Comparison of two different maxillary sinus lifting techniques with simultaneous dental implantation without bone transplantation: a follow-up of bone mass and stability around the implant

doi:10.3969/j.issn.2095-4344.2015.03.012

Abstract

Abstract:

BACKGROUND: Studies have demonstrated the maxillary sinus mucosa has an ability to promote bone formation, and over time, new bone can be formed in the space between the maxillary sinus intima and implant.

OBJECTIVE: To compare the effect of opening sinus lifting and internal sinus lifting for immediate dental implantation without bone transplantation and to detect the survival of dental implants.

METHODS: Fifty patients with insufficient bone in the maxillary posterior area were collected to undergo maxillary sinus lifting with simultaneous dental implantation without bone transplantation, and randomly divided into two groups, 25 in opening sinus lifting group and 35 in internal sinus lifting group.

RESULTS AND CONCLUSION: After a 12-month follow-up, 59 implants functioned normally, and 1 implant was loose after opening sinus lifting. The operative time and the amount of bleeding were significantly lower in the internal sinus lifting group than the opening sinus lifting (P < 0.05), but there was no difference in the short-term stability (postoperative 12 months) between the two groups (P > 0.05). Twelve months after operation, the bone mass around the implant was significantly less in the opening sinus lifting group than the internal sinus lifting group (P < 0.05). These findings indicate that maxillary sinus lifting techniques with simultaneous implants but without bone transplantation is feasible, which is characterized as simple operation process and less cost, but long-term stability needs further observation.

中国组织工程研究杂志出版内容重点：生物材料；骨生物材料; 口腔生物材料; 纳米材料; 缓释材料; 材料相容性；组织工程

全文链接：

Key words: Maxillary Sinus, Dental Implantation, Dental Implants, Alveolar Process

CLC Number:

R318

Fu Zhi-feng, Guo Qing-ping, Miu Ying. Comparison of two different maxillary sinus lifting techniques with simultaneous dental implantation without bone transplantation: a follow-up of bone mass and stability around the implant[J]. Chinese Journal of Tissue Engineering Research, 2015, 19(3): 394-398.

Figures/Tables 2

References

[1]张善勇,郑吉驷,杨驰.上颌窦底提升术[J].中国口腔颌面外科杂志, 2013,11(6):150-157.
[2]华楠,伊光辉.上颌窦底内提升术不植骨同期植入种植体8例临床分析[J].上海口腔医学,2013,22(1):111-113.
[3]Ncdir R, Nurdin N, Vazqucz L, et al. Ostcotomc sinus floor elevation technique without grafting: a 5-year prospective study.J Clin Periodontal.2010;37(11):1023-1028.
[4]郭庆平,符志锋.上领窦外提升同期小植倡种植术的临床观察[J].中国口腔种植学杂志,2011,16(2):116-119.
[5]汪文涛,汪永跃.上颌窦提升术中有关上颌窦黏膜的研究进展[J].国际口腔医学杂志,2013,40(3):391-394.
[6]Ahn JJ, Cho SA, Byrne G, et al. New bone formation following sinus membrane elevation without bone grafting: Histologic findings in humans.lnt J Oral Maxillofac lmplants.2011;26(1): 83-90.
[7]Jeong SM, Choi BH, Li J, et al. A retrospective study of the effects of sinus membrane elevation on bone formation around implants placed in the maxillary sinus cavity. Oral Surg Oral Med Oral Pathol Oral Radiol Endod.2009;3(107): 364-368.
[8]王俭,王立军,刘克礼,等.不植骨上颌窦提升术72例临床随访[J].武警后勤学院学报:医学版,2012,21(9):710-712.
[9]董凯,柳忠豪.上颌窦提升手术并发症的影响因[J].中华口腔医学研究杂志(电子版).2012,6(4):386-389.
[10]赵阳,徐欣.上颌窦提升术与上颌窦基本生理的相互作用[J].中国口腔种植学杂志,2013,18(1):48-50.
[11]Nedir R, Nurdin N, Szmukler-Moncler S, et al. Placement of tapered implants using an osteotome sinus floor elevation technique without bone grafting: 1-year results. Int J Oral Maxillofac Implants.2009;4(24):727-733.
[12]Hcmandcz-Altaro F, Torradcflot MM, Marti C. Prevalence and management of Schncidcrian membrane perforations during sinus-lift Procedurc.Clin Oral Implants Rcs.2008;19(1):91-98.
[13]Sanchcz-Rccio C,Penarrocha-Dingo M,Penarrocha-Dingo M,et al.Maxillary sinus lift performed using ultrasound. Evaluation of 21 patients. Mcd Oral Patol Oral Cir Bucal.2010; 15(2):371-374.
[14]Schwartz-Arad D, Hcrzhcrg R, Dolev E. The prevalence of surgical complications of the sinus graft procedure and their implant survival.J Periodontol.2004;75 (4) :511-516.
[15]沈庆赋,阎军峰,李俊梅,等.上颌窦提升牙种植术中窦黏膜穿孔的预防及处理的临床研究[J].临床口腔医学杂志,2012,28(11): 689-690.
[16]Sohn DS,Kim WS,An KM,et al.Comparative histomorphometric analysis of maxillary sinus augmentation with and without bone grafting in rabbit. lmplant Dent.2010;19 (3):259-270.
[17]邹德荣,蒋欣泉,张志愿.上颌窦提升同期种植的研究现状[J].口腔颌面外科杂志, 2010,20(1):223-225.
[18]Chiapasco M, Zaniboni M, Rimondini L. Dental implants placed in grafted maxillary sinuses: a retrospective analysis of clinical outcome according to initial clinical situation and a proposal of defect classification. Clin Oral Impl Res.2008; 19(4): 416-428.
[19]Sun HL, Huang C, Wu YR, et al. Failure rates of short 10 mm dental implants and factors influencing their failure: a systematic review. Int J Oral Maxillofac Implants.2011; 26(4): 816-825.
[20]Fugazzotto PA. Shorter implants in clinical practice: rationale and treatment results. Int J Oral Maxillofac Implants.2008; 23(3): 487-96.
[21]Draenert FG, Sagheb K, Baumgardt K. Retrospective analysis of survival rates and marginal bone loss on short implants in the mandible. Clin Oral Implants Res.2012;23(9): 1063-1069.
[22]吴茴,李健慧,邸萍,等.口腔短种植体长期修复效果的评估[J].中华口腔医学杂志, 2010, 45(12): 712-716.
[23]康宁,宫苹,李娟娟,等. 8 mm 种植体骨内应力分布的三维有限元研究[J].中华口腔医学研究杂志, 2012, 6(1): 1-8.
[24]Annika R, Göran G. Implant treatment without bone grafting in edentulous severely resorbed maxillas: A long-term follow-up study. J Oral Maxillofac Surg.2007;65(5): 1010-1016.
[25]Paulo M,Miguel AN,Isabel L.A new approach to rehabilitate the severely atrophic maxilla using extramaxillary anchored implants in immediate function:A pilot study.J Prosthet Dent. 2008;100(5):354-366.
[26]Carlos A,Wafaa O,Arnau A,et al.Extrasinus zygomatic implants:Three year experience from a new surgical approach for patients with pronounced buccal concavities in the edentulous maxilla.Clin Impl Dent Relat Res.2010;2(1):55-60.
[27]沈怡珉,徐悠游,徐爽,等.不做窦底骨移植上颌窦内提升术2年疗效观察[J].上海口腔医学,2009,3(18):263-266.
[28]JoséHR,Edson AC.Finite-Element Analysis of Stress on Dental Implant Prosthesis.Clinical Implant Dentistry and Related Res.2010;12(2):105-113.
[29]邱蔚六.口腔颌面外科学[M].人民卫生出版社,2008.
[30]吴轶群,叶晨,张志愿,等.双侧上颌骨缺损颧种植体修复的有限元分析[J].中国口腔颌面外科杂志,2011,09(4):271-275.
[31]Samroeng I,Siriwan S,Wichit T,et al.Influence of graft quality and marginal bone loss on implants placed in maxillary grafted sinus:a finite element study.Med Biol Eng Comput. 2010;48(7):681-689.
[32]孙滢滢.上颌窦区种植修复的生物力学优化设计分析[D].第四军医大学,2009.
[33]王前文.上颌窦区种植义齿修复的生物力学研究[D].安徽医科大学,2007.
[34]KimY K,Yun PY,Kim SG,et al. Evaluation of sinus bone resorption and marginal bone loss after sinus bone grafting and implant placement. Oral Surg Oral Med Oral Pathol Oral Radiol Endod.2009;107(2):e21-e28.
[35]Ozkan Y,Akoglu B,Kulak-Ozkan Y. Maxillary sinus floor augmentation using bovine bone grafts with simultaneous implant placement: a 5-year prospective follow-up study. Implant Dent.2011;20(6):455-459.
[36]Chiapasco M,Zaniboni M, Rimondini L. Dental implants placed in grafted maxillary sinuses: a retrospective analysis of clinical outcome according to the initial clinical situation and a proposal of defect classification. Clin Oral Implants Res. 2008; 19(4):416-428.
[37]Gutwald R,Haberstroh J, Strieker A,et al. Influence of rhBMP-2 on bone formation and osseointegration in different implant systems after sinus-floor elevation. An in vivo study on sheep.J Craniomaxillofac Surg.2010;38(8):571-579.
[38]Yamada Y,Nakamura S, Ito K, et al. Injectable tissue-engineered bone using autogenous bone marrow-derived stromal cells for maxillary sinus augmentation: clinical application report from a 2-6-year follow-up. Tissue Eng Part A.2008;14(10):1699-1707.
[39]张运昕,赖红昌,张志勇.上颂窦挤压提升术的临床应用及研究进展[J]. 口腔材料器械,2009,18(1):43-45.
[40]范震,王方,王佐林.超声骨刀在上颂窦内提升术中的应用[J]. 口腔领面外科杂志,2010,20(1):24-27.
[41]赵保东,肖菲,徐昊,等.上颌后牙区骨量不足的种植对策[J].中国口腔种植学杂志，2013,18(2):86.
[42]赵阳,徐欣.上颂窦底提升术与上颌窦基本生理的相互作用[J].中国口腔种植学杂志，2013,18(1):48-50.
[43]Oni?or-Gligor F, Lucaciu O, Câmpian R,et al.. Experimental study on histological changes in the sinus membrane following sinus lift. Rom J Morphol Embryol.2011;52(4): 1293-1297