分次手术行上颌窦两次穿孔患者种植修复1例

doi:10.7518/hxkq.2025.2024394

摘要/Abstract

摘要：

在口腔种植领域，若出现上颌窦穿孔或上颌窦瘘，对于上颌窦底骨板不连续、口窦黏膜相通且伴有牙槽骨垂直向缺损的病例，该如何行种植修复，目前尚无统一共识与权威指南。本文报道1例上颌窦两次穿孔患者，经简单分次手术成功完成种植修复。经2年临床随访，种植体使用状况良好，患者满意。本文旨在为此类病例，提供一种简单安全、易于推广的新思路。

关键词: 上颌窦穿孔, 种植修复, 上颌窦瘘

Abstract:

In the realm of oral implantology, currently, there is no unanimous consensus or authoritative guideline regarding how to conduct implant restoration for cases involving oroantral communication or oroantral fistula. In these cases, the bony plate of the maxillary sinus floor is discontinuous, the oro-sinus mucosa is in communication, and a vertical alveolar bone defect exists. This paper presents a case of a patient with two oroantral communications who successfully underwent implant restoration via simple staged surgeries. Following a 2-year clinical follow-up, the implant remains in good condition, and the patient expresses satisfaction. The objective of this paper is to offer a simple, safe, and readily-promotable new approach for such cases.

Key words: oroantral communication, implant restoration, oroantral fistula

中图分类号:

R783.4

李灵艳, 梁杰, 许胜. 分次手术行上颌窦两次穿孔患者种植修复1例[J]. 华西口腔医学杂志, 2025, 43(3): 442-447.

Li Lingyan, Liang Jie, Xu Sheng. Implant restoration for patient with two oroantral communications treated by staged surgeries: a case report[J]. West China Journal of Stomatology, 2025, 43(3): 442-447.

图/表 3

参考文献 29

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