Maxillary Antral Pseudocyst Drift after Osteotome Sinus Floor Elevation with Simultaneous Implant Placement: A Case Report and Literature Review.

Maxillary Antral Pseudocyst Drift after Osteotome Sinus Floor Elevation with Simultaneous Implant Placement: A Case Report and Literature Review.
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DOI:
10.3390/jcm12030920
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发表时间:
2023-01-24
影响因子:
3.9
通讯作者:
--
中科院分区:
医学2区
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--
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本报告描述了上颌窦假性囊肿漂移后,上颌窦底提升通过骨凿窦底提升,同时种植体植入。使用3D Slicer测量假性囊肿和上颌骨以放置种植体;计划在6、12和22个月进行随访。手术期间或术后未观察到不良反应,所有种植体均表现出骨整合,无移动。术后6个月,假性囊肿从术前位置向后外侧移动,靠近上颌窦前内侧,然后在12个月时恢复到原来的位置。然而,在22个月时,其重新移位至后外侧位置。术前假性囊肿体积为3.795 mm 3;术后6、12和22个月分别为2.370、3.439和2.930 mm 3。假性囊肿漂移和体积的变化对植入物没有实质性的负面影响,可能是因为囊性附着和不同位置的多个假性囊肿复发。如果选择适当的治疗计划,可以避免与假性囊肿变化相关的风险。
This report describes maxillary antral pseudocyst drift after maxillary sinus floor augmentation through osteotome sinus floor elevation with simultaneous implant placement. 3D Slicer was used to measure the pseudocyst and maxilla for the placement of the implants; follow-up visits were scheduled at 6, 12, and 22 months. No adverse effects were observed during or after surgery, and all implants exhibited osseointegration without mobility. At 6 months after surgery, the pseudocyst had moved posterolaterally from the preoperative position near the anterior medial maxillary sinus, then returned to its original position at 12 months. However, it had remigrated to the posterolateral position at 22 months. The preoperative volume of the pseudocyst was 3.795 mm3; it was 2.370, 3.439, and 2.930 mm3 at 6, 12, and 22 months after surgery, respectively. The changes in pseudocyst drift and volume did not have a substantial negative influence on the implants, presumably because of cystic attachment and the recurrence of multiple pseudocysts at different locations. The risks associated with changes in a pseudocyst can be avoided, if an appropriate treatment plan is selected.
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