首页|期刊导航|中国口腔种植学杂志|富血小板纤维蛋白在上颌窦底提升中应用的研究进展

富血小板纤维蛋白在上颌窦底提升中应用的研究进展OA

Advances in the application of platelet-rich fibrin in sinus floor elevation

中文摘要英文摘要

上颌窦底提升是治疗上颌后牙区骨量不足的有效方法.为了实现理想的窦底骨壁-施耐德膜-种植体表面的三维成骨模式(3-dimensional osteogenesis model for maxillary sinus,3D-OMMS),需要结合手术方式的改进和生物材料的合理应用.富血小板纤维蛋白(platelet-rich fibrin,PRF)不仅能够释放多种生长因子,还具备调节局部免疫反应、促进包括干细胞在内细胞增殖的作用.通过调动来自骨创面及上颌窦黏膜的有利成骨条件,PRF在3D-OMMS中发挥积极作用.因此,建议在上颌窦底提升中使用PRF.本研究探讨了PRF在上颌窦底提升中的应用效果,总结了PRF单独使用、混合使用和利用种植体"帐篷作用"支撑抬高施耐德膜等均可以取得稳定上颌窦底提升效果的临床证据,并对PRF在上颌窦底提升中应用的临床决策进行了总结与推荐.

Sinus floor elevation is an effective procedure for addressing bone deficiency in the posterior maxillary region.To achieve an ideal three-dimensional osteogenesis model for the maxillary sinus(3D-OMMS),which involves coordinated bone formation along the maxillary sinus floor wall,Schneiderian membrane,and implant surface,improvements in surgical techniques combined with the rational use of biomaterials are required.Platelet-rich fibrin(PRF)not only releases various growth factors but also modulates local immune responses and promotes the proliferation of various cells,including stem cells.By harnessing the beneficial osteogenic potential from both the bone wound and the maxillary sinus membrane,PRF plays an active role in the 3D-OMMS.Therefore,it is recommended to use PRF in maxillary sinus floor elevation surgery.This review summarizes clinical evidence indicating that PRF alone,PRF combined with other biomaterials,and PRF utilized with the"tenting effect"of implants to elevate the Schneiderian membrane can all achieve stable outcomes in sinus floor elevation.Additionally,it offers a summary and recommendations for clinical decision-making regarding the use of PRF in sinus floor elevation procedures.

吕慧欣;周延民

吉林大学口腔医学院口腔种植科,长春 130021吉林大学口腔医学院口腔种植科,长春 130021

上颌窦底提升富血小板纤维蛋白牙种植骨再生

Sinus floor elevationPlatelet-rich fibrinDental implantsBone regeneration

《中国口腔种植学杂志》 2025 (2)

127-134,8

国家自然科学基金(82371006)吉林省财政厅科技项目(jcsz2023481-5) National Natural Science Foundation of China(82371006)Jilin Provincial Department of Finance Science and Technology Project(jcsz2023481-5)

10.12337/zgkqzzxzz.2025.04.006

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