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粘接学术论文Academic papers材料科技与应用ADHESION骨移植材料在上颌窦内提升术同期种植的临床效果分析王宏宇，董世涛，冯建坤，胥阳，张华（承德市口腔医院，承德067000）摘要：文章主要分析不同骨移植材料在上颌窦内提升术同期种植中的临床效果，实验一共分为三种，A组为无植入组，B组为PRF组，C组为骨粉组，一共选择符合要求的30位患者作为实验对象。
实验中使用上颌窦内提升术进行同期种植，分析骨移植材料应用之后的并发症发生情况、新骨获得量、患者术后感受及反应等。
实验结果表明，与无植入组相比，使用骨移植材料具有更好的新骨获得量；PRF作为骨移植材料具有更好的临床效果。
关键词：骨移植材料；上颌窦内提升术；种植中图分类号：R687.3文献标识码：A文章编号：1001-5922（2021）03-0060-04 Clinical Effect Analysis of Bone Graft Materials in Maxillary Sinus Elevation Surgery with Simultaneous ImplantationWang Hongyu，Dong Shitao，Feng Jiankun，Xu Yang，Zhang Hua（Chengde Stomatological Hospital,Chengde067000,China）Abstract：This paper mainly analyzes the clinical effect of different bone graft materials in maxillary sinus eleva⁃tion surgery with simultaneous implantation.The experiment is divided into three kinds,group A is no implantation group,group B is PRF group,and group C is bone meal group.A total of30patients who meet the requirements are selected as experimental subjects.In the experiment,maxillary sinus elevation was used for simultaneous implanta⁃tion,and the complications after the application of bone graft materials,the amount of new bone acquisition,postop⁃erative feelings and reactions of the patients were analyzed.The experimental results show that compared with the non implantation group,the use of bone graft material has a better amount of new bone;PRF as a bone graft materi⁃al has better clinical effect.Key words：bone graft material;maxillary sinus elevation;implant老年种植牙患者人数不断上升，传统的治疗方式成功率较低，为了解决该问题，有学者提出了一种上颌窦提升术，该方式能够有效提高种植成功率，而且提高了手术的安全性[1]。
上颌窦底水囊冲压内提升同期种植修复单牙缺失36例临床观察宁晔;康林;陆钰;胡芳芳;吴海珍【摘要】Objective:To evaluate the clinical effects of the dental implantation using water sac stamping technique in maxillary sinus floor lifting in the repair of single-tooth loss. Methods:Thirty-six teeth were implanted in 36 patients with single-tooth loss complicated with 3. 0 to 7.0 mm of height of alveolar crest in edentulous area using the flapless dental implantation combined with water sac stamping technique. All patients were regularly followed up after the surgery. The stability of the implant and condition of peri-implant tissues were observed.Results:During the 1-year period of following up,all implants were stable,no inflammation of the sinus were found. The soft tissue around the implants were healthy,the combination of dental implant and bone is good,and the height of maxillary sinus lifting bone is stabile. Conclusions:The short-term clinical effects of the dental implantation using water sac stamping technique in maxillary sinus floor lifting is ideal.%目的：：评价水囊冲压技术在上颌窦内提升同期种植修复单牙缺失的临床应用疗效。
中国口腔种植学杂志2012年第17卷第2期上颌窦内提升术种植修复上颌后牙缺失的临床观察刘薇丽张秋霞瞒要l目的：评价上颌窦内提升术并同期植入种植体在上颌后牙区缺失修复中的应用效果．方法：2008年至2010年共完成上颌窭内提升术并同期植入种植体临床病例20例。
男12例，女8例，年龄18—65岁。
术前cT示：牙槽嵴顶至上颌窦底距离为5-8ram，行上颌窦内提升术，平均提升上颌窦底高度3．8t ar a(2—5r am)，共植入38枚种植体，种植体植入6个月后完成义齿修复。
结果：所有患者术后未出现上颌窦炎症，一例术中窦膜穿孔，将种植窝放入明胶海绵，同期植入种植体完成种植手术，术后3天术区疼痛，无其他明显症状。
38枚种植体平均负载18个月，种植体稳定，行使功能良好，未见明显骨吸收。
结论：对于骨高度不足的患者，行上颌窦内提升术，并同期植入种植体的方法可靠，具有好的疗效，可扩大种植牙的适应症范围。
【关键{鄙I上颌窦内提升术；种植体中图分类号：R78I文章标识码：A文章编号：1007—3957(2012)02—80—3▲l●●■-l i t●●●1■●●一A C l l nl C aI obs er va t l on0I m aX l l I ar V Sl nU S1100r’‘‘‘’‘’●‘‘1●●el evat i on w i t h i m pl ant r epai r pos t er i or t e et h m l s s l ngL I U W e i l i，Z H A N G Q ui xi aSt om at ol ogi cal of Z hengz hou Peopl e3H osp i t al,H e nan Z hengz hou450000,C hi naA bst r actO bj ect i ve：T o e va l ua t e t he cl i ni c al ef f e ct s of m axi l l a ry si nus fl oor el e vat i on w i t h i m pl ant r epa i r post er i or t e et h m i ssi ng．M et hod：A t ot al of20pa t i ent s under w ent m axi l l a ry s i nus f l o or el evat i on f r om J anuar y2008t o J anuar y2010，12m en and8w om en bet w ee n t he a ge of18and65，w er e se l ect e d．A l l t he pa t i ent s w i t n5-8m m hei ght of r esi dual bone i n t he post er i or m axi l l a under w ent si nus f l o or el evat i on and38i m pl ant pl acem en t．T he el evat i on hei ght w a s2-5m m．A f t e r3m ont hs，heal i ng abut m ent s w er e connect ed and t he f i nal prost hes es w er e r est ore d3m ont hs l at er．R es ul t s：no s i nus com pl i cat i o n W a S t ak en dur i ng t he f ol l ow up．O ne caSes had det ec t abl e s chnei d er i an m e m br a ne pe rf or at i on dur i ng oper a—t i o n pr ocedur e，and t he m e m br a ne pe r f or at i ons w er e r epai r ed w i t h ge l at i n s ponge．N o i m pl ant l ost w a s obs erved dur i ng t he f ol l ow-up．A l l t he pa t i e nt s w er e sat i sf i ed w i t h t he f i n al pros t heses．C oncl us i ons：ne t echni q ue of m axi l l ar y s i nus f l o or el evat i on and i m m edi at e de nt al i m pl ant at i on al so has sa t i sf a ct o r yt he ra pe ut i c ef fect．ne i ndi ca t i on of de nt ali m pl a nt a t i on canbe ext ended r em a r kabl y．K ey w ords：s i n us fl oor el evat i on；dent a l i m pl ant at i on据研究统计，在接受种植治疗的患者中，近l，2存在种植区域骨高度不足的问题i l l。
Science &Technology Vision 科技视界1Material and Methods1.1Instruments and equipmentPlanter Traus XIP10（Korean SAESHIN Company ），W&H 20：1Light Source Mobile Phone (Australian W&H Company)，Disc Drill(Manufacture by self ），Stoma D100Osteotome(German Stoma Company ），Osstem GS-II Implant System (Korean OSSTEM Company ），TianbochiguHydroxyapatite Bio ceramics (Beijing Yihuajiankemao Co,Ltd.），OsstellResonance frequency analyzer (Sweden Biolin Technology Ltd ），Calipersand Dental Caliper(Korean OSSTEM Company ），Kadak 2200Oral X-rayMachine(American Kadak Company).1.2Experimental animals and grouping1.2.1Experimental animals choosing30fresh skulls of adult goats (provided by Qingdao Wanfu GroupCo.,Ltd.),male or female ，36-48Months of age ，requires a completemaxillary dentition ，no maxillary sinus disease ，saved in 4℃refrigeratorafter killed ，and be experimented within 24hours1.2.2Experimental animals groupingThirty fresh skulls of adult goats were chosen and numberedrandomly.We conduct maxillary sinus floor elevation on the bilateralmaxillae,totally 180implants.One side of the skulls was randomlychosen as the experimental side,on which the Disk -up Sinus Reamerwas used,while the other side was the control side,on which theosteotome was used.Then all the implantation sites were divided intothree groups according to the elevation height.Group A ：at the height of 3mm ，totally 60implants on the bilateralmaxillae ；Position ：The third premolars of odd number samples the secondmolars of even number samples ；Group B ：at the height of 5mm ，totally 60implants on the bilateralmaxillae ；Position ：The second molars of odd samples the third premolars of even number samples ；Group C ：at the height of 8mm ，totally 60implants on the bilateralmaxillae;Position ：Outside wall of the maxillary sinus in all samples corresponds to the first molars.1.3Experimental methods1.3.1Making tissue sectionsCutting sinus membrane about 5.0mm ×5.0mm that away from theelevation site in the maxillary sinus sample,and same size of human themaxillary sinus membrane (provided by Affiliated Hospital of QingdaoUniversity,Oral and Maxillofacial Surgery),make tissue sections as usualmethods.1.3.2Maxillary sinus floor elevation（1）The experimental side 1)Successively to use pioneer drills and reamers in diameter of 2mm,3mm,and 3.5mm,and make preparation at a safe distance of 1-2mm fromthe maxillary sinus floor step by step at the sped of 1200RPM.2)Use the disk-up sinus reamer (Φ4.0mm)smaller than the implantat diameter of 1mm to drill to the maxillary sinus floor,to cut the sinusfloor into dissociative disciform bone e depth gauge todetermine the depth of drilling and then push up 3mm at the speed of 20RPM carefully.3)When the desired elevation height is higher than 3mm put theartificial bone into the implant fossa,until it is filled.Still use the disk-up sinus reamer (Φ4.0mm)to push up at the speed of 20RPM toelevating the maxillary sinu floor membrane;the process of implantingbone and enhancing is repeated in the rate of 1-2mm each time,finallyraised to the desired height.4)Use the disk-up sinus reamer (Φ4.0mm)smaller than the implantat diameter of 0.5mm as the ending reamer to elevate the floor to thepredetermined height.（2）The control side1)Insert the NO.1Stoma Osteotome (Φ2.2-2.7mm)into the fossa anduse hammer gently tap the sinus floor into fracture until a sense of hollow.Use the Stoma Osteotome of NO.2(Φ2.7-3.2mm ）、NO.3（Φ3.2-3.7mm ）、NO.4（Φ3.7-4.2mm ）to tap upward step by step at 1mm each time.2)When the desired elevation height higher than 3mm,put the盘钻法行上颌窦内提升同期种植体植入的实验研究李鹏程赵保东(青岛大学附属医院东区口腔科,山东青岛266000)【摘要】目的：本实验以建立动物模型的方法，比较和评估盘钻法与冲顶式行上颌窦内提升牙种植的效果，探求盘钻法行上颌窦内提升的可行性及优势，为其应用于临床提供理论依据。
