微创上颌窦外提升与不翻瓣种植联合手术的临床观察

Minimally invasive maxillary sinus ascension and not double disc planting combined surgery clinical observation

目的探讨微创上颌窦外提升与不翻瓣种植联合手术的临床疗效.方法：选择32例上颌后牙区骨量不足的牙列缺损患者,其牙槽骨高度为3.0～5.0 mm,上颌窦外提升术后同期植入45颗种植体,术后10个月完成永久修复.随访12～35个月,采用临床检查和X射线检查观察临床疗效.结果：32例微创上颌窦外提升与不翻瓣种植联合手术顺利,无1例上颌窦黏膜破损,术后10～12个月牙根尖片显示种植体周围有新骨生成.种植修复后随访观察结果显示种植体存留率为100%.结论：微创上颌窦外提升与不翻瓣种植联合手术方法应用于上颌后牙缺失,手术创伤小,术后恢复快,临床效果稳定.

Objective Explore minimally invasive maxillary sinus ascension and plantingthe clinical efficacy of combined surgery, not double disc. Methods： Choice 32 patients withdentition defect beind maxillary dental area in March 2012 to February 2014, alveolar boneheight 3.0-3.0 mm, 45 implanted implants in same period of maxillary sinus ascension, after 10months to complete the permanent repair. Clinical examination and X-ray follow-up observationfor 12-35 months. Results： 32 cases of minimally invasive maxillary sinus combination ofascension and not double disc planting operation smoothly, 1 case of maxillary sinus mucosadamage, after 10~12 months crescent root slices of new bone formation around the implant. After the implantprosthesis follow-up observations, implants saved rate was 100%. Conclusion： Minimally invasive maxillary sinuscombination of ascension and not double disc planting after surgical method applied in maxillary teeth missing, smallsurgical trauma, quicker recovery, clinical effect is stable and satisfaction.