垂直骨增加后窦提升和同时种植体植入骨密度：回顾性研究

IF 3.7 2区医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE

Clinical Implant Dentistry and Related Research Pub Date : 2025-03-25 DOI:10.1111/cid.13430

Cássio Cardona Orth, Robert Carvalho da Silva, Guilherme Paes de Barros Carrilho, Paulo Fernando Mesquita de Carvalho, Julio Cesar Joly, Alex Nogueira Haas

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引用次数: 0

摘要

目的探讨窦底抬高（SFE）合并骨密度（OD）术后骨高度增加（BHG）的情况。材料与方法选取某种植学学习中心的上颌后牙缺失1颗且残骨高度（RBH）不足的患者。使用Densah钻头进行SFE同时植入。采用脱矿牛骨矿物、羟基磷灰石+β-TCP、磷酸硅酸钙和自体白斑纤维蛋白作为移植物材料。BHG通过从初始骨高度减去种植体长度获得。结果144例患者中有4.8%发生窦膜穿孔。137例患者被分析为BHG。RBH = 5.4±1.8 mm， 5 mm 42例（30.7%）。平均种植体长度（AIL）为8.8±1.1 mm，平均BHG为3.4±1.7 mm。rbh5 mm（5.23±1.45 mm）组BHG明显高于≥5 mm（2.62±1.15 mm）组（p < 0.001）。第一磨牙（3.70±1.72）增加较多。种植体品牌和种植体类型对BHG无影响。骨融合6个月后，种植体成活率达97%。结论使用多种种植体品牌和类型的骨替代物，采用OD同时放置种植体治疗SFE是有效的，可获得临床相关的BHG，足够的AIL，并发症发生率低。

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Vertical Bone Gain Post-Sinus Lifting and Simultaneous Implant Placement With Osseodensification: A Retrospective Study

Objective

To determine the bone height gain (BHG) achieved after sinus floor elevation (SFE) with osseodensification (OD).

Materials and Methods

Patients from an implantology learning center presenting one missing teeth in the posterior maxilla and insufficient residual bone height (RBH) were included. SFE with simultaneous implant placement was performed using Densah drills. Demineralized bovine bone mineral, hydroxyapatite+β-TCP, calcium phosphosilicate, and autologous leukoplakelet fibrin were used as graft biomaterials. BHG was obtained by subtracting the implant length from the initial bone height.

Results

Sinus membrane perforation occurred in 4.8% of 144 cases. One hundred and thirty-seven patients were analyzed for BHG. RBH equaled 5.4 ± 1.8 mm, with 42 (30.7%) cases having < 5 mm. The average implant length (AIL) was 8.8 ± 1.1 mm, resulting in a mean BHG of 3.4 ± 1.7 mm. BHG was significantly higher in cases with RBH < 5 mm (5.23 ± 1.45 mm) than ≥ 5 mm (2.62 ± 1.15 mm) (p < 0.001). Greater gains were observed in first molars (3.70 ± 1.72). Implant brand and graft type did not influence BHG. The survival rate of the implants reached 97% after 6 months of osseointegration.

Conclusions

OD with simultaneous implant placement was effective for SFE, applying a variety of implant brands and type of bone substitute, resulting in clinically relevant BHG, adequate AIL, and low complication rates.

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来源期刊

Clinical Implant Dentistry and Related Research 医学-牙科与口腔外科

CiteScore

6.00

自引率

13.90%

发文量

103

审稿时长

4-8 weeks

期刊介绍： The goal of Clinical Implant Dentistry and Related Research is to advance the scientific and technical aspects relating to dental implants and related scientific subjects. Dissemination of new and evolving information related to dental implants and the related science is the primary goal of our journal. The range of topics covered by the journals will include but be not limited to: New scientific developments relating to bone Implant surfaces and their relationship to the surrounding tissues Computer aided implant designs Computer aided prosthetic designs Immediate implant loading Immediate implant placement Materials relating to bone induction and conduction New surgical methods relating to implant placement New materials and methods relating to implant restorations Methods for determining implant stability A primary focus of the journal is publication of evidenced based articles evaluating to new dental implants, techniques and multicenter studies evaluating these treatments. In addition basic science research relating to wound healing and osseointegration will be an important focus for the journal.