牙保存相关上颌窦底提升术的临床应用

Clinical applications of natural tooth-related maxillary sinus floor elevation

摘要

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。

Abstract

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.

关键词

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

Key words

maxillary tooth-bone-sinus complex / natural tooth-related maxillary sinus floor elevation / odontogenic maxillary sinusitis / clinical application

Author summay

谭学莲，副教授，博士，Email：[e-mail]