PDF(2682 KB)
牙保存相关上颌窦底提升术的临床应用
谭学莲,满毅,黄定明
PDF(2682 KB)
PDF(2682 KB)
牙保存相关上颌窦底提升术的临床应用
),满毅2,黄定明1()Clinical applications of natural tooth-related maxillary sinus floor elevation
),Yi Man2,Dingming Huang1()上颌后牙是牙髓根尖周疾病的常见发病部位，在解剖上与上颌窦关系密切，炎症易扩散引发牙髓源性上颌窦炎。非手术治疗无效的难治性病例，常需联合进行显微根尖手术和上颌窦底提升术，笔者将其命名为牙保存相关上颌窦底提升术。上颌牙-牙槽骨-上颌窦复合体是该手术的解剖学基础，本文结合文献回顾及临床经验，详细讨论了牙保存相关上颌窦底提升术的应用场景及优势、适应证与禁忌证、治疗计划制定以及术式选择等关键问题，旨在探讨牙保存相关上颌窦底提升术在治疗上颌后牙牙髓源性上颌窦炎疾病中的临床应用，为该技术的临床应用提供了理论依据，同时为进一步规范其临床操作路径和制订多学科联合管理策略打下坚实的基础。
The posterior maxillary teeth are common sites of endodontic periapical diseases and are connected to the maxillary sinus, facilitating the spread of infection and leading to odontogenic maxillary sinusitis. The maxillary tooth-bone-sinus complex exhibits a close anatomical relationship, necessitating procedures for refractory cases. For surgical access, microscopic apical surgery is often combined with maxillary sinus floor elevation, termed “natural tooth-related maxillary sinus floor elevation”, to ensure therapeutic efficacy and reduce complications. This paper provides a comprehensive discussion on the application scenarios, advantages, indications and contraindications, treatment planning, and selection of surgical procedures for tooth preservation-related maxillary sinus floor elevation. Drawing from a combination of literature review and clinical experience, this work explores the clinical applications of this technique and provide preliminary theoretical guidance on its clinical application and a solid foundation for further standardization of the clinical operation path and multidisciplinary joint management strategy.
上颌牙-牙槽骨-上颌窦复合体 / 牙保存相关上颌窦底提升术 / 牙源性上颌窦炎 / 临床应用
maxillary tooth-bone-sinus complex / natural tooth-related maxillary sinus floor elevation / odontogenic maxillary sinusitis / clinical application
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| 1 | Meirinhos J, Martins JNR, Pereira B, et al. Prevalence of apical periodontitis and its association with previous root canal treatment, root canal filling length and type of coronal restoration-a cross-sectional study[J]. Int Endod J, 2020, 53(4): 573-584. |
| 2 | 黄定明, 张岚, 满毅. 牙保存相关上颌窦底提升术的生物学基础[J]. 国际口腔医学杂志, 2023, 50(3): 251-262. |
| 2 | Huang DM, Zhang L, Man Y. Biologic bases of nature tooth-related maxillary sinus floor elevation[J]. Int J Stomatol, 2023, 50(3): 251-262. |
| 3 | Vitali FC, Santos PS, Massignan C, et al. Global prevalence of maxillary sinusitis of odontogenic origin and associated factors: a systematic review and meta-analysis[J]. J Endod, 2023, 49(4): 369-381.e11. |
| 4 | Chandran A, Patil MB, Nachiappan S, et al. Accidental pathological findings in asymptomatic maxillary sinuses in patients referred for head and neck cone-beam computed tomography: a cross-sectional study analysis[J]. J Med Signals Sens, 2022, 12(2): 138-144. |
| 5 | Migas K, Koz?owski R, Sierocka A, et al. Healing of unilateral maxillary sinusitis by endodontic and periodontal treatment of maxillary teeth[J]. Medicina, 2022, 58(9): 1302. |
| 6 | Lu Y, Liu ZJ, Zhang L, et al. Associations between maxillary sinus mucosal thickening and apical perio-dontitis using cone-beam computed tomography scanning: a retrospective study[J]. J Endod, 2012, 38(8): 1069-1074. |
| 7 | Clark D, Levin L. In the dental implant era, why do we still bother saving teeth[J]. J Endod, 2019, 45(12S): S57-S65. |
| 8 | Lin J, Wang C, Wang X, et al. Expert consensus on odontogenic maxillary sinusitis multi-disciplinary treatment[J]. Int J Oral Sci, 2024, 16(1): 11. |
| 9 | Riis A, Taschieri S, Del Fabbro M, et al. Tooth survival after surgical or nonsurgical endodontic retreatment: long-term follow-up of a randomized clinical trial[J]. J Endod, 2018, 44(10): 1480-1486. |
| 10 | Psillas G, Papaioannou D, Petsali S, et al. Odontogenic maxillary sinusitis: a comprehensive review[J]. J Dent Sci, 2021, 16(1): 474-481. |
| 11 | von Arx T, K?ch S, Suter VGA, et al. Perforation of the maxillary sinus floor during apical surgery of maxillary molars: a retrospective analysis using cone beam computed tomography[J]. Aust Endod J, 2020, 46(2): 176-183. |
| 12 | Wallace JA. Transantral endodontic surgery[J]. Oral Surg Oral Med Oral Pathol Oral Radiol Endod, 1996, 82(1): 80-83. |
| 13 | Kim S, Kratchman S. Modern endodontic surgery concepts and practice: a review[J]. J Endod, 2006, 32(7): 601-623. |
| 14 | Zhang TY, He ZQ, Tian H. Association between periodontal status and degree of maxillary sinus mucosal thickening: a retrospective CBCT study[J]. BMC Oral Health, 2021, 21(1): 392. |
| 15 | Kurt SN, üstün Y, Erdogan ?, et al. Outcomes of periradicular surgery of maxillary first molars using a vestibular approach: a prospective, clinical study with one year of follow-up[J]. J Oral Maxillofac Surg, 2014, 72(6): 1049-1061. |
| 16 | Omori Y, Botticelli D, Ferri M, et al. Argon bioactivation of implants installed simultaneously to maxillary sinus lifting without graft. An experimental study in rabbits[J]. Dent J, 2021, 9(9): 105. |
| 17 | Lie SAN, Leung CAW, Claessen RMMA, et al. Implant survival after graftless sinus floor augmentation in highly atrophic maxillae: a randomized controlled trial in a split mouth study[J]. Int J Implant Dent, 2021, 7(1): 107. |
| 18 | Lee SH, Cho SY, Kim DH, et al. Clinical outcomes after apical surgery on the palatal root of the maxillary first molar using a palatal approach[J]. J Endod, 2020, 46(4): 464-470. |
| 19 | Azim AA, Wang HH, Serebro M. Selective retreatment and sinus lift: an alternative approach to surgically manage the palatal roots of maxillary molars[J]. J Endod, 2021, 47(4): 648-657. |
| 20 | Khehra A, Levin L. Maxillary sinus augmentation procedures: a narrative clinical review[J]. Quintessence Int, 2020, 51(7): 578-584. |
| 21 | Gómez-de Diego R, Mang-de la Rosa MDELR, Romero-Pérez MJ, et al. Indications and contraindications of dental implants in medically compromised patients: update[J]. Med Oral Patol Oral Cir Bucal, 2014, 19(5): e483-e489. |
| 22 | Douketis JD, Spyropoulos AC, Spencer FA, et al. Perioperative management of antithrombotic therapy: antithrombotic therapy and prevention of thrombosis, 9th ed: American college of chest physicians evidence-based clinical practice guidelines[J]. Chest, 2012, 141(2 ): e326S-e350S. |
| 23 | Gu YC, Sun C, Wu DM, et al. Evaluation of the relationship between maxillary posterior teeth and the maxillary sinus floor using cone-beam computed tomography[J]. BMC Oral Health, 2018, 18(1): 164. |
| 24 | Pei J, Liu JY, Chen YF, et al. Relationship between maxillary posterior molar roots and the maxillary sinus floor: cone-beam computed tomography analysis of a western Chinese population[J]. J Int Med Res, 2020, 48(6): 300060520926896. |
| 25 | Kang SH, Kim BS, Kim Y. Proximity of posterior teeth to the maxillary sinus and buccal bone thickness: a biometric assessment using cone-beam computed tomography[J]. J Endod, 2015, 41(11): 1839-1846. |
| 26 | Setzer FC, Kratchman SI. Present status and future directions: surgical endodontics[J]. Int Endod J, 2022, 55(): 1020-1058. |
| 27 | Munakata M, Yamaguchi K, Sato D, et al. Factors influencing the sinus membrane thickness in edentulous regions: a cone-beam computed tomography study[J]. Int J Implant Dent, 2021, 7(1): 16. |
| 28 | Sebring D, Kvist T, Derks J. Indications for extraction before implant therapy: focus on endodontic status[J]. J Endod, 2019, 45(5): 532-537. |
| 29 | Martu C, Martu MA, Maftei GA, et al. Odontogenic sinusitis: from diagnosis to treatment possibilities-a narrative review of recent data[J]. Diagnostics, 2022, 12(7): 1600. |
| 30 | Zhang JL, Liu L, Yang L, et al. Diagnosis of odontogenic maxillary sinusitis by cone-beam computed tomography: a critical review[J]. J Endod, 2023: S0099-S2399(23)00536-8. |
| 31 | Monje A, Diaz KT, Aranda L, et al. Schneiderian membrane thickness and clinical implications for sinus augmentation: a systematic review and meta-regression analyses[J]. J Periodontol, 2016, 87(8): 888-899. |
| 32 | Silberman JJ, Moldauer BI, Torres J, et al. Palatal root surgery of a maxillary molar using a piezosurgery transantral approach with simultaneous sinus lift grafting: a case report[J]. Int Endod J, 2021, 54(3): 464-475. |
| 33 | American Association of Endodontists. Maxillary sinusitis of endodontic origin[R/OL]. [2024-03-01]. . |
| 34 | Schwarz L, Schiebel V, Hof M, et al. Risk factors of membrane perforation and postoperative complications in sinus floor elevation surgery: review of 407 augmentation procedures[J]. J Oral Maxillofac Surg, 2015, 73(7): 1275-1282. |
| 35 | Gandhi KR, Wabale RN, Siddiqui AU, et al. The incidence and morphology of maxillary sinus septa in dentate and edentulous maxillae: a cadaveric study with a brief review of the literature[J]. J Korean Assoc Oral Maxillofac Surg, 2015, 41(1): 30-36. |
| 36 | Basma H, Saleh I, Abou-Arraj R, et al. Association between lateral wall thickness and sinus membrane perforation during lateral sinus elevation: a retrospective study[J]. Int J Oral Implantol, 2021, 14(1): 77-85. |
| 37 | Marin S, Kirnbauer B, Rugani P, et al. Potential risk factors for maxillary sinus membrane perforation and treatment outcome analysis[J]. Clin Implant Dent Relat Res, 2019, 21(1): 66-72. |
| 38 | Mahasneh SA, Al-Hadidi A, Hassona Y, et al. Maxillary sinusitis of odontogenic origin: prevalence among 3D imaging-a retrospective study[J]. Appl Sci, 2022, 12(6): 3057. |
| 39 | Lin YH, Yang YC, Wen SC, et al. The influence of sinus membrane thickness upon membrane perforation during lateral window sinus augmentation[J]. Clin Oral Implants Res, 2016, 27(5): 612-617. |
| 40 | Pizzini A, Basma HS, Li P, et al. The impact of anatomic, patient and surgical factors on membrane perforation during lateral wall sinus floor elevation[J]. Clin Oral Implants Res, 2021, 32(3): 274-284. |
| 41 | Duruel O, Ataman-Duruel ET, T?züm MD, et al. The radiological evaluation of posterior superior alveolar artery topography by using computed tomo-graphy[J]. Clin Implant Dent Relat Res, 2019, 21(4): 644-648. |
| 42 | Wallace SS, Tarnow DP, Froum SJ, et al. Maxillary sinus elevation by lateral window approach: evolution of technology and technique[J]. J Evid Based Dent Pract, 2012, 12(3 ): 161-171. |
| 43 | Bathla SC, Fry RR, Majumdar K. Maxillary sinus augmentation[J]. J Indian Soc Periodontol, 2018, 22(6): 468-473. |
| 44 | García B, Pe?arrocha M, Pe?arrocha MA, et al. Apical surgery of a maxillary molar creating a maxillary sinus window using ultrasonics: a clinical case[J]. Int Endod J, 2010, 43(11): 1054-1061. |
| 45 | Beretta M, Cicciù M, Bramanti E, et al. Schneider membrane elevation in presence of sinus septa: anatomic features and surgical management[J]. Int J Dent, 2012, 2012: 261905. |
| 46 | Kadkhodazadeh M, Moscowchi A, Zamani Z, et al. Clinical and radiographic outcomes of a novel transalveolar sinus floor elevation technique[J]. J Maxillofac Oral Surg, 2022, 21(2): 548-556. |
| 47 | Pjetursson BE, Lang NP. Sinus floor elevation utili-zing the transalveolar approach[J]. Periodontol 2000, 2014, 66(1): 59-71. |
| 48 | Bacevic M, Compeyron Y, Lecloux G, et al. Intrao-perative and postoperative outcomes of sinus floor ele-vation using the lateral window technique versus the hydrodynamic transalveolar approach: a preliminary randomized controlled trial[J]. Clin Oral Investig, 2021, 25(9): 5391-5401. |
| 49 | Plotino G, Abella Sans F, Duggal MS, et al. Clinical procedures and outcome of surgical extrusion, intentional replantation and tooth autotransplantation-a narrative review[J]. Int Endod J, 2020, 53(12): 1636-1652. |
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