中国实用口腔科杂志

中国实用口腔科杂志 ›› 2024, Vol. 17 ›› Issue (6): 646-650.DOI: 10.19538/j.kq.2024.06.002

• 专题笔谈 • 上一篇    下一篇

上颌磨牙解剖特点及牙槽嵴保存术在上颌磨牙区应用的研究进展

危伊萍a，徐    涛b，张浩筠a，胡文杰a   

  1. 北京大学口腔医学院·口腔医院a牙周科，b急诊科；国家口腔医学中心；国家口腔疾病临床医学研究中心；口腔生物材料和数字诊疗装备国家工程研究中心，北京 100081
  • 出版日期:2024-11-30 发布日期:2024-11-30
  • 通讯作者: 胡文杰
  • 基金资助:
    首都卫生发展科研专项（首发2022-2-4103）；首都临床特色应用研究基金（Z161100000516042）

Progress in the study of anatomical characteristics of maxillary molar teeth and the application of alveolar ridge preservation in maxillary molar region.

  • Online:2024-11-30 Published:2024-11-30

摘要： 上颌磨牙是牙周炎好发牙位，且毗邻上颌窦，在种植治疗时常需进行上颌窦提升术来弥补垂直骨量不足。牙槽嵴保存术是目前研究的热点，上颌磨牙拔除同期行牙槽嵴保存术可减少牙槽骨的吸收及上颌窦气化程度，从而降低种植手术复杂性。文章就上颌磨牙区解剖特点、拔牙窝自然愈合后形态学改变和牙槽嵴保存术效果等做一阐述，以期为临床决策提供参考。

关键词: 上颌磨牙, 拔牙, 牙槽嵴保存术, 种植

Abstract: Maxillary molars are prone to periodontitis and adjacent to maxillary sinus. Maxillary sinus lifting procedure is often required to compensate for the lack of vertical bone in implant therapy. The technology of alveolar ridge preservation is the focus of current research. Simutaneous alveolar ridge preservation during maxillary molar extraction can reduce crestal bone resorption and sinus pneumatization，thus reducing the complexity of implant surgery. In this article，the anatomical characteristics of maxillary molar region，morphological changes in extraction sockets after natural healing and the effect of alveolar ridge preservation were reviewed，so as to provide reference for clinical decision-making.

Key words: maxillary molar, tooth extraction, alveolar ridge preservation, implant