上海口腔医学

上海口腔医学 ›› 2023, Vol. 32 ›› Issue (1): 101-104.doi: 10.19439/j.sjos.2023.01.019

• 论著 • 上一篇    下一篇

植骨与否对上颌窦底内提升同期种植术临床疗效的影响

胡宁1,2, 李凤丹1,2, 江银华2   

  1. 1.浙江中医药大学 口腔医学院,浙江 杭州 310053;
    2.温州医科大学附属第六医院,丽水市人民医院 口腔科,浙江 丽水 323000
  • 收稿日期:2022-09-21 修回日期:2022-11-14 出版日期:2023-02-25 发布日期:2023-06-12
  • 通讯作者: 江银华,E-mail: lsjyh1111@sina.com
  • 作者简介:胡宁（1996-）,女,在读硕士研究生,E-mail: 895726880@qq.com
  • 基金资助:
    公益性技术应用研究项目（2019GYX29）

Clinical effect of simultaneous implantation and maxillary sinus floor elevation with or without bone graft

HU Ning1,2, LI Feng-dan1,2, JIANG Yin-hua2   

  1. 1. School of Stomatology, Zhejiang Chinese Medical University. Hangzhou 310053;
    2. Department of Stomatology, Lishui People's Hospital & The Sixth Affiliated Hospital of Wenzhou Medical University. Lishui 323000, Zhejiang Province, China
  • Received:2022-09-21 Revised:2022-11-14 Online:2023-02-25 Published:2023-06-12

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摘要： 目的: 探讨上颌窦底内提升后植骨与不植骨术后6个月上颌窦成骨效果及种植体稳定性的差异。方法: 选择2019年12月—2021年12月于丽水市人民医院行上颌窦底内提升及同期种植的患者150例,按植骨与否分为A组（上颌窦底内提升+植骨）与B组（上颌窦底内提升+不植骨）,测量分析患者术前、术后CBCT资料及种植体稳定性,比较2组患者临床疗效是否存在差异。采用SPSS 25.0软件包对数据进行统计学分析。结果: 共植入199颗种植体。术后1年,A组种植体存留率为97.6%,B组为95.7%,2组之间无显著差异（P>0.05）。术前剩余牙槽骨高度（residual bone height,RBH）及灰度值（HU）在A组与B组之间无显著差异（P>0.05）,术后6个月上颌窦内成骨高度（sinus bone gain,SBG）及HU在2组之间无显著差异（P>0.05）。术后即刻及术后6个月的ISQ值2组之间无显著差异（P>0.05）。结论: 在RBH为3~8 mm且计划提升高度为3~4 mm的病例中,植骨与否在上颌窦底内提升术同期种植患者中对种植体的存留率及稳定性影响不大。

关键词: 上颌窦底内提升术, 不植骨, 种植体稳定性

Abstract: PURPOSE: To investigate the difference of osteogenic effect and stability of maxillary sinus implants 6 months after maxillary sinus elevation with or without bone grafting. METHODS: A total of 150 patients with maxillary sinus floor lift and simultaneous implantation in Lishui People's Hospital from December 2019 to December 2021 were divided into group A (internal maxillary sinus lift + bone grafting) and group B (internal lift without bone grafting). Preoperative and postoperative CBCT data and implant stability of all patients were measured and analyzed to compare whether there were differences in clinical efficacy between the two groups. SPSS 25.0 software package was used for data analysis. RESULTS: A total of 199 implants were implanted, the implant retention rate was 97.6% in group A and 95.7% in group B one year after surgery, with no significant difference between the two groups(P>0.05). There was no significant difference in residual bone height(RBH) and gray scale value (HU) between the two groups before and 6 months after operation (P>0.05). There was no significant difference in ISQ value between the two groups during operation and 6 months after operation(P>0.05). CONCLUSIONS: In cases with the remaining alveolar bone height of 3~8 mm and the planned lifting height of 3~4 mm, maxillary sinus floor lifting procedure achieved good clinical results in both groups with or without bone grafting, which indicated that bone grafting had little effect on retention rate and stability of the implants.

Key words: Maxillary sinus floor lift, No bone grafting, Implant stability

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