方法：12例上颌后牙缺失患者，上颌窦底剩余牙槽骨骨量为4～7mm（平均5.08mm），采用牙槽嵴顶入路上颌窦底内提升，植入可吸收珊瑚羟基磷灰石，同期植入德国Ankylos种植体12枚，术后6个月行上部结构修复，随访12个月。结果：术中无1例上颌窦黏膜破裂，术后局部伤口疼痛和头痛等2例，鼻腔出血1例，有3枚种植体在骨整合期脱落，脱落5个月后均重新种植成功，12颗种植体平均上颌窦底提升高度为7.36mm（5.4～11.2mm），植骨术后6个月上颌窦底形态均会有明显的骨改建，成骨效果良好。结论：与开窗式上颌窦外提升相比，上颌窦底内提升植骨手术创伤小，成骨快，可有效解决上颌后部牙槽骨高度严重不足的牙种植问题。 　　[关键词]上颌窦底内提升；牙种植；可吸收珊瑚羟基磷灰石 　　[中图分类号]R782.12 [文献标志码]A [文章编号]1008-6455（2015）11-0038-04 　　Abstract： Objective To evaluate the clinical value of coralline hydroxyapatite for Osteotome Sinus Floor Elevation（OSFE） with simultaneous implantation. Methods 12 cases with maxillary posterior tooth loss were underwent Osteotome Sinus Floor Elevation（OSFE） with simultaneous implant placement，whose height of residual alveolar bone were 4.0-7.0mm（mean 5.08mm）.The coralline hydroxyapatite was inserted into the sinus floor during the procedure.Restoration of upper structure was constructed after 6 months.Follow-up period remained 12 months. Results Twelve implants were inserted in 12 cases，the mean elevated sinus membrane height was 7.36mm（5.4-11.2mm）.Three implants failed to osseointegrate and lost within 4 months，these failed cases were reimplanted successfully after 5 months.the main complications were postoperative headache and nasal bleeding，but the symptoms disappeared after antibiotic therapy.The grafting materials inside the floor of sinus was remodeled obviously after 6 months of operation and the Schneiderian membrane was well retained above the implant apex. Conclusion Osteotome Sinus Floor Elevation（OSFE）in combination with coralline hydroxyapatite is a less invasive procedure than the lateral window elevation technique.the simultaneous placement of implants using the OSFE is a feasible treatment option for patients with inadequate vertical dimension in the posterior maxillary region. 　　Key words：osteotome sinus floor elevation；dental implantation；coralline hydroxyapatite 　　上颌窦内提升技术是解决上颌窦窦底垂直骨