12例自体牙移植在上颌窦穿孔修补术中的应用效果评价

doi:10.19438/j.cjoms.2025.02.012

中国口腔颌面外科杂志 ›› 2025, Vol. 23 ›› Issue (2): 174-179.doi: 10.19438/j.cjoms.2025.02.012

12例自体牙移植在上颌窦穿孔修补术中的应用效果评价

布麦热姆·伊敏江¹, 潘玥颖², 艾力麦尔旦·艾尼瓦尔¹, 古丽¹, 王玲¹

1.新疆医科大学第一附属医院（附属口腔医院）口腔外科门诊,2.口腔修复种植科,新疆维吾尔自治区口腔医学研究所,新疆乌鲁木齐 830054

收稿日期:2024-08-19 修回日期:2024-10-25 出版日期:2025-03-20 发布日期:2025-04-06
通讯作者: 王玲,E-mail: crystalWL272@126.com
作者简介:布麦热姆·伊敏江（1997-）,女,硕士研究生,E-mail: 3134009424@qq.com

Application of autologous tooth transplantation in the repair of oroantral communication in 12 cases

BUMAIREMU Yiminjiang¹, PAN Yue-ying², AILIMAIERDAN Ainiwaer¹, GU Li¹, WANG Ling¹

1. Outpatient Department of Oral Surgery, 2. Department of Oral Prosthetics, Implants, the First Affiliated Hospitalof Xinjiang Medical University; Institute of Stomatology of Xinjiang Uygur Autonomous Region. Urumqi 830054, China

Received:2024-08-19 Revised:2024-10-25 Online:2025-03-20 Published:2025-04-06

摘要/Abstract

摘要： 目的：探讨自体牙移植在上颌窦穿孔修补术中的应用效果。方法：选择2022年9月—2023年9月就诊于新疆医科大学第一附属医院口腔外科门诊行自体牙移植治疗上颌窦穿孔的患者12例。所有患者均因上颌第一或第二磨牙严重龋病、根尖周病、牙周病、残根、残冠或因外伤无法保留拔除时出现上颌窦穿孔,自身条件符合自体牙移植适应证,且有意愿行自体牙移植治疗。回顾分析患者的临床和影像学资料,统计上颌窦穿孔修补及自体牙移植的成功率。结果：术后12个月,所有移植牙均咬合良好,功能正常,无临床或影像学病理征象。影像学显示所有行移植牙后的上颌窦底均有连续的骨膜形成。结论：拔除上颌第一或第二磨牙发生上颌窦底穿孔时,若患者有合适的第三磨牙,则自体牙移植是一种合适的治疗选择。

关键词: 上颌窦穿孔, 修补, 自体牙移植

Abstract: PURPOSE: To investigate the effect of autogenous tooth transplantation in the repair of oroantral communication. METHODS: A total of 12 patients who underwent autologous tooth transplantation to repair oroantral communication in the Outpatient Department of Oral Surgery of the First Affiliated Hospital of Xinjiang Medical University from September 2022 to September 2023 were selected. All patients had oroantral communication due to extraction of the first or second maxillary molar because of severe dental caries, periapical disease, periodontal disease, residual root, residual crown, or trauma. The patient met the indications of autologous tooth transplantation and were willing to receive autologous tooth transplantation. The clinical and imaging data of the patients were retrospectively analyzed, and the success rate of oroantral communication repair and autologous tooth transplantation was statistically analyzed. RESULTS: At 12 months after operation, all the transplanted teeth had good occlusion and normal function, without clinical or imaging pathological signs. Imaging examinations showed that there was continuous periosteal formation in the maxillary sinus floor after transplanting teeth. CONCLUSIONS: When oroantral communication occurs during extraction of the maxillary first or second molar, autologous tooth transplantation is a suitable treatment option if the patient has a suitable third molar.

Key words: Oroantral communication, Repair, Autologous tooth transplantation

中图分类号:

R782.1

布麦热姆·伊敏江, 潘玥颖, 艾力麦尔旦·艾尼瓦尔, 古丽, 王玲. 12例自体牙移植在上颌窦穿孔修补术中的应用效果评价[J]. 中国口腔颌面外科杂志, 2025, 23(2): 174-179.

BUMAIREMU Yiminjiang, PAN Yue-ying, AILIMAIERDAN Ainiwaer, GU Li, WANG Ling. Application of autologous tooth transplantation in the repair of oroantral communication in 12 cases[J]. China J Oral Maxillofac Surg, 2025, 23(2): 174-179.

参考文献

[1] Dym H, Wolf JC.Oroantral communication[J]. Oral Maxillofac Surg Clin North Am, 2012, 24(2): 239-247.
[2] Parvini P, Obreja K, Begic A, et al.Decision-making in closure of oroantral communication and fistula[J]. Int J Implant Dent, 2019, 5(1): 13-24.
[3] Kiran Kumar Krishanappa S, Eachempati P, Kumbargere Nagraj S, et al. Interventions for treating oro-antral communications and fistulae due to dental procedures[J]. Cochrane Database Syst Rev, 2018, 8(8): CD011784.
[4] Kaba YN, Demirbas AE, Topan C, et al.Which method is successful in closure of acute oroantral communication? a retrospective study[J]. Med Oral Patol Oral Cir Bucal, 2024, 29(1): e95-e102.
[5] Alonso-González R, Peñarrocha-Diago M, Peñarrocha-Oltra D, et al.Closure of oroantral communications with Bichat′s buccal fat pad. Level of patient satisfaction[J]. J Clin Exp Dent, 2015, 7(1): e28-e33.
[6] Kiran Kumar Krishanappa S, Prashanti E, Sumanth KN, et al. Interventions for treating oro-antral communications and fistulae due to dental procedures[J]. Cochrane Database Syst Rev, 2016(5): CD011784.
[7] Hernando J, Gallego L, Junquera L, et al.Oroantral communications. a retrospective analysis[J]. Med Oral Patol Oral Cir Bucal, 2010, 15(3): e499-e503.
[8] Sicilia-Pasos J, Kewalramani N, Peña-Cardelles JF, et al.Autotransplantation of teeth with incomplete root formation: systematic review and meta-analysis[J]. Clin Oral Investig, 2022, 26(5): 3795-3805.
[9] Nahm KY, Iskenderoglu NS, Lee JA, et al.Autotransplantation of premolars and space closure in a patient with inflamed sinuses[J]. Am J Orthod Dentofacial Orthop, 2019, 155(2): 276-287.
[10] Martin K, Nathwani S, Bunyan R.Autotransplantation of teeth: an evidence-based approach[J]. Br Dent J, 2018, 224(11): 861-864.
[11] 艾力麦尔旦·艾尼瓦尔, 王玲. 自体牙移植的适应证及应用研究进展[J]. 中国口腔颌面外科杂志, 2024, 22(3): 300-308.
Ailimaierdan A, Wang L.Research progress on indications and applications of autogenous teeth transplantation[J]. China Journal of Oral and Maxillofacial Surgery, 2024, 22(3): 300-308.
[12] 侯锐, 许广杰, 惠小勇,等. 自体牙移植 300 例临床分析[J]. 中国口腔颌面外科杂志, 2018, 16(1): 25-28.
Hou R, Xu GJ, Hui XY, et al.Clinical analysis of 300 cases of autotransplantation[J]. China Journal of Oral and Maxillofacial Surgery, 2018, 16(1): 25-28.
[13] Assad M, Alkhaled M, Alhajj MN.Evaluation of a new surgical technique for closing oroantral fistula using auto-transplanted upper third molar: a 1-year follow-up study[J]. J Maxillofac Oral Surg, 2018, 17(1): 84-88.
[14] 中华口腔医学会牙及牙槽外科专业委员会. 自体牙移植术规范化操作流程中国专家共识[J]. 中国口腔颌面外科杂志, 2020, 18(5): 390-394.
Professional Committee of Teeth and Alveolar Surgery, Chinese Stomatological Association. Chinese expert consensus on standardized operation process of autotransplantation of teeth[J]. China Journal of Oral and Maxillofacial Surgery, 2020, 18(5): 390-394.
[15] Punwutikorn J, Waikakul A, Pairuchvej V.Clinically significant oroantral communications-a study of incidence and site[J]. Int J Oral Maxillofac Surg, 1994, 23(1): 19-21.
[16] Franco-Carro B, Barona-Dorado C, Martínez-González MJ, et al.Meta-analytic study on the frequency and treatment of oral antral communications[J]. Med Oral Patol Oral Cir Bucal, 2011, 16(5): e682-e687.
[17] Demetoglu U, Ocak H, Bilge S.Closure of oroantral communication with plasma-rich fibrin membrane[J]. J Craniofac Surg, 2018, 29(4): e367-e370.
[18] Kretzschmar DP, Kretzschmar JL.Rhinosinusitis: review from a dental perspective[J]. Oral Surg Oral Med Oral Pathol Oral Radiol Endod, 2003, 96(2): 128-135.
[19] Visscher SH, Van Minnen B, Bos RR.Closure of oroantral communications: a review of the literature[J]. J Oral Maxillofac Surg, 2010, 68(6): 1384-1391.
[20] Kitagawa Y, Sano K, Nakamura M, et al.Use of third molar transplantation for closure of the oroantral communication after tooth extraction: a report of 2 cases[J]. Oral Surg Oral Med Oral Pathol Oral Radiol Endod, 2003, 95(4): 409-415.
[21] 艾尔希丁·吐尔孙, 艾力麦尔旦·艾尼瓦尔, 布麦热姆·伊敏江,等. 局限性慢性根尖周炎对自体牙移植成功率影响的初步评价研究[J]. 临床口腔医学杂志, 2023, 39(12): 735-740.
Aierxiding T, Ailimaierdan A, Bumairemu Y, et al.Preliminary evaluation of the effect of localized chronic periapical periodontitis on the success rate of autogenous tooth transplantation[J]. Journal of Clinical Stomatology, 2023, 39(12): 735-740.
[22] 朱晗懿, 黄正蔚. 自体牙移植的临床考量[J]. 口腔医学, 2021, 41(9): 769-775.
Zhu HY, Huang ZW.Research progress of tooth autotransplantation[J]. Stomatology, 2021, 41(9): 769-775.

12例自体牙移植在上颌窦穿孔修补术中的应用效果评价

Application of autologous tooth transplantation in the repair of oroantral communication in 12 cases

PDF (PC)

可视化

摘要/Abstract

引用本文

使用本文

参考文献

相关文章 6

编辑推荐

Metrics

本文评价

[1]	艾力麦尔旦·艾尼瓦尔, 王玲. 自体牙移植的适应证及应用研究进展[J]. 中国口腔颌面外科杂志, 2024, 22(3): 300-308.
[2]	陆丽荣, 丁旭, 刘玉婵. 41例自体成熟移植牙的长期生存回顾分析[J]. 中国口腔颌面外科杂志, 2021, 19(4): 354-357.
[3]	中华口腔医学会牙及牙槽外科专业委员会. 自体牙移植术规范化操作流程中国专家共识[J]. 中国口腔颌面外科杂志, 2020, 18(5): 390-394.
[4]	惠小勇, 侯锐, 许广杰, 李志文, 杨霞, 周宏志, 张昊, 尚磊. 自体牙移植术前难度预判因素的筛选及分析[J]. 中国口腔颌面外科杂志, 2020, 18(2): 132-135.
[5]	侯锐, 许广杰, 惠小勇, 杨霞, 张林林, 王肖楠, 张新庆, 钟良燕, 胡曼. 自体牙移植300例临床分析[J]. 中国口腔颌面外科杂志, 2018, 16(1): 25-28.
[6]	许广杰，侯锐，田磊，朱庆林，郭宇轩，刘彦普，王肖楠，杨霞. 下颌支内阻生第二磨牙自体移植1例报告[J]. 中国口腔颌面外科杂志, 2017, 15(3): 286-288.