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老年患者微创上颌窦底提升同期种植的临床研究 预览

Clinical Study on Minimally Invasive Maxillary Sinus Elevation with Simultaneous Implantation in Elderly Patients
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摘要 目的:观察微创上颌窦底内提升种植修复在老年患者种植病例中应用的临床效果。方法:选取2016年1月至2018年1月于我科就诊的52例上颌后牙缺失伴严重骨高度不足的病例,考虑老年患者耐受力差的具体情况,缺牙区采用经牙槽嵴顶入路的上颌窦底内提升术,联合应用骨代用品和富血小板纤维蛋白引导骨组织再生,同期植入种植体。结果:经临床研究及随访观察,此种治疗方法的种植修复效果良好,种植体均获得了稳定的骨结合,种植义齿行使功能良好,患者满意。结论:对于老年患者,在严格掌握手术适应症及操作技巧的前提下,可考虑应用微创上颌窦底内提升同期种植的修复方法。 Objective: To observe the clinical effect of minimally invasive maxillary sinus floor elevation with simultaneous implantation in the elderly patients. Methods: Fifty-two cases of maxillary posterior teeth missing with severe bone height insufficiency were selected from January 2016 to January 2018 in our department. Considering the specific situation of poor tolerance of the elderly patients, in the missing tooth area, the maxillary sinus floor elevation via the alveolar ridge crest approach was adopted, and bone substitute and platelet-rich fibrin were combined to guide bone tissue regeneration, and implant was implanted at the same time. Results: Through clinical study and follow-up observation, the implantation repair effect of this treatment method was good. The implants had obtained stable osseointegration, the implant denture had good function, and the patients were satisfied. Conclusion: For the elderly patients, under the premise of strictly mastering the surgical indications and operating skills, the application of minimally invasive maxillary sinus floor elevation and simultaneous implantation can be considered.
作者 于婉琦 杨诗卉 周哲 周延民 赵静辉 YU Wan-qi;YANG Shi-hui;ZHOU Zhe;ZHOU Yan-min;ZHAO Jing-hui(Department of Dental Implantology,School and Hospital of Stomatology,Jilin University,Changchun 130021,China)
出处 《口腔医学研究》 CAS 北大核心 2019年第3期258-261,共4页 Journal of Oral Science Research
基金 吉林省科技发展计划项目(编号:20180101123JC).
关键词 牙种植 上颌窦底提升术 微创 富血小板纤维蛋白 引导骨再生 Dental implant Maxillary sinus elevation Minimal invasive Platelet rich fibrin Guided boneregeneration
作者简介 于婉琦(1993~),女,吉林长春人,硕士在读,主要从事口腔种植学研究;通讯作者:赵静辉,E-mail:zhaojh_1986@126.com.
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