牙周炎患者行冲压式上颌窦底提升种植术的临床疗效观察

上海口腔医学 ›› 2013, Vol. 22 ›› Issue (4): 423-427.

牙周炎患者行冲压式上颌窦底提升种植术的临床疗效观察

张运昕，李超伦，束蓉，谢玉峰，刘晓峰，刘大力

(上海交通大学医学院附属第九人民医院?口腔医学院牙周病科，上海市口腔医学重点实验室，上海 200011)

收稿日期:2012-09-19 修回日期:2012-11-30 出版日期:2013-08-10 发布日期:2013-08-10
通讯作者: 束蓉，Tel：021-23271699-5700，E-mail:shurong123@hotmail.com
作者简介:张运昕(1983-)，女，硕士，住院医师，E-mail:noraxinqing@126.com
基金资助:
上海市卫生局青年基金(2011Y73)

A clinical study of osteotome sinus floor elevation and simultaneous implant placement in the periodontally compromised patients

ZHANG Yun-xin,LI Chao-lun,SHU Rong,XIE Yu-feng, LIU Xiao-feng, LIU Da-li

Department of Periodontology, Ninth People’s Hospital, College of Stomatology, Shanghai Jiao Tong University School of Medicine; Shanghai Key Laboratory of Stomatology. Shanghai 200011, China

Received:2012-09-19 Revised:2012-11-30 Online:2013-08-10 Published:2013-08-10
Supported by:
Supported by Youth Research Fund of Shanghai Municipal Bureau of Health(2011Y73).

摘要/Abstract

摘要： 目的：评价冲压式上颌窦底提升术同期植入种植体修复中、重度慢性牙周炎患者上颌后牙缺失骨量不足的临床疗效。方法：选择中、重度慢性牙周炎伴上颌后牙缺失患者35例，剩余牙槽骨高度平均(5.95±1.19)mm。采用经牙槽突进路上颌窦底提升术不植骨同期植入Straumanns??ǎ植体47颗，分别于3~6个月后行上部修复，随访期为6~30个月，通过影像学及临床PD、PLI、BOP等评价指标，评价种植体修复后的临床疗效。结果：观察期内种植体的留存率为95.74%，45颗种植体成功负载，种植体稳定，骨结合良好。术中2颗种植体发生上颌窦黏膜破裂，穿孔率为4.26%。随访期内，种植体周围组织状况良好，PD平均为(3.22±1.07)mm，平均累积边缘骨丧失为(1.38±0.59)mm。结论：对中、重度慢性牙周炎患者，冲压式上颌窦底提升不植骨同期牙种植术能有效修复上颌后牙区骨高度不足的牙缺失，短期疗效可靠，长期疗效需进一步观察。

关键词: 冲压式上颌窦底提升, 不植骨, 牙周炎, 骨增量, 种植牙

Abstract: PURPOSE: To study the clinical effect of osteotome sinus floor elevation (OSFE) combined with simultaneous implant placement in the treatment of edentulous posterior maxilla subject to insufficient bone height in the periodontally compromised patients. METHODS: Forty-seven Straumanns implants were placed in the posterior maxilla in 35 patients with the procedure of OSFE. The final prostheses were restored after 3 to 6 months. The follow-up period was 6 to 30 months. Radiographs were taken and PD, PLI, BOP were measured and analyzed. RESULTS: The overall survival rate was 95.74% during the study period. Forty-five out of the 47 implants were clinically stable and loaded without pain or any subjective sensation. The perforation ratio of the membrane was 4.26%. The average of PD around the implants was (3.22±1.07) mm. The average of the marginal bone loss was (1.38±0.59) mm. CONCLUSIONS: OSFE without bone graft proves to be an effective and predictable treatment for atrophic edentulous posterior maxillary region in patients with periodontitis, but the long-term effect needs further observation.

Key words: Osteotome sinus floor elevation, Without bone graft, Periodontitis, Bone augmentation, Dental implant

中图分类号:

R781.4

张运昕, 李超伦, 束蓉, 谢玉峰, 刘晓峰, 刘大力. 牙周炎患者行冲压式上颌窦底提升种植术的临床疗效观察[J]. 上海口腔医学, 2013, 22(4): 423-427.

ZHANG Yun-xin, LI Chao-lun, SHU Rong, XIE Yu-feng, LIU Xiao-feng, LIU Da-li. A clinical study of osteotome sinus floor elevation and simultaneous implant placement in the periodontally compromised patients[J]. Shanghai Journal of Stomatology, 2013, 22(4): 423-427.

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