Journal of Prevention and Treatment for Stomatological Diseases ›› 2019, Vol. 27 ›› Issue (8): 505-509.doi: 10.12016/j.issn.2096-1456.2019.08.006

• Cinical Study • Previous Articles     Next Articles

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

GUO Zehong,NING Yingyuan,XU Shulan(),ZHAN jieling,DING Xianglong,GAO Yan   

  1. Center of Oral Implantology, Stomatological Hospital, Southern Medical University, Guangzhou 510280, China
  • Received:2019-03-21 Revised:2019-05-15 Online:2019-08-20 Published:2019-08-16
  • Contact: Shulan XU E-mail:xushulan@vip.163.com

Abstract:

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 of 20 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 for 1 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.

Key words: maxillary sinusitis, odontogenic, therapy, alveolar crest approach, sinus lift, implant, restoration

CLC Number: 

  • R782.1

Table 1

Odontogenic factors causing maxillary sinusitis"

病因 例数 构成比
拔牙残根进入上颌窦 7 35%
根尖周炎 4 20%
上颌窦提升植骨后感染 3 15%
无明显症状(可追溯到牙源性病因) 4 20%
牙周炎
合计
2
20
10%
100%

Figure 1

Treatment, implant restoration and follow-up results of odontogenic maxillary sinusitis"

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