黄金比例在上颌窦外提升术及同期种植体植入术中的应用评价
|
摘要
目的 :评价黄金比例在上颌窦外提升术及同期种植体植入术中的应用效果。方法 :选择2016年7月—2017年10月青岛大学附属医院西海岸院区种植科上颌磨牙缺失且剩余牙槽骨高度(residual bone height,RBH)约2.0~5.0 mm的患者15例,进行上颌窦外提升术。采用黄金比例确定种植体长度为11~12 mm,行同期种植体植入术,追踪其术后3~6个月愈合及骨结合情况。结果 :15例患者共植入21颗种植体,患者自我感觉良好。影像学检查可见种植体与周围骨组织结合良好,无1例患者发生上颌窦炎、种植体松动、脱落或种植体周围炎等并发症。术后6个月行种植修复,所有患者均能正常行使咀嚼功能,种植体周围软组织色泽、形态、质地无改变。结论:运用黄金比例在上颌窦外提升术后同期植入种植体,可有效解决上颌后牙区RBH严重不足问题,为种植体长度选择提供依据。
PURPOSE: To investigate the clinical value of golden ratio in maxillary sinus augmentation and simultaneous implantation. METHODS: Fifteen patients were enrolled with missing maxillary molars and residual bone height(RBH)about 2.0-5.0 mm from Jul. 2016 to Oct. 2017 at the Department of Implantology in the Affiliated Hospital of Qingdao University of West Coast District. The patients underwent maxillary sinus augmentation and simultaneous implantation and followed up for 3-6 months. Golden ratio was used to select the length of implants about 11-12 mm. RESULTS: A total of 21 implants were placed in 15 patients. All patients had good osseointegration of the implants and the surrounding bony tissues on imaging, and none of them had complication, such as maxillary sinusitis, loose implant, peri-implantitis, etc. Six months after operation, restoration was performed, the patients had satisfactory masticatory function and normal soft tissues around the implants. CONCLUSIONS: Application of golden ratio in maxillary sinus floor elevation and simultaneous implantation can solve insufficient RBH in posterior maxillary area, and provide reliable reference for selection of implant length.
PURPOSE: To investigate the clinical value of golden ratio in maxillary sinus augmentation and simultaneous implantation. METHODS: Fifteen patients were enrolled with missing maxillary molars and residual bone height(RBH)about 2.0-5.0 mm from Jul. 2016 to Oct. 2017 at the Department of Implantology in the Affiliated Hospital of Qingdao University of West Coast District. The patients underwent maxillary sinus augmentation and simultaneous implantation and followed up for 3-6 months. Golden ratio was used to select the length of implants about 11-12 mm. RESULTS: A total of 21 implants were placed in 15 patients. All patients had good osseointegration of the implants and the surrounding bony tissues on imaging, and none of them had complication, such as maxillary sinusitis, loose implant, peri-implantitis, etc. Six months after operation, restoration was performed, the patients had satisfactory masticatory function and normal soft tissues around the implants. CONCLUSIONS: Application of golden ratio in maxillary sinus floor elevation and simultaneous implantation can solve insufficient RBH in posterior maxillary area, and provide reliable reference for selection of implant length.
引文
[1]Deshmukh A,Kalra R,Chhadva S,et al.Bilateral maxillary sinus floor augmentation with tissue-engineered autologous osteoblasts and demineralized freeze-dried bone[J].Contemp Clin Dent,2015,6(2):243-246.
[2]Feng Y,Tang Y,Liu Y,et al.Maxillary sinus floor elevation using the osteotome technique in the presence of antral pseud ocysts:a retrospective study with an average follow-up of 27months[J].Int J Oral Maxillofac Implants,2014,29(2):408-413.
[3]翁希里,于世宾,赵守亮,等.关中地区1000个汉族人恒牙解剖形态测量[J].牙体牙髓牙周病学杂志,2007,17(2):75-77.
[4]Pereira CC,Gealh WC,Meorin-Nogueira L,et al.Piezosurgery applied to implant dentistry:clinical and biological aspects[J].J Oral Implantol,2014,40(Spec No):401-408.
[5]Tilaveridis I,Lazaridou M,Dimitrakopoulos I,et al.Displacement of three dental implants into the maxillary sinus in two patients.Report of two cases[J].Oral Maxillofac Surg,2012,16(3):311-314.
[6]Weber HP,Morton D,Gallucci GO,et al.Consensus statements and recommended clinical procedures regarding loading protocols[J].Int J Oral Maxillofac Implants,2009,24(Suppl):180-183.
[7]Manso MC,Wassal T.A 10-year longitudinal study of 160implants simultaneously installed in severely atrophic posterior maxillas grafted with autogenous bone and a synthetic bioactive resorbable graft[J].Implant Dent,2010,19(4):351-360.
[8]戴小锋,包立,余优成,等.上颌窦区骨量不足3 mm植骨后同期种植临床效果分析[J].上海口腔医学,2017,26(3):290-292.
[9]Yalta K,Ozturk S,Yetkin E.Golden ratio and the heart:a review of divine aesthetics[J].Int J Cardiol,2016,214:107-112.
[10]Putz MV.Valence atom with bohmian quantum potential:the golden ratio approach[J].Chem Cent J,2012,6(1):135-150.
[11]贾达群.巴托克:民间音乐的理性处理与对称轴心体系和黄金比例技法[J].音乐艺术(上海音乐学院学报),2015,37(2):73-86.
[12]Georgiopoulos B,Kalioras K,Provatidis C,et al.The effects of implant length and diameter prior to and after osseointegration:a2-D finite element analysis[J].J Oral Implantol,2007,33(5):243-256.
[13]Renouard F,Nisand D.Impact of implant length and diameter on survival rates[J].Clin Oral Implants Res,2006,17(Suppl 2):35-51.
[14]Artzi Z,Parson A,Nemcovsky CE.Wide-diameter implant placement and internal sinus membrane elevation in the immediate postextraction phase:clinical and radiographic observations in 12 consecutive molar sites[J].Int J Oral Maxillofac Implants,2003,18(2):242-249.
[2]Feng Y,Tang Y,Liu Y,et al.Maxillary sinus floor elevation using the osteotome technique in the presence of antral pseud ocysts:a retrospective study with an average follow-up of 27months[J].Int J Oral Maxillofac Implants,2014,29(2):408-413.
[3]翁希里,于世宾,赵守亮,等.关中地区1000个汉族人恒牙解剖形态测量[J].牙体牙髓牙周病学杂志,2007,17(2):75-77.
[4]Pereira CC,Gealh WC,Meorin-Nogueira L,et al.Piezosurgery applied to implant dentistry:clinical and biological aspects[J].J Oral Implantol,2014,40(Spec No):401-408.
[5]Tilaveridis I,Lazaridou M,Dimitrakopoulos I,et al.Displacement of three dental implants into the maxillary sinus in two patients.Report of two cases[J].Oral Maxillofac Surg,2012,16(3):311-314.
[6]Weber HP,Morton D,Gallucci GO,et al.Consensus statements and recommended clinical procedures regarding loading protocols[J].Int J Oral Maxillofac Implants,2009,24(Suppl):180-183.
[7]Manso MC,Wassal T.A 10-year longitudinal study of 160implants simultaneously installed in severely atrophic posterior maxillas grafted with autogenous bone and a synthetic bioactive resorbable graft[J].Implant Dent,2010,19(4):351-360.
[8]戴小锋,包立,余优成,等.上颌窦区骨量不足3 mm植骨后同期种植临床效果分析[J].上海口腔医学,2017,26(3):290-292.
[9]Yalta K,Ozturk S,Yetkin E.Golden ratio and the heart:a review of divine aesthetics[J].Int J Cardiol,2016,214:107-112.
[10]Putz MV.Valence atom with bohmian quantum potential:the golden ratio approach[J].Chem Cent J,2012,6(1):135-150.
[11]贾达群.巴托克:民间音乐的理性处理与对称轴心体系和黄金比例技法[J].音乐艺术(上海音乐学院学报),2015,37(2):73-86.
[12]Georgiopoulos B,Kalioras K,Provatidis C,et al.The effects of implant length and diameter prior to and after osseointegration:a2-D finite element analysis[J].J Oral Implantol,2007,33(5):243-256.
[13]Renouard F,Nisand D.Impact of implant length and diameter on survival rates[J].Clin Oral Implants Res,2006,17(Suppl 2):35-51.
[14]Artzi Z,Parson A,Nemcovsky CE.Wide-diameter implant placement and internal sinus membrane elevation in the immediate postextraction phase:clinical and radiographic observations in 12 consecutive molar sites[J].Int J Oral Maxillofac Implants,2003,18(2):242-249.