评估引导上颌外侧窦提升术与同时种植体放置立体骨成像手术指南:一项随机对照临床研究。

IF 1.7 Q3 DENTISTRY, ORAL SURGERY & MEDICINE
Wael Hussein, Ahmed Younis, Ahmad Elrawdy, Mohamed ElSholkamy
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引用次数: 0

摘要

目的:本研究的目的是评估立体骨成像手术指南在减少侧窦提升术中及术后并发症方面的效果。材料与方法:采用平行随机对照前瞻性临床研究,对14例诊断为垂直骨高度降低,需要在后上颌种植30颗牙的患者进行研究。所有患者均行上颌外侧窦提升术并同时植入种植体。研究组采用侧窗截骨和种植体钻孔放置的立体骨成像手术指南,对照组采用徒手进行侧窗截骨和种植体钻孔放置。在鼻窦提升6个月后立即进行锥形束计算机断层扫描。评估术中及术后并发症,使用视觉模拟量表评估疼痛和水肿,使用锥束计算机断层融合模块评估垂直骨。结果:所有种植体的成活率均较高,术中及术后并发症无统计学差异。在垂直骨生长方面,两组均表现出满意和成功的结果。在疼痛方面,两组间差异无统计学意义,但两天后,研究组疼痛评分低于对照组,差异有统计学意义。而在水肿的严重程度上,研究组中重度水肿的患病率高于对照组,对照组轻度水肿的患病率高于对照组,有统计学意义。结论:根据目前的研究,两种方法的结果没有显著差异。研究方案及其同意书经苏伊士运河大学伦理委员会批准(No.432/2021);并于2024年4月23日在PACTR上回顾性注册(PACTR20240875463218) (PACTR .samrc.ac.za/TrialDisplay.aspx?TrialID = 30442)。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Assessment of guided lateral maxillary sinus lift procedure with simultaneous implant placement using stereolithographic surgical guide: a randomized controlled clinical study.

Aim: The aim of this study is to assess the efficacy of the stereolithographic surgical guide in reducing intraoperative and postoperative complication during lateral sinus lift operation.

Materials and methods: A parallel randomized controlled prospective clinical study was conducted on fourteen patients requiring thirty dental implants in the posterior maxilla and diagnosed with reduced vertical bone height. Lateral Maxillary Sinus Lift procedure with simultaneous implant placement was performed to all patients. Stereolithographic surgical guides for lateral window osteotomy and implant drilling and placement were used in the study group, while lateral osteotomy and implant drilling and placement was done freehand in the control group. A cone beam computed tomography was taken immediately and six months post-sinus lifting. Intraoperative and postoperative complications were assessed, pain and edema were assessed using visual analogue scale and vertical bone was assessed using fusion module of cone beam computed tomography.

Results: All dental implants demonstrated high survival rates with no statistically significant difference observed in intraoperative or postoperative complications. In terms of new vertical bone gain, both groups exhibited satisfactory and successful outcomes. Concerning pain, there was no statistically significant difference between the two groups except after two days, the study group showed statistically significantly lower pain score than the control group. While regarding the severity of edema, the study group showed statistically significantly higher prevalence of moderate and severe edema than control group which showed higher prevalence of mild edema.

Conclusion: According to the current study it has been concluded that there was no remarkable difference between the outcomes of both methods. The study protocol and its consent form were approved by the ethical committee of Suez Canal University (No.432/2021); and registered retrospectively on 23 April 2024 on PACTR (PACTR20240875463218) (pactr.samrc.ac.za/TrialDisplay.aspx?TrialID = 30442).

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来源期刊
Oral and Maxillofacial Surgery-Heidelberg
Oral and Maxillofacial Surgery-Heidelberg DENTISTRY, ORAL SURGERY & MEDICINE-
CiteScore
3.20
自引率
5.60%
发文量
118
期刊介绍: Oral & Maxillofacial Surgery founded as Mund-, Kiefer- und Gesichtschirurgie is a peer-reviewed online journal. It is designed for clinicians as well as researchers.The quarterly journal offers comprehensive coverage of new techniques, important developments and innovative ideas in oral and maxillofacial surgery and interdisciplinary aspects of cranial, facial and oral diseases and their management. The journal publishes papers of the highest scientific merit and widest possible scope on work in oral and maxillofacial surgery as well as supporting specialties. Practice-oriented articles help improve the methods used in oral and maxillofacial surgery.Every aspect of oral and maxillofacial surgery is fully covered through a range of invited review articles, clinical and research articles, technical notes, abstracts, and case reports. Specific topics are: aesthetic facial surgery, clinical pathology, computer-assisted surgery, congenital and craniofacial deformities, dentoalveolar surgery, head and neck oncology, implant dentistry, oral medicine, orthognathic surgery, reconstructive surgery, skull base surgery, TMJ and trauma.Time-limited reviewing and electronic processing allow to publish articles as fast as possible. Accepted articles are rapidly accessible online.Clinical studies submitted for publication have to include a declaration that they have been approved by an ethical committee according to the World Medical Association Declaration of Helsinki 1964 (last amendment during the 52nd World Medical Association General Assembly, Edinburgh, Scotland, October 2000). Experimental animal studies have to be carried out according to the principles of laboratory animal care (NIH publication No 86-23, revised 1985).
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