Abstract:

Oroantral perforation is one of the most common complications of extraction of teeth. If the perforation is not detected or treated improperly，it will lead to serious consequences，such as maxillary sinus fistula and maxillary sinusitis. At present，the treatment for oroantral perforation is mainly divided into surgical treatment and non-surgical treatment. With the deepening of the concept of minimal invasion and the development of biomaterials，the use of biological materials for filling and other non-surgical methods in the treatment of oroantral perforation have been more and more widely promoted. At present，the filling materials used in the treatment of oroantral perforation include：nonabsorbable material，absorbable material and blood material. This review will introduce the clinical data of filling materials for oroantral perforation，to provide reference for the treatment of oroantral perforation.

Key words: oroantral perforation, filling materials, platelet-rich fibrin, concentrate growth factors

摘要：

上颌窦穿孔是牙拔除术中较为常见的一类并发症，一旦穿孔未及时发现或处理不当会导致上颌窦瘘、上颌窦炎等严重后果。目前上颌窦穿孔临床处理主要分为手术治疗和非手术治疗，但手术治疗一般需要专业的口腔颌面外科医生进行操作。随着微创化理念的深入及生物材料的开发，用生物材料填充等非手术方法治疗上颌窦穿孔在临床上得到了越来越广泛的推广，该方法操作简单，易于掌握。目前临床上用于治疗上颌窦穿孔的充填材料包括不可吸收类材料和可吸收类材料，文章将对目前临床上用于上颌窦穿孔后充填材料进行回顾，以期为临床上颌窦穿孔的处理提供参考。

关键词: 上颌窦穿孔, 填充材料, 富血小板纤维蛋白, PRF, 浓缩生长因子, CGF