The influence of sinus membrane thickness upon membrane perforation during transcrestal sinus lift procedure

Wen, Shih-Cheng; Lin, Yen-Hua; Yang, Yeuh-Chao; Wang, Hom‐Lay

doi:10.1111/clr.12429

Cited by 76 publications

(80 citation statements)

References 36 publications

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“…Despite the high survival rate of dental implants inserted in maxillary sinuses that have undergone sinus floor elevation (SFE) with bone grafting, complications still occur [1–3]. Sinus membrane perforation is reported to be the most common complication [4, 5].…”

Section: Introductionmentioning

confidence: 99%

Dental implants and grafting success remain high despite large variations in maxillary sinus mucosal thickening

et al. 2017

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BackgroundAlthough mucosal thickening is the most common radiographic finding observed regarding sinus pathology, the knowledge regarding its clinical significance on the outcomes of dental implants and grafting in the maxillary sinuses is still limited. We hypothesized that mucosal thickening would not alter the predictability for sinus floor augmentation and dental implant placement. The purpose of this retrospective study was to evaluate the outcomes of dental implant placement in sinus-augmented areas with preexisting sinus mucosal thickening.MethodsThis study involved the review of cone-beam computed tomographic (CBCT) scans taken on patients that underwent both maxillary sinus elevation with grafting and implant placement at the University of Michigan School of Dentistry from 2004 to 2014. Cases with documented radiographic and clinical follow-up were included. The data analyses revealed the following.ResultsA total of 29 CBCT scans met the inclusion criteria for evaluation, and 93.1% of them had maxillary sinus mucosal/tissue thickening. Specifically, 6.9% of cases exhibited no thickening, 6.9% had minimal thickening (1–2 mm), 20.7% of cases had moderate thickening (2–5 mm), and 65.5% had severe thickening (>5 mm). We propose these categorical measurements of tissue thickening as a new “mucosal thickening index.” The tissue thickening did not vary based on gender, age, or smoking status, nor did it relate to the underlying alveolar ridge height. However, patients with a history of periodontal diseases demonstrated a significant association with mucosal thickening (p = 0.0043). These data indicate that there is high implant and grafting success rate (100%) in the maxillary sinus despite large and varied physiologic sinus mucosal/tissue thickening.ConclusionsBased on study findings, this research will help guide dental practitioners regarding cases that exhibit mucosal thickening. These data support the concept that physiologic mucosal thickening in varied ranges is not associated with implant or grafting failure in the maxillary sinus.

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Section: Introductionmentioning

confidence: 99%

Dental implants and grafting success remain high despite large variations in maxillary sinus mucosal thickening

et al. 2017

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“…Wen et al 6 and Lin et al 4 measured and divided the schneiderian membrane thickness into 3 groups less than 1 mm, 1 mm to less than 2 mm and more than 2 mm with mean thickness 1.78 ± 1.99 mm in first study and 1.32 ± 0.87 mm in the second study. It was using crestal approach technique and using lateral window technique.…”

Section: Discussionmentioning

confidence: 99%

“…4, 6 The aims of this systematic review is to evaluate the recent scientific evidence about the SMT relation with sinus lift possibility of complications.…”

mentioning

confidence: 99%

Gingival enlargment treatment on 11 and 21 teeth: A case report

Yohana¹

2016

J Dentomaxillofac Sci

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Objective: To evaluate the recent scientific evidence about the relation of schneiderian membrane thickness and sinus lift complications. Methods: A systematic search at pubMed and wiley online library was conducted to identify articles published between January 2013 to December 2017 about schneiderian membrane thickness relation with sinus lift complications. Manual selection of the full text articles was performed and from 133 articles found in initial searches, there were only 3 articles that compatible with the inclusion criteria. Results:The initial search resulted in 133 articles. All the full text articles were reviewed and selected based on inclusion criteria. There were 3 studies that compatible with inclusion criteria with 395 patients as subjects and 466 sinus lift or sinus augmentation procedures performed. Conclusion:The schneiderian membrane thickness might affects complications in sinus lift or sinus augmentation procedures, especially perforation of schneiderian membrane.

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“…Wen ve ark. 19 yaptıkları bir çalışmada 0,5 mm'den ince veya 3 mm'den kalın sinüs membranlarında perforasyon riskinin arttığını göstermişlerdir. Membran kalınlığı 2 ile 3 mm arasında olduğu durumlarda ise en az perforasyonla karşılaşmışlardır.…”

Section: Materyal Ve Metotunclassified

Assessment of Classification, Prevalance and Comparison with Antral Pathology of Sinus Floor Cortication by Using Cone Beam Computed Tomography

Demiralp¹,

Şahın²,

Çakmak³

et al. 2017

Kafkas J Med Sci

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The influence of sinus membrane thickness upon membrane perforation during transcrestal sinus lift procedure

Abstract: There was a significant correlation between membrane thickness and perforation rate. The perforation rate was lowest when the thickness was 1.5-2 mm.

Cited by 76 publications

References 36 publications

Dental implants and grafting success remain high despite large variations in maxillary sinus mucosal thickening

Dental implants and grafting success remain high despite large variations in maxillary sinus mucosal thickening

Gingival enlargment treatment on 11 and 21 teeth: A case report

Assessment of Classification, Prevalance and Comparison with Antral Pathology of Sinus Floor Cortication by Using Cone Beam Computed Tomography

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