牙保存相关上颌窦底提升术的局部风险因素分析OA
Local risk factor analysis of natural tooth-related maxillary sinus floor elevation
牙保存相关上颌窦底提升术是在控制根管感染、治愈病变的基础上,以最大程度保存天然牙为目标的重要治疗技术.该术式以上颌牙-牙槽骨-上颌窦复合体为解剖基础,其成功实施依赖于对局部多重风险因素的系统评估.本文围绕患牙状态(如牙根位置及长度)、牙槽骨条件(如骨高度、腭大神经血管束)、上颌窦解剖特征(如窦底形态、黏膜厚度)以及牙根与上颌窦的位置关系等方面,系统分析可能影响手术安全性与疗效的局部风险因素,旨在为临床术前评估与方案制定提供依据,从而提升治疗的可预测性与长期成功率.
Natural tooth-related maxillary sinus floor elevation has emerged as an effective approach for maintaining natural teeth after the adequate control of endodontic infection and resolution of periapical disease. The procedure is per-formed within the anatomical context of the maxillary tooth-bone-sinus complex,and its success is largely determined by careful consideration of multiple local anatomical and biological factors. This article addresses tooth-related factors (such as root length and spatial position),alveolar bone conditions (including residual bone height and proximity to the greater palatine neurovascular bundle),and maxillary sinus ana-tomy (including sinus floor configuration and Schneide-rian membrane thickness),in addition to the positional relationship between tooth roots and the maxillary sinus.By systematically evaluating these site-specific risk fac-tors,this article aims to inform preoperative assessment and treatment planning and enhance surgical safety,cli-nical predictability,and long-term treatment outcomes.
宋东哲;满毅;黄定明
口腔疾病防治全国重点实验室 国家口腔医学中心 口腔疾病国家临床医学研究中心四川大学华西口腔医院牙体牙髓病科 成都 610041口腔疾病防治全国重点实验室 国家口腔医学中心 口腔疾病国家临床医学研究中心四川大学华西口腔医院种植科 成都 610041口腔疾病防治全国重点实验室 国家口腔医学中心 口腔疾病国家临床医学研究中心四川大学华西口腔医院牙体牙髓病科 成都 610041
医药卫生
上颌牙-牙槽骨-上颌窦复合体牙保存相关上颌窦底提升术风险因素
maxillary tooth-bone-sinus complexnatural tooth-related maxillary sinus floor elevationrisk factors
《国际口腔医学杂志》 2026 (2)
166-175,10
Technological Innovation and Development Project Granted by Chengdu Science and Technology Bureau(2024-YF05-00565-SN,2024-YF05-02478-SN)Clinical Research Program of West China Hospital of Stomatology,Si-chuan University(LCYJ-MS-202304) 成都市科学技术局技术创新研发项目(2024-YF05-00565-SN,2024-YF05-02478-SN)四川大学华西口腔医院临床研究项目(LCYJ-MS-202304)
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