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

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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

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	MAO Jun-mu
	LIU Xiao

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MAO Jun-mu,LIU Xiao. Clinical effect of alveolar crest approach in the treatment of odontogenic maxillary sinusitis and missing teeth implant restoration[J]. 中国当代医药, 2020, 27(13): 86-89.

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http://dangdaiyiyao.com/EN/ OR http://dangdaiyiyao.com/EN/Y2020/V27/I13/86

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