牙槽嵴顶入路治疗牙源性上颌窦炎及缺牙种植修复的临床效果

摘要
图/表
参考文献(15)
相关文章 (0)

全文: PDF (0 KB) HTML (35 KB)
输出: BibTeX | EndNote (RIS)

摘要目的观察牙槽嵴顶入路治疗牙源性上颌窦炎及缺牙种植修复的临床效果。方法选取2015年1月～2017年12月我院收治60 例牙源性上颌窦炎患者作为研究对象，采取随机数字表法将其分成对照组（30 例）与实验组（30 例）。对照组患者采取传统柯陆式手术治疗，实验组患者采取牙槽嵴顶入路治疗方法，两组患者术后均进行相应缺牙区域种植修复，并对两组患者进行有效期为18 个月的随访。比较两组患者的手术情况、临床治疗总有效率、二期种植手术时上颌窦黏膜发生黏膜穿孔率，随访期间牙源性上颌窦炎复发率，并在18 个月时对患者种植修复牙相关问题进行评分。结果实验组患者的术中出血量少于对照组，手术时间短于对照组，术后肿痛程度评分低于对照组，差异有统计学意义（P＜0.05）。实验组患者的治疗总有效率为96.67%，高于对照组的76.67%，差异有统计学意义（P＜0.05）；实验组患者的二期种植手术时上颌窦黏膜发生黏膜穿孔率为0.00%，低于对照组的13.33%，差异有统计学意义（P＜0.05）。实验组患者在随访期间并无复发，而对照组患者在12、18 个月随访时，各有1 例复发，两组的牙源性上颌窦炎复发率比较，差异无统计学意义（P＞0.05）。实验组患者的咀嚼功能、满意程度评分均高于对照组，差异有统计学意义（P＜0.05）。结论对于牙源性上颌窦炎的治疗，采取牙槽嵴顶入路治疗方案并对相应区域进行缺牙种植修复后，可获得较好的临床治疗效果，减少二期种植手术时上颌窦黏膜发生黏膜穿孔与术后复发，提高患者的咀嚼功能，效果理想。

	服务

	把本文推荐给朋友
	加入我的书架
	加入引用管理器
	E-mail Alert
	RSS
	作者相关文章
	毛俊木
	刘潇

关键词 ：牙槽嵴顶入路, 牙源性上颌窦炎, 相应区域, 缺牙种植, 治疗修复效果

Abstract：Objective To observe the clinical effect of alveolar crest approach in the treatment of odontogenic maxillary sinusitis and missing teeth implant restoration.Methods From January 2015 to December 2017, 60 patients with odontogenic maxillary sinusitis treated in our hospital were selected as research objects.They were divided into control group (30 cases) and experimental group (30 cases) according to the random number table method.The patients in control group were treated with traditional Caldwell-Luc operation, while those in experimental group were treated with alveolar crest approach.After the operation of two groups of patients, missing teeth implant restoration was performed in the corresponding area, and the effective follow-up period was 18 months for two groups of patients.The surgical conditions, total clinical effective rate of treatment, mucosal perforation rate of the maxillary sinus mucosa during the second-stage implant operation, and the recurrence rate of odontogenic maxillary sinusitis during follow-up in the two groups of patients were compared between the two groups, and the problems related to dental implant restoration at 18 months were scored.Results In the experimental group, the bleeding volume was less than that in the control group,the operation time was shorter than that in the control group, the postoperative swelling and pain score was lower than that in the control group, and the differences were statistically significant (P＜0.05).The total effective rate of treatment in the experimental group was 96.67%, which was higher than that in the control group accounting for 76.67%, and the difference was statistically significant (P＜0.05).The mucosal perforation rate of the maxillary sinus mucosa during the second-stage implant operation in the experimental group was 0.00%, which was lower than that of the control group (13.33%), and the difference was statistically significant (P＜0.05).There was no recurrence in the experi-mental group during the follow-up period, while in the control group, there was one case of recurrence at 12 and 18 months of follow-up respectively; there was no significant difference in the recurrence rate of odontogenic maxillary sinusitis between the two groups (P＞0.05).The chewing function and satisfaction scores of the patients in the experimental group were higher than those in the control group, and the differences were statistically significant (P＜0.05).Conclusion For the treatment of odontogenic maxillary sinusitis, after adopting the treatment method of alveolar crest approach and implanting the missing teeth in the corresponding area, a better clinical treatment effect can be obtained,and reduce the perforation of the maxillary sinus mucosa during the second-stage implant operation and relapse after operation, improve the chewing function of the patients, and the effect is ideal.

Key words： Alveolar crest approach Odontogenic maxillary sinusitis Corresponding areas Missing teeth implant;Treatment and restoration effect

基金资助:广东省江门市医疗卫生科技计划项目（2017A20 05）

作者简介: 毛俊木（1977-），男，汉族，本科，副主任医师，外科主任，主要从事口腔种植及口腔外科诊疗工作

引用本文:

毛俊木; 刘潇. 牙槽嵴顶入路治疗牙源性上颌窦炎及缺牙种植修复的临床效果[J]. 中国当代医药, 2020, 27(13): 86-89.
MAO Jun-mu; LIU Xiao. Clinical effect of alveolar crest approach in the treatment of odontogenic maxillary sinusitis and missing teeth implant restoration. 中国当代医药, 2020, 27(13): 86-89.

链接本文:

http://dangdaiyiyao.com/CN/ 或 http://dangdaiyiyao.com/CN/Y2020/V27/I13/86

[1]	Little RE，Long CM，Loehrl TA，et al.Odontogenic sinusitis：A review of the current literature[J].Laryngoscope Investig Otolaryngol，2018，3（2）：110-114.
[2]	Kim SM.Definition and management of odontogenic maxillary sinusitis[J].Maxillofac Plast Reconstr Surg，2019，41（1）：13.
[3]	Grygorov S，Poberezhnik G，Grygorova A.Actual issues of odontogenic maxillary sinusitis （review）[J].Georgian Med News，2018（276）：46-50.
[4]	Zirk M，Dreiseidler T，Pohl M，et al.Odontogenic sinusitis maxillaris：A retrospective study of 121 cases with surgical intervention[J].J Craniomaxillofac Surg，2017，45（4）：520-525.
[5]	Iwanaga J，Wilson C，Lachkar S，et al.Clinical anatomy of the maxillary sinus：application to sinus floor augmentation[J].Anat Cell Biol，2019，52（1）：17-24.
[6]	史文毅，孙洁，刘勤松，等.牙源性上颌窦炎不同手术方式的临床分析[J].中国中西医结合耳鼻咽喉科杂志，2015，23（3）：202-203，209.
[7]	孟甜，张智勇.牙源性上颌窦炎病因和治疗的回顾性分析[J].口腔医学研究，2015，31（5）：490-492.
[8]	Vestin Fredriksson M，Ohman A，Flygare L，et al.When maxillary sinusitis does not heal：findings on CBCT scans of the sinuses with a particular focus on the occurrence of odontogenic causes of maxillary sinusitis[J].Laryngoscope Investig Otolaryngol，2017，2（6）：442-446.
[9]	费永光.鼻内镜下上颌窦开窗术治疗慢性牙源性上颌窦炎32 例临床分析[J].湖北科技学报（医学版），2015，29（5）：417-418.
[10]	Aukstakalnis R，Simonaviciūtu R，Simuntis R.Treatment options for odontogenic maxillary sinusitis：a review[J].Stomatologija，2018，20（1）：22-26.
[11]	Mattos JL，Ferguson BJ，Lee S.Predictive factors in patients undergoing endoscopic sinus surgery for odon togenic sinusitis[J].Int Forum Allergy Rhinol，2016，6（7）：697-700.
[12]	Fadda GL，Berrone M，Crosetti E，et al.Monolateral sinonasal complications of dental disease or treatment：when does endoscopic endonasal surgery require an intraoral approach？[J].Acta Otorhinolaryngol Ital，2016，36（4）：300-309.
[13]	Workman AD，Granquist EJ，Adappa ND.Odontogenic sinusitis：developments in diagnosis，microbiology，and treatment[J].Curr Opin Otolaryngol Head Neck Surg，2018，26（1）：27-33.
[14]	Hong SO，Shim GJ，Kwon YD.Novel approach to the maxillary sinusitis after sinus graft[J].Maxillofac Plast Reconstr Surg，2017，39（1）：18.
[15]	郭泽鸿，宁颖圆，徐淑兰，等.经牙槽嵴顶入路治疗牙源性上颌窦炎及种植修复的临床观察[J].口腔疾病防治，2019，27（8）：505-509.