Доступ через боковое окно с подъемом мембраны верхнечелюстной пазухи для установки дентального имплантата в атрофированный беззубый альвеолярный гребень

  • № 3 2021

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Язык: русский

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Аннотация

Одной из наиболее сложных и технически чувствительных хирургических процедур в сочетании с реабилитацией дентальных имплантатов является поднятие мембраны пазухи для увеличения высоты или объема кости от дна верхнечелюстной пазухи. Эта важная препротезная хирургическая техника доступна уже более 15 лет, что делает возможным создание объема кости в беззубой задней верхней челюсти для установки дентальных имплантатов в хирургически скомпрометированных случаях. Существует обширная литература относительно наиболее эффективных способов повышения предсказуемости этой хирургической процедуры и уменьшения связанных с ней осложнений. В статье описаны региональная анатомия верхнечелюстной пазухи, эволюция процедуры лифтинга мембраны пазух, современная хирургическая техника,потребность в костном трансплантате или заменителях кости, а также достижения в области латеральной технике доступа и доступа через гребень ля подъема мембраны пазухи для дентальных имплантатов.

Tish implantatsiyasini reabilitatsiya qilish bilan birgalikda eng qiyin va texnik jihatdan sezgir jarrohlik muolajalaridan biri bu maksiller sinus tagidan suyakning balandligi yoki hajmini oshirish uchun sinus membranasini ko’tarishdir. Ushbu muhim protezdan oldingi jarrohlik texnikasi 15 yildan ortiq vaqtdan beri mavjud bo’lib, jarrohlik yo’li bilan buzilgan hollarda tish implantlarini joylashtirish uchun tishsiz orqa jag’da suyak hajmini yaratishga imkon beradi. Ushbu jarrohlik amaliyotining prognozini yaxshilash va u bilan bog’liq asoratlarni kamaytirishning eng samarali usullari bo’yicha keng qamrovli adabiyotlar mavjud. Maqolada maxillarar sinusning mintaqaviy anatomiyasi, sinus membranasini ko’tarish jarayonining evolyutsiyasi, zamonaviy jarrohlik usullari, suyak transplantatsiyasi yoki suyak o’rnini bosuvchi vositalarga bo’lgan ehtiyoj, shuningdek, lateral kirish va bo’shliq orqali kirish texnikasidagi yutuqlar tasvirlangan. dental implantlar uchun sinus membranasi.

One of the most difficult and technically sensitive surgical procedures in combination with dental implant rehabilitation is the lifting of the sinus membrane to increase the height or volume of the bone from the floor of the maxillary sinus. This important preprosthetic surgical technique has been available for over 15 years, making it possible to create bone volume in the edentulous posterior maxilla for the placement of dental implants in surgically compromised cases. There is an extensive literature on the most effective ways to improve the predictability of this surgical procedure and reduce the complications associated with it. The article describes the regional anatomy of the maxillary sinus, the evolution of the sinus membrane lifting procedure, modern surgical techniques, the need for bone grafts or bone substitutes, as well as advances in the lateral technique of access and access through the crest of the sinus membrane for dental implants.

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