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GBR结合穿牙槽嵴上颌窦底提升垂直骨增量1例OA

Vertical bone augmentation using GBR combined with transalveolar sinus floor elevation:a case report

中文摘要英文摘要

当上颌后牙区牙槽嵴重度吸收伴骨凹陷时,临床上需进行复杂骨增量后延期种植.本文报告1 例引导骨再生(GBR)结合穿牙槽嵴上颌窦底提升(TSFE)增加垂直向骨增量的病例,应用三维数字化拟合患者术前及术后6 个月影像资料,结果显示骨高度从术前不足1.00 mm增加了9.67 mm(其中窦内提升高度为4.41 mm,牙槽嵴顶骨高度增加了5.26 mm,体积增加了934.22 mm3为术前体积的3.4 倍).这一治疗结果表明,GBR结合TSFE可获得理想的垂直骨增量效果,缩短患者就诊周期.

In cases of severe alveolar ridge resorption with concavity in the posterior maxilla,complex bone augmentation followed by delayed implant placement is often required.This article reports a case of vertical bone augmentation using guided bone regeneration(GBR)combined with transalveolar sinus floor elevation(TSFE).Three-dimensional digital analysis was performed to evaluate preoperative and 6-month postoperative imaging data.The results showed that the bone height increased from less than 1 mm preoperatively to 9.67 mm postoperatively,including a 4.41 mm increase in sinus height and a 5.26 mm increase at the alveolar crest.The grafted bone volume reached 934.22 mm3,approximately 3.4 times the original volume.This suggests that GBR combined with TSFE can achieve ideal vertical bone augmentation results and reduce treatment duration.This paper aims to provide clinical insight into bone augmentation strategies for complex posterior maxillary defects.

于飞;魏士博;张旭;郭水根;魏洪武;黄江琴

南昌大学第四附属医院口腔科 330003南昌大学第四附属医院口腔科 330003南昌大学第四附属医院口腔科 330003南昌大学第四附属医院口腔科 330003南昌大学第四附属医院口腔科 330003南昌大学第四附属医院口腔科 330003

引导骨再生穿牙槽嵴上颌窦底提升垂直骨增量

Guided bone regeneration(GBR)Transalveolar sinus floor elevation(TSFE)Vertical bone augmentation

《中国口腔种植学杂志》 2025 (5)

495-501,7

10.12337/zgkqzzxzz.2025.10.010

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