中国实用口腔科杂志

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经侧壁开窗上颌窦底外提升植骨术窦黏膜穿孔及处理

陈波张一凡   

  1. 北京大学口腔医学院·口腔医院种植科,北京100081
  • 出版日期:2018-01-15 发布日期:2018-02-01
  • 作者简介:陈波,医学博士,副主任医师。现就职于北京大学口腔医学院·口腔医院种植科。兼任中华口腔医学会口腔种植专业委员会委员、国际口腔种植学会专家组成员。1993年毕业于北京医科大学口腔系,1998年获得北京大学医学博士学位。曾在瑞典Br?nemark骨结合中心、美国Case Western Reserve University牙科学院及瑞士伯尔尼大学做访问学者。主译《牙周与种植美学成形手术》等专著。

  • Online:2018-01-15 Published:2018-02-01

摘要:

垂直骨量不足是上颌后牙种植的常见问题。上颌窦底提升植骨技术为种植体植入及修复创造了条件,成为上颌后牙区骨量不足的常规骨增量技术。穿牙槽嵴技术(内提升)虽然具有创伤更小、手术时间缩短、并发症更少等优点,但是要求医生具有侧壁开窗上颌窦底提升(外提升)的经验,以便于临床中能够及时安全有效地处理内提升出现的并发症。上颌窦外提升虽可发生术中黏膜穿孔、术后感染等并发症,但经过妥善处理,仍可获得良好的植骨效果和较高的种植体存留率。文章针对上颌窦外提升最常见的黏膜穿孔,针对其发生的风险因素及穿孔处理进行报告,为上颌后牙缺失患者的种植修复治疗提供参考。

关键词: 牙种植, 上颌窦底提升术, 侧壁开窗入路, 并发症, 黏膜穿孔

Abstract:

Vertical bone deficiency is common in the edentulous posterior maxilla. During the last decades,maxillary sinus floor elevation has become a reliable and predictable augmentation technique to facilitate implant placement in the posterior maxilla region with inadequate bone height. Sinus floor elevation by transcrestal approach gained lots of popularity recently due to the advantages such as less trauma,shortened surgical time and less postoperative reaction,but it requires that clinicians have rich experience in lateral window technique in case of handling with the complications of membrane perforation and bleeding,etc. This article discussed the risk factors and management of membrane perforation during sinus floor elevation by lateral window approach.

Key words: dental implants;sinus floor elevation;lateral , window approach;complication;membrane perforation