经牙槽嵴顶上颌窦底提升术的应用研究进展
|
摘要
上颌后牙区由于其缺牙后骨高度往往发生较多吸收且骨密度较低,种植牙时常需要进行上颌窦底提升术。传统观点认为剩余骨高度是影响提升术式的重要因素,经牙槽嵴顶的上颌窦底提升术被认为只能用于剩余骨高度大于4~5 mm的患者中。然而,近年来不断有学者挑战嵴顶提升的剩余骨高度的极限,通过外科器械的改良、临床技术的提高以及先进仪器的使用,使剩余骨高度不再被认为是决定侧壁提升与嵴顶提升的主要条件。本文通过对近年来文献的回顾以及笔者临床操作的感悟,对在重度吸收的上颌后牙区运用经牙槽嵴顶上颌窦底提升术的方法改良进展、操作技巧等方面进行述评。
Transcrestal sinus floor augmentation applied for severely atrophic maxilla sinus floor augmentation is fre-quently performed because of posterior maxilla resorption and low bone density. The traditional perspective is that theresidual bone height is a main factor influencing the selection of the augmentation technique and the transcrestal tech-nique can only be used when the residual bone height is more than 4-5 mm. However, many researchers have used thistechnique with lower bone heights because of the development of better surgical instruments and clinical skills. Basedon the review of the literature in recent years and the author′s understanding of clinical operation, this paper reviewsthe improvement progress and operation skills of the application of transalveolar ridge top maxillary sinus lift in the se-verely absorbed maxillary posterior tooth area.
Transcrestal sinus floor augmentation applied for severely atrophic maxilla sinus floor augmentation is fre-quently performed because of posterior maxilla resorption and low bone density. The traditional perspective is that theresidual bone height is a main factor influencing the selection of the augmentation technique and the transcrestal tech-nique can only be used when the residual bone height is more than 4-5 mm. However, many researchers have used thistechnique with lower bone heights because of the development of better surgical instruments and clinical skills. Basedon the review of the literature in recent years and the author′s understanding of clinical operation, this paper reviewsthe improvement progress and operation skills of the application of transalveolar ridge top maxillary sinus lift in the se-verely absorbed maxillary posterior tooth area.
引文
[1]Pjetursson BE,Lang NP.Sinus floor elevation utilizing the transalveolar approach[J].Periodontol 2000,2014,66(1):59-71.
[2]Nedir R,Nurdin N,El Hage M,et al.Osteotome sinus floor elevation procedure for first molar single-gap implant rehabilitation:a case series[J].Implant Dent,2014,23(6):760-767.
[3]Shanbhag S,Karnik P,Shirke PA.Cone-beam computed tomographic analysis of sinus membrane thickness,ostium patency,and residual ridge heights in the posterior maxilla:implications for sinus floor elevation[J].Clin Oral Implants Res,2014,25(6):755-760.
[4]Seong WJ,Barczak M,Jung J,et al.Prevalence of sinus augmentation associated with maxillary posterior implants[J].J Oral Implantol,2013,39(6):680-688.
[5]Starch-Jensen T,Jensen JD.Maxillary sinus floor augmentation:a review of selected treatment modalities[J].J Oral Maxillofac Res,2017,8(3):1-13.
[6]Tatum H Jr.Maxillary and sinus implant reconstructions[J].Dent Clin North Am,1986,30:207-229.
[7]Stacchi C,Vercellotti T,Toschetti A,et al.Intraoperative complications during sinus floor elevationusing two different ultrasonic approaches:a twocenter,randomized,controlled clinical trial[J].Clin Implant Dent Relat Res,2015,17(1):117-125.
[8]满毅,袁珊珊,赵磊,等.上颌窦提升术的历史、现状和发展[J].国际口腔医学杂志,2014,41(6):621-627.
[9]Summers RB.A new concept in maxillary implant surgery:the osteotome technique[J].Compendium,1994,15(2):152,154.
[10]Qian SJ,Gu YX,Mo JJ,et al.Resonance frequency analysis of implants placed with osteotome sinus floor elevation in posterior maxillae[J].Clin Oral Implants Res,2016,27(1):113-119.
[11]Tan WC,Lang NP,Zwahlen M,et al.A systematic review of the success of sinus floor elevation and survival of implants inserted in combination with sinus floor elevation.Part II:transalveolar technique[J].J Clin Periodontol,2008,35(8 Suppl):241-254.
[12]Al-Dajani M.Recent trends in sinus lift surgery and their clinical implications[J].Clin Implant Dent Relat Res,2016,18(1):204-212.
[13]Si MS,Shou YW,Shi YT,et al.Long-term outcomes of osteotome sinus floor elevation without bone grafts:a clinical retrospective study of 4-9 years[J].Clin Oral Implants Res,2016,27(11):1392-1400.
[14]Calin C,Petre A,Drafta S.Osteotome-Mediated sinus floor elevation:a systematic review and meta-analysis[J].Inter J Oral Maxillo Implants,2014,29(3):558-576.
[15]Zill A,Precht C,Beck-Broichsitter B,et al.Implants inserted with graftless osteotome sinus floor elevation-A 5-year post-loading retrospective study[J].Eur J Oral Implantol,2016,9(3):277-289.
[16]Kanayama T,Horii K,Senga Y,et al.Crestal approach to sinus floor elevation for atrophic maxilla using platelet-rich fibrin as the only grafting material:a 1-year prospective study[J].Implant Dent,2016,25(1):32-38.
[17]Sul SH,Choi BH,Li JX,et al.Effects of sinus membrane elevation on bone formation around implants placed in the maxillary sinus cavity:an experimental study[J].Oral Sur Oral Med Oral Pathol Oral Radiol Endod,2008,105(6):684-687.
[18]Winter AA,Pollack AS,Odrich RB.Placement of implants in the severely atrophic posterior maxilla using localized management of the sinus floor:a preliminary study[J].Int J Oral Maxillofac Implants,2002,17(5):687-695.
[19]Gonzalez S,Tuan MC,Ahn KM,et al.Crestal approach for maxillary sinus augmentation in patients with≤4 mm of residual alveolar bone[J].Clin Implant Dent Relat Res,2014,16(6):827-835.
[20]Nedir R,Bischof M,Vazquez L,et al.Osteotome sinus floor elevation technique without grafting material:3-year results of a prospective pilot study[J].Clin Oral Implants Res,2009,20(7):701-707.
[21]Nedir R,Nurdin N,Vazquez L,et al.Osteotome sinus floor elevation technique without grafting:a 5-year prospective study[J].J Clin Periodontol,2010,37(11):1023-1028.
[22]Nedir R,Nurdin N,Khoury P,et al.Osteotome sinus floor elevation with and without grafting material in the severely atrophic maxilla.A 1-year prospective randomized controlled study[J].Clin Oral Implants Res,2013,24(11):1257-1264.
[23]Gu YX,Shi JY,Zhuang LF,et al.Transalveolar sinus floor elevation using osteotomes without grafting in severely atrophic maxilla:a 5-year prospective study[J].Clin Oral Implants Res,2016,27(1):120-129.
[24]Corbella S,Taschieri S,Del Fabbro M.Long-term outcomes for the treatment of atrophic posterior maxilla:a systematic review of literature[J].Clin Implant Dent Relat Res,2015,17(1):120-132.
[25]Pommer B,Hof M,F?dler A,et al.Primary implant stability in the atrophic sinus floor of human cadaver maxillae:impact of residual ridge height,bone density,and implant diameter[J].Clin Oral Implants Res,2014,25(2):e109-e113.
[26]Park CH,Lee DW,Yun JH,et al.Effect of ratio of residual alveolar bone to graft material in contact with fixture surface on marginal bone loss of implants in augmented maxillary sinuses:a 1-Year retrospective study[J].Implant Dent,2017,26(1):80-86.
[27]Von Arx T,Fodich I,Bornstein MM,et al.Perforation of the sinus membrane during sinus floor elevation:a retrospective study of frequency and possible risk factors[J].Int J Oral Maxillo Implants,2014,29(3):718-726.
[28]Pjetursson BE,Tan WC,Zwahlen M,et al.A systematic review of the success of sinus floor elevation and survival of implants inserted in combination with sinus floor elevation[J].J Clin Periodontol,2008,35(8 Suppl):216-240.
[29]Trombelli L,Franceschetti G,Trisi P,et al.Incremental,transcrestal sinus floor elevation with a minimally invasive technique in the rehabilitation of severe maxillary atrophy.Clinical and histological findings from a proof-of-concept case series[J].J Oral Maxillo Sur,2015,73(5):861-888
[30]Ahn SH,Park EJ,Kim ES.Reamer-mediated transalveolar sinus floor elevation without osteotome and simultaneous implant placement in the maxillary molar area:clinical outcomes of 391 implants in 380 patients[J].Clin Oral Implants Res,2012,23(7):866-872.
[31]Teng MH,Liang X,Yuan Q,et al.The inlay osteotome sinus augmentation technique for placing short implants simultaneously with reduced transcrestal bone height:a short-term follow-up[J].Clin Implant Dent Related Res,2013,15(6):918-926.
[32]Abu-Ghanem S,Kleinman S,Horowitz G,et al.Combined maxillary sinus floor elevation and endonasal endoscopic sinus surgery for coexisting inflammatory sinonasal pathologies:a one-stage double-team procedure[J].Clin Oral Implants Res,2015,26(12):1476-1481.
[33]Matern JF,Keller P,Carvalho JA,et al.Radiological sinus lift:a new minimally invasive CT-guided procedure for maxillary sinus floor elevation in implant dentistry[J].Clin Oral Implants Res,2016,27(3):341-347.
[34]Franceschetti G,Trombelli L,Minenna L,et al.Learning curve of a minimally invasive technique for transcrestal sinus floor elevation:a split-group analysis in a prospective case series with multiple clinicians[J].Implant Dent,2015,24(5):517-526.
[35]Cortes AR,Correa L,Arita ES.Evaluation of a maxillary sinus floor augmentation in the presence of a large antral pseudocyst[J].J Craniofac Surg,2012,23(6):e535-e537.
[36]Costa F,Emanuelli E,Robiony M,et al.Endoscopic surgical treatment of chronic maxillary sinusitis of dental origin[J].J Oral Maxillofac Surg,2007,65(2):223-228.
[37]Felisati G,Chiapasco M,Lozza P,et al.Sinonasal complications resulting from dental treatment:outcome-oriented proposal of classification and surgical protocol[J].Am J Rhinol Allergy,2013,27(4):e101-e106.
[38]Chiapasco M,Palombo D.Sinus grafting and simultaneous removal of large antral pseudocysts of the maxillary sinus with a microinvasive intraoral access[J].Int J Oral Maxillofac Surg,2015,44(12):1499-1505.
[39]Lin GH,Lim G,Chan HL,et al.Recombinant human bone morphogenetic protein 2 outcomes for maxillary sinus floor augmentation:a systematic review and meta-analysis[J].Clin Oral Implants Res,2016,27(11):1349-1359.
[40]Brockmeyer P,Lange K,Hahn W,et al.Increase of homogenous new bone formation using osteoinductive factor rh GDF-5 during sinus floor augmentation in Goettingen Minipigs[J].Clin Oral Implants Res,2015,26(11):1321-1327.
[41]Schwarz L,Schiebel V,Hof M,et al.Risk factors of membrane perforation and postoperative complications in sinus floor elevation surgery:review of 407 augmentation procedures[J].J Oral Maxillofac Surg,2015,73(7):1275-1282.
[42]Geminiani A,Tsigarida A,Chochlidakis K,et al.A meta-analysis of complications during sinus augmentation procedure[J].Quintessence Int(Berl),2017,48(3):231-240.
[43]Becker ST,Terheyden H,Steinriede A,et al.Prospective observation of 41 perforations of the schneiderian membrane during sinus floor elevation[J].Clin Oral Implants Res,2008,19(12):1285-1289.
[44]Cricchio G,Imburgia M,Sennerby L,et al.Immediate loading of implants placed simultaneously with sinus membrane elevation in the posterior atrophic maxilla:a two-year follow-up study on 10 patients[J].Clin Implant Dent Relat Res,2014,16(4):609-617.
[2]Nedir R,Nurdin N,El Hage M,et al.Osteotome sinus floor elevation procedure for first molar single-gap implant rehabilitation:a case series[J].Implant Dent,2014,23(6):760-767.
[3]Shanbhag S,Karnik P,Shirke PA.Cone-beam computed tomographic analysis of sinus membrane thickness,ostium patency,and residual ridge heights in the posterior maxilla:implications for sinus floor elevation[J].Clin Oral Implants Res,2014,25(6):755-760.
[4]Seong WJ,Barczak M,Jung J,et al.Prevalence of sinus augmentation associated with maxillary posterior implants[J].J Oral Implantol,2013,39(6):680-688.
[5]Starch-Jensen T,Jensen JD.Maxillary sinus floor augmentation:a review of selected treatment modalities[J].J Oral Maxillofac Res,2017,8(3):1-13.
[6]Tatum H Jr.Maxillary and sinus implant reconstructions[J].Dent Clin North Am,1986,30:207-229.
[7]Stacchi C,Vercellotti T,Toschetti A,et al.Intraoperative complications during sinus floor elevationusing two different ultrasonic approaches:a twocenter,randomized,controlled clinical trial[J].Clin Implant Dent Relat Res,2015,17(1):117-125.
[8]满毅,袁珊珊,赵磊,等.上颌窦提升术的历史、现状和发展[J].国际口腔医学杂志,2014,41(6):621-627.
[9]Summers RB.A new concept in maxillary implant surgery:the osteotome technique[J].Compendium,1994,15(2):152,154.
[10]Qian SJ,Gu YX,Mo JJ,et al.Resonance frequency analysis of implants placed with osteotome sinus floor elevation in posterior maxillae[J].Clin Oral Implants Res,2016,27(1):113-119.
[11]Tan WC,Lang NP,Zwahlen M,et al.A systematic review of the success of sinus floor elevation and survival of implants inserted in combination with sinus floor elevation.Part II:transalveolar technique[J].J Clin Periodontol,2008,35(8 Suppl):241-254.
[12]Al-Dajani M.Recent trends in sinus lift surgery and their clinical implications[J].Clin Implant Dent Relat Res,2016,18(1):204-212.
[13]Si MS,Shou YW,Shi YT,et al.Long-term outcomes of osteotome sinus floor elevation without bone grafts:a clinical retrospective study of 4-9 years[J].Clin Oral Implants Res,2016,27(11):1392-1400.
[14]Calin C,Petre A,Drafta S.Osteotome-Mediated sinus floor elevation:a systematic review and meta-analysis[J].Inter J Oral Maxillo Implants,2014,29(3):558-576.
[15]Zill A,Precht C,Beck-Broichsitter B,et al.Implants inserted with graftless osteotome sinus floor elevation-A 5-year post-loading retrospective study[J].Eur J Oral Implantol,2016,9(3):277-289.
[16]Kanayama T,Horii K,Senga Y,et al.Crestal approach to sinus floor elevation for atrophic maxilla using platelet-rich fibrin as the only grafting material:a 1-year prospective study[J].Implant Dent,2016,25(1):32-38.
[17]Sul SH,Choi BH,Li JX,et al.Effects of sinus membrane elevation on bone formation around implants placed in the maxillary sinus cavity:an experimental study[J].Oral Sur Oral Med Oral Pathol Oral Radiol Endod,2008,105(6):684-687.
[18]Winter AA,Pollack AS,Odrich RB.Placement of implants in the severely atrophic posterior maxilla using localized management of the sinus floor:a preliminary study[J].Int J Oral Maxillofac Implants,2002,17(5):687-695.
[19]Gonzalez S,Tuan MC,Ahn KM,et al.Crestal approach for maxillary sinus augmentation in patients with≤4 mm of residual alveolar bone[J].Clin Implant Dent Relat Res,2014,16(6):827-835.
[20]Nedir R,Bischof M,Vazquez L,et al.Osteotome sinus floor elevation technique without grafting material:3-year results of a prospective pilot study[J].Clin Oral Implants Res,2009,20(7):701-707.
[21]Nedir R,Nurdin N,Vazquez L,et al.Osteotome sinus floor elevation technique without grafting:a 5-year prospective study[J].J Clin Periodontol,2010,37(11):1023-1028.
[22]Nedir R,Nurdin N,Khoury P,et al.Osteotome sinus floor elevation with and without grafting material in the severely atrophic maxilla.A 1-year prospective randomized controlled study[J].Clin Oral Implants Res,2013,24(11):1257-1264.
[23]Gu YX,Shi JY,Zhuang LF,et al.Transalveolar sinus floor elevation using osteotomes without grafting in severely atrophic maxilla:a 5-year prospective study[J].Clin Oral Implants Res,2016,27(1):120-129.
[24]Corbella S,Taschieri S,Del Fabbro M.Long-term outcomes for the treatment of atrophic posterior maxilla:a systematic review of literature[J].Clin Implant Dent Relat Res,2015,17(1):120-132.
[25]Pommer B,Hof M,F?dler A,et al.Primary implant stability in the atrophic sinus floor of human cadaver maxillae:impact of residual ridge height,bone density,and implant diameter[J].Clin Oral Implants Res,2014,25(2):e109-e113.
[26]Park CH,Lee DW,Yun JH,et al.Effect of ratio of residual alveolar bone to graft material in contact with fixture surface on marginal bone loss of implants in augmented maxillary sinuses:a 1-Year retrospective study[J].Implant Dent,2017,26(1):80-86.
[27]Von Arx T,Fodich I,Bornstein MM,et al.Perforation of the sinus membrane during sinus floor elevation:a retrospective study of frequency and possible risk factors[J].Int J Oral Maxillo Implants,2014,29(3):718-726.
[28]Pjetursson BE,Tan WC,Zwahlen M,et al.A systematic review of the success of sinus floor elevation and survival of implants inserted in combination with sinus floor elevation[J].J Clin Periodontol,2008,35(8 Suppl):216-240.
[29]Trombelli L,Franceschetti G,Trisi P,et al.Incremental,transcrestal sinus floor elevation with a minimally invasive technique in the rehabilitation of severe maxillary atrophy.Clinical and histological findings from a proof-of-concept case series[J].J Oral Maxillo Sur,2015,73(5):861-888
[30]Ahn SH,Park EJ,Kim ES.Reamer-mediated transalveolar sinus floor elevation without osteotome and simultaneous implant placement in the maxillary molar area:clinical outcomes of 391 implants in 380 patients[J].Clin Oral Implants Res,2012,23(7):866-872.
[31]Teng MH,Liang X,Yuan Q,et al.The inlay osteotome sinus augmentation technique for placing short implants simultaneously with reduced transcrestal bone height:a short-term follow-up[J].Clin Implant Dent Related Res,2013,15(6):918-926.
[32]Abu-Ghanem S,Kleinman S,Horowitz G,et al.Combined maxillary sinus floor elevation and endonasal endoscopic sinus surgery for coexisting inflammatory sinonasal pathologies:a one-stage double-team procedure[J].Clin Oral Implants Res,2015,26(12):1476-1481.
[33]Matern JF,Keller P,Carvalho JA,et al.Radiological sinus lift:a new minimally invasive CT-guided procedure for maxillary sinus floor elevation in implant dentistry[J].Clin Oral Implants Res,2016,27(3):341-347.
[34]Franceschetti G,Trombelli L,Minenna L,et al.Learning curve of a minimally invasive technique for transcrestal sinus floor elevation:a split-group analysis in a prospective case series with multiple clinicians[J].Implant Dent,2015,24(5):517-526.
[35]Cortes AR,Correa L,Arita ES.Evaluation of a maxillary sinus floor augmentation in the presence of a large antral pseudocyst[J].J Craniofac Surg,2012,23(6):e535-e537.
[36]Costa F,Emanuelli E,Robiony M,et al.Endoscopic surgical treatment of chronic maxillary sinusitis of dental origin[J].J Oral Maxillofac Surg,2007,65(2):223-228.
[37]Felisati G,Chiapasco M,Lozza P,et al.Sinonasal complications resulting from dental treatment:outcome-oriented proposal of classification and surgical protocol[J].Am J Rhinol Allergy,2013,27(4):e101-e106.
[38]Chiapasco M,Palombo D.Sinus grafting and simultaneous removal of large antral pseudocysts of the maxillary sinus with a microinvasive intraoral access[J].Int J Oral Maxillofac Surg,2015,44(12):1499-1505.
[39]Lin GH,Lim G,Chan HL,et al.Recombinant human bone morphogenetic protein 2 outcomes for maxillary sinus floor augmentation:a systematic review and meta-analysis[J].Clin Oral Implants Res,2016,27(11):1349-1359.
[40]Brockmeyer P,Lange K,Hahn W,et al.Increase of homogenous new bone formation using osteoinductive factor rh GDF-5 during sinus floor augmentation in Goettingen Minipigs[J].Clin Oral Implants Res,2015,26(11):1321-1327.
[41]Schwarz L,Schiebel V,Hof M,et al.Risk factors of membrane perforation and postoperative complications in sinus floor elevation surgery:review of 407 augmentation procedures[J].J Oral Maxillofac Surg,2015,73(7):1275-1282.
[42]Geminiani A,Tsigarida A,Chochlidakis K,et al.A meta-analysis of complications during sinus augmentation procedure[J].Quintessence Int(Berl),2017,48(3):231-240.
[43]Becker ST,Terheyden H,Steinriede A,et al.Prospective observation of 41 perforations of the schneiderian membrane during sinus floor elevation[J].Clin Oral Implants Res,2008,19(12):1285-1289.
[44]Cricchio G,Imburgia M,Sennerby L,et al.Immediate loading of implants placed simultaneously with sinus membrane elevation in the posterior atrophic maxilla:a two-year follow-up study on 10 patients[J].Clin Implant Dent Relat Res,2014,16(4):609-617.