Localized sinus elevation and osteocompression with single-stage tapered dental implants: technical note.

Localized sinus elevation and osteocompression with single-stage tapered dental implants: technical note.
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使用单级锥形牙种植体进行局部窦抬高和骨压缩:技术说明。

DOI:
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发表时间:
2004
期刊:
The International journal of oral & maxillofacial implants
影响因子:
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通讯作者:
M. L. Le Gall
M. L. Le Gall
中科院分区:
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文献类型:
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作者:
M. L. Le Gall

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在萎缩的后上颌骨中,放置更长(至少 10 毫米)和更宽直径的种植体可能会显着改善长期效果,但通常需要进行鼻窦移植才能为种植体支撑提供足够的骨量。上颌窦提升术的牙槽嵴入路需要使用通常难以控制的手术器械穿透窦底;损坏施奈德膜的风险很高。在单级锥形种植体的顶端制作圆形切割边缘可以提供一种在移植和放置最终种植体之前轻轻穿透窦底的受控方法。在柔软的 4 型骨中,单阶段锥形种植体设计可以通过受体部位的横向骨浓缩来帮助增强初始稳定性。利用单阶段锥形种植体进行骨压缩的局部上颌窦抬高可能为成功恢复萎缩的后上颌骨的复杂临床挑战提供一种简化的方法。
In the atrophic posterior maxilla, placement of longer (at least 10 mm) and wider diameter implants may significantly improve long-term results, but sinus grafting is often necessary to provide sufficient bone volume for implant support. The crestal approach to sinus augmentation requires penetration of the sinus floor with surgical instruments that are often difficult to control; there is a high risk of damaging the schneiderian membrane. Fabricating a round cutting rim at the apical end of a single-stage tapered implant can provide a controlled method of gently penetrating the sinus floor prior to grafting and placement of the definitive implant. In soft type 4 bone, the single-stage tapered implant design can help to enhance initial stabilization through lateral osteocondensation of the receptor site. Localized sinus elevation with osteocompression utilizing single-stage tapered implants may offer a simplified approach to the complex clinical challenge of successfully restoring the atrophic posterior maxilla.