经牙槽嵴顶入路治疗牙源性上颌窦炎及种植修复的临床观察

目的探讨由牙槽嵴顶入路治疗牙源性上颌窦炎及相应区域缺牙种植修复的临床效果。方法对20例患牙源性上颌窦炎的患者去除其牙源性致病因素,经牙槽嵴顶入路进行冲洗、引流、抗炎等方式进行治疗,术后复查CBCT评估上颌窦炎治疗效果。在确定上颌窦炎愈合后行上颌窦提升手术同期或延期种植修复,术后随访。结果20例牙源性上颌窦炎患者经牙槽嵴顶入路治疗,17例获得治愈,治愈率85%,对其中上颌窦炎治愈的17例患者行种植修复后随访1年,效果良好。结论经牙槽嵴顶入路治疗牙源性上颌窦炎可行,并为相应区缺牙的种植修复提供了一种微创的治疗方法。

Clinical observation of alveolar ridge approach for odontogenic maxillary sinusitis and implant restoration

Objective To explore the clinical effect of the alveolar crest approach in the treatment of odontogenic maxillary sinusitis and the repair of edentulous implants in this area.Methods This was a retrospective case series of20 patients with odontogenic sinusitis.The pathogenesis in each case was investigated.After elimination of the dental origin,each patient was treated with flushing,drainage and anti-inflammatories through the alveolar crest approach.Postoperative CBCT reexamination was performed to evaluate the therapeutic effect.Maxillary sinus elevation surgery with simultaneous or delayed implantation was performed after maxillary sinusitis healing was confirmed.The patients were followed postoperatively.Results Twenty patients with odontogenic sinusitis were treated by the alveolar crest approach,and 17 were cured,for a cure rate of 85%.Among them,17 of the maxillary sinusitis patients were followed for1 year,with good results.Conclusion The alveolar crest approach is feasible for the treatment of odontogenic maxillary sinusitis and can serve as a minimally invasive method for the repair of edentulism in this area and implantation.