医学
植入
上颌窦
牙科
上颌骨
窦(植物学)
外科
植物
生物
属
作者
Michael Peleg,Arun Garg,Ziv Mazor
出处
期刊:PubMed
日期:2006-03-08
卷期号:21 (1): 94-102
被引量:35
摘要
One-stage implant placement in the grafted maxillary sinus has traditionally been limited to patients with at least 5 mm of residual bone to ensure complete implant stabilization. The aim of this prospective study was to determine the long-term survival rates of implants with roughened surfaces placed immediately into maxillary sinus grafts in patients with 1 to 5 mm of residual bone.A total of 2132 microtextured screw-type (n=1374) or hydroxyapatite-coated cylinder-type (n=758) implants were immediately placed into the grafted sinuses of 731 patients. The implants were restored and monitored for up to 9 years of clinical follow-up.Cumulative survival at 9 years was 97.9% (n=2091 implants); 20.4% of the implants were placed in 1 to 2 mm of residual bone.Initial implant stability and parallelism were achieved through a combination of meticulous condensation of the particulate bone graft material around the implants, the frictional interface of the roughened implant surfaces and the host tissues, and selection of an appropriate graft material.Simultaneous implant placement into sinus floor grafts can be a predictable treatment option for patients with at least 1 to 2 mm of vertical residual bone height when careful case planning and meticulous surgical techniques are used.
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