上颌窦内提升术联合PRF在拔牙同期即刻自体牙移植术中的应用效果评价

doi:10.19438/j.cjoms.2025.04.013

摘要/Abstract

摘要： 目的：观察上颌窦内提升术联合富血小板纤维蛋白（platelet-rich fibrin,PRF）在拔牙同期进行即刻自体牙移植术中的效果。方法：选择2019年1月—2023年10月深圳市萨米医疗中心收治的上颌磨牙缺失患者37例（40颗牙）。所有患者均以智齿作为供牙,施行上颌窦内提升术联合PRF的拔牙同期自体牙移植术。术后随访1~5年,结合临床及影像学检查结果,统计自体牙移植成功率。结果：40颗移植牙1~5年的成功率为100%。移植牙无松动,无叩痛,无深牙周袋形成,无自觉不适感,能够行使正常功能。影像学结果显示,移植牙与周围牙槽骨周围见牙周膜愈合,未见牙根吸收,牙槽骨边缘见硬骨板影像,移植牙牙根与上颌窦窦底间有骨质形成。结论：上颌窦内提升术联合PRF在拔牙同期自体牙移植术中可行,自体牙移植成功率良好,拓展了上颌后牙自体牙移植术的适应证。

关键词: 上颌窦内提升术, 自体牙移植术, 富血小板纤维蛋白, 智齿

Abstract: PURPOSE: To observe the effect of internal maxillary sinus lift combined with platelet-rich fibrin (PRF) in immediate autotransplantation during tooth extraction. METHODS: A total of 37 patients (40 teeth) with maxillary molar loss admitted to Shenzhen Samii Medical Center from January 2019 to October 2023 were selected. All patients received maxillary sinus lift combined with PRF in immediate autogenous tooth transplantation during extraction with wisdom teeth as donor teeth. The patients were followed up for 1 to 5 years. The success rate of autotransplantation was calculated according to the clinical and imaging examination results. RESULTS: The success rate of 40 transplanted teeth within 1 to 5 years was 100%. The transplanted teeth presented no loosening, no percussion pain, no formation of deep periodontal pockets, and no self-perceived discomfort, and were capable of exercising normal functions. The imaging results demonstrated that periodontal ligament healing was observed around the transplanted teeth and the surrounding alveolar bone, with no signs of root resorption. A hard bone plate image was visible at the edge of the alveolar bone, and bone formation occurred between the root of the transplanted tooth and the floor of the maxillary sinus. CONCLUSIONS: Internal maxillary sinus lift combined with PRF is feasible in immediate autologous tooth transplantation during tooth extraction, and the success rate of autologous teeth is favorable. This procedure expands the indications for autologous tooth transplantation in the posterior maxillary teeth.

Key words: Maxillary sinus lift, Autologous tooth transplantation, Platelet-rich fibrin, Wisdom teeth

中图分类号:

R782.1

沙莎, 刘军平. 上颌窦内提升术联合PRF在拔牙同期即刻自体牙移植术中的应用效果评价[J]. 中国口腔颌面外科杂志, 2025, 23(4): 395-400.

Sha Sha, Liu Junping. Application of maxillary sinus lift technique combined with PRF in immediate autogenous tooth transplantation during extraction[J]. China J Oral Maxillofac Surg, 2025, 23(4): 395-400.

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