Complication Rate in 200 Consecutive Sinus Lift Procedures: Guidelines for Prevention and Treatment

Vázquez, J.C. Moreno; Rivera, Angel Silván Gonzalez de; Gil, Herminia Serrano; Mifsut, Rafael Santamaría

doi:10.1016/j.joms.2013.11.023

Cited by 104 publications

(104 citation statements)

References 16 publications

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“…However, the presence of an interfering radiographic septum on the preoperative CBCT scan was significantly associated with the occurrence of a sinus membrane perforation. The overall membrane perforation in relation to the presence of septa was 44.7% in this study and is in agreement with previously reported data [18, 25, 26]. Of these studies, only Malkinson and Irinakis [10] retrospectively assessed the presence of interfering septa on preoperative CBCT scans of 52 direct sinus lift procedures.…”

Section: Discussionsupporting

confidence: 92%

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Complications During Maxillary Sinus Augmentation Associated with Interfering Septa: A New Classification of Septa

Irinakis¹,

Dabuleanu²,

Aldahlawi³

2017

TODENTJ

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Purpose:A new classification of maxillary sinus interfering septa based on its orientation is presented along with its relationship to the prevalence and severity of sinus membrane perforations. Additionally, the impact of membrane perforation on post-operative complications and marginal bone loss during the first year of loading is evaluated.Materials & Methods:Retrospective chart review of 79 consecutive sinus lift procedures with lateral window technique and 107 implants. Preoperative Cone Beam Computed Tomography (CBCT) images were evaluated for the incidence and the direction of maxillary septa. Chart notes were examined for the incidence of membrane perforation and postoperative complications. Measurements of mesial and distal marginal bone levels and average bone resorption adjacent to each implant were calculated in intraoral radiographs taken at implant placement and during follow up appointments.Results:Interfering septa were identified in 48.1 percent of sinuses. 71.1 percent of them had the septum oriented in a buccal-lingual direction (Class I). The overall incidence of membrane perforation was 22.8 percent, and the presence of an interfering septum on CBCT scan was found to be significantly associated with the occurrence of a sinus membrane perforation (P<0.001). The mean implant marginal bone loss for sinuses, which did not experience a membrane perforation, was 0.6±0.8mm, compared with 0.9 ± 0.9 mm for the sinuses that did experience a perforation (P = 0.325).Conclusion:Septa should be identified, classified and managed with a meticulous attention to technical details. A classification based on the septal orientation is proposed since the orientation of the septa can complicate the surgical procedure and requires modification of the surgical technique.

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Section: Discussionsupporting

confidence: 92%

“…The incidence of reported infection following sinus lift surgery has ranged from 0 to 12.5% [25, 29, 30]. There has been conflicting information regarding the association between membrane perforation and the development of sinusitis.…”

Section: Discussionmentioning

confidence: 99%

Complications During Maxillary Sinus Augmentation Associated with Interfering Septa: A New Classification of Septa

Irinakis¹,

Dabuleanu²,

Aldahlawi³

2017

TODENTJ

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“…The failure rate is not high, but some cases may require additional surgery, and the outcome of podiatric rehabilitation may be affected. With special attention to risk factors and their connection to the principles of prevention and treatment, surgeons care more and more about the major long-term complications, reliable and safe implant, rhythm of resorbability and measures implemented in practice to minimize the sequelae [8, 9]. As a result of these concerns, biomaterials of choice entail attributes of excellent osteoconductivity, biocompatibility and additional properties like radiolucency, antibiosis, free of immunologic rejection, poor thermal conductivity and ability to induce osteanagenesis [10].…”

Section: Discussionmentioning

confidence: 99%

Mineralized collagen artificial bone repair material products used for fusing the podarthral joints with internal fixation—a case report

Ghate

Cui²

2017

Regenerative Biomaterials

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In this study, we reported a case with collapse and subluxation of metatarsal-cuneiform joint, navicular-cuneiform joint with subluxed the right first metatarsophalangeal joint. The injured medial column was internally fixed with compression arthrodesis. The fusion site was firmed up with BonGold® Bone Sponge and Bone Putty. The prognosis of fused navicular-cuneiform joint and metatarsal-cuneiform joint were examined by X-ray shortly after surgical operation and followed up 2, 4, 6, 9 and 13 weeks after the surgical operation. The medial column was perfectly fused by compression arthrodesis. These results justified and favored the application of mineralized collagen as an excellent alternative to autograft in fusing the podarthral joints with internal fixation.

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“…By contrast, chronic sinusitis and allergies may result in a thick membrane, which can also complicate membrane elevation. Any other inding associated with maxillary sinus disease requires consultation with an otolaryngologist during preoperative planning [18].…”

Section: Contraindicationmentioning

confidence: 99%

“…Graft failure is expected in these cases. It may also be necessary to remove the grafted material to clear the infection [18]. Patient selection, treatment planning, and the appropriate sinus augmentation technique are essential to minimize the risk of complications.…”

Section: Complicationsmentioning

confidence: 99%

Maxillary Sinus Augmentation for Dental Implants

Göçmen¹,

Özkan²

2017

Paranasal Sinuses

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Pneumatization of the maxillary sinus secondary to posterior maxillary tooth loss is an extremely common inding. Signiicant atrophy of the maxilla prevents dental implant placement in this region. Grafting the loor of the maxillary sinus has emerged as the most common surgical modality for correcting this inadequacy. Graft material is introduced into the space created inferior to the sinus membrane. Various grafting materials and techniques might be used in this procedure. The aim of this article is to review the essentials of maxillary sinus augmentation, clarify this procedure for otolaryngologists, explain its function, and describe the augmentation materials, techniques, and complications.

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Complication Rate in 200 Consecutive Sinus Lift Procedures: Guidelines for Prevention and Treatment

Cited by 104 publications

References 16 publications

Complications During Maxillary Sinus Augmentation Associated with Interfering Septa: A New Classification of Septa

Complications During Maxillary Sinus Augmentation Associated with Interfering Septa: A New Classification of Septa

Mineralized collagen artificial bone repair material products used for fusing the podarthral joints with internal fixation—a case report

Maxillary Sinus Augmentation for Dental Implants

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