Does intraoperative perforation of Schneiderian membrane during sinus lift surgery causes an increased the risk of implants failure?: A systematic review and meta regression analysis

Al‐Moraissi, Essam Ahmed; Elsharkawy, Ahmed; Abotaleb, Bassam; Alkebsi, Khaled; Al-Motwakel, Hamza

doi:10.1111/cid.12660

Cited by 48 publications

(51 citation statements)

References 56 publications

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“…Perforation of the sinus membrane did not seem to be associated with implant failure in this study. A recent systematic review on 58 included studies reported that an intraoperative sinus membrane perforation could increase the risk of implant failure after sinus augmentation surgery (27). The authors commented that this positive relationship could be explained by the event of displacement of bone particles through the perforation, even in the event of membrane repair, resulting in chronic infection, bone graft resorption and reduction in bone formation (27).…”

Section: Discussionmentioning

confidence: 99%

“…A recent systematic review on 58 included studies reported that an intraoperative sinus membrane perforation could increase the risk of implant failure after sinus augmentation surgery (27). The authors commented that this positive relationship could be explained by the event of displacement of bone particles through the perforation, even in the event of membrane repair, resulting in chronic infection, bone graft resorption and reduction in bone formation (27). We cannot truly assess whether the use of PRGF as a membrane to repair sinus membrane perforation or mixed with the bone grafting material may have reduced complications associated with perforations in our study.…”

Section: Discussionmentioning

confidence: 99%

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One-year implant survival following lateral window sinus augmentation using plasma rich in growth factors (PRGF): a retrospective study

Dragonas

Foote²,

et al. 2020

Med Oral

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Background: The aim of this study was to assess one-year implant survival after lateral window sinus augmentation using PRGF combined with various bone grafting materials. Material and Methods: This was a retrospective chart review and radiographic analysis of patients that had undergone lateral window sinus augmentation with PRGF and had dental implants placed at least 6 months post augmentation. All implants included were followed up for at least one year after placement. Demographic, sinus and implant related characteristics (residual ridge height, sinus membrane perforation, type of graft material, implant length and width and ISQ at placement) were analyzed. Results: A total of 31 patients with 39 sinus augmentations and 48 implants were included. The mean follow up was 22.8 ± 9.9 months. Implant survival was 95.8%, with 2 implants overall failing. Among all the variables assessed, the only one found to be associated with an increased risk for implant failure was the use of xenograft as bone grafting material in the sinus. Conclusions: Within the limitations of this study, dental implants placed in maxillary sinuses grafted with PRGF in combination with bone grafting materials, exhibit high implant survival rates after at least one year follow up.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

One-year implant survival following lateral window sinus augmentation using plasma rich in growth factors (PRGF): a retrospective study

Dragonas

Foote²,

et al. 2020

Med Oral

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“…There was a significant gain in antral bone in the group that received bone grafting (P = 0.02). Essam Al-Moraissi [34], reported in a systematic review of the literature that there is a statistically significant correlation between Schneiderian membrane perforations and implant failure rate. In the present study, patients included in the analysis presented at the base-line with a residual bone height ranging from 4.10 to 6.90 mm (mean 5.89 ± 0.68 mm), demonstrated with linear measurements on CBCT.…”

Section: Discussionmentioning

confidence: 99%

Navigated Antral Bone Expansion (NABE): a prospective study on 35 patients with 4 months of follow-up post implant loading

et al. 2020

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Background The insertion of dental implants in the atrophic posterior maxilla can be a challenge. One option is to modify the residual native bone in preparation for proper, prosthetically-driven implant placement. The procedure presented in this study is called Navigated Antral Bone Expansion (N.A.B.E). This procedure employs the use of a navigation system to plan and guide the initial pilot drilling, bone expansion, final site preparation, and implant insertion. The aim of this study was to compare the distance between the alveolar ridge and the sinus floor measured before and after the surgery performed using the N.A.B.E. technique. Methods Thirty-seven partially edentulous patients who were candidates for implant supported restoration in the posterior maxilla, with a bone height ranging from 4 to 7 mm were enrolled. The N.A.B.E procedure was used to increase the bone height. Paired-samples t-test evaluated the distance between the alveolar ridge and the sinus floor measured before and after surgery. The occurrence of post-surgical complications, and the angular deviation between the planned osteotomy and the actual placed implant trajectories were evaluated. Results Out of the 37 consecutive patients enrolled in the study, 35 were considered in the data analyses. Patients’ bone height after surgery compared to the bone height before surgery showed a statistically significant increase (p < .0005) of 3.96 mm (95% CI, 3.62 mm to 4.30 mm). No post-operative complications were observed in the 35 patients. The mean angular deviation between the planned osteotomy trajectory and the placed implant trajectory ranged between 12.700 to 34.900 (mean 25.170 ± 5.100). Conclusions This study provides evidence that N.A.B.E. technique is able to provide a significant bone increase, and could be considered an alternative method to the management of the atrophic posterior maxilla with a minimally invasive approach.

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“…Una de las complicaciones más frecuentes es la perforación de la membrana de Schneider con una prevalencia de 7%-44% (17). Diferentes factores podrían contribuir a una perforación de membrana como el uso de instrumentos rotatorios, hueso residual en altura deficiente, pacientes fumadores y cambios en el espesor de la membrana (18).…”

Section: Perforación De Membranaunclassified

“…Hubo una correlación positiva estadísticamente significativa entre la tasa de implantes fallidos y el número de perforaciones de la membrana sinusal. La tasa de fracaso de implantes fue de 10.3%, cuando los implantes fueron colocados en esos sitios, mientras que la tasa de implantes perdidos fue de 2.4% en sitios no perforados (17). Se refiere que, como consecuencia de estas perforaciones, grandes o pequeñas, habría la posibilidad de que estos materiales de injerto puedan iniciar una inflamación local, ocasionando incluso una sinusitis crónica, perdiendo parte o todo el material de injerto, pudiendo ocasionar la pérdida del implante incluso antes de ser sometido a fuerzas oclusales.…”

Section: Perforación De Membranaunclassified

Surgical Complications Associated to Maxillary Sinus Floor Elevation in Implantology

Damián

Castro-Ruiz

Azpur

2019

Odovtos - Int J Dent Sc

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Maxillary sinus floor elevation has been extensively documented as a safe and predictable procedure for gaining vertical bone height in the atrophic posterior maxilla. Even though, complications have been reported, which can potentially jeopardize the outcome of the regeneration and implant therapy. Therefore, the purpose of this literature review is to present, debate and analyze the different complications that can occur during a sinus floor elevation.

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Does intraoperative perforation of Schneiderian membrane during sinus lift surgery causes an increased the risk of implants failure?: A systematic review and meta regression analysis

Abstract: The results of this study showed that an intraoperative SM perforation could increase the risk of implant failure after the sinus lift surgery.

Cited by 48 publications

References 56 publications

One-year implant survival following lateral window sinus augmentation using plasma rich in growth factors (PRGF): a retrospective study

One-year implant survival following lateral window sinus augmentation using plasma rich in growth factors (PRGF): a retrospective study

Navigated Antral Bone Expansion (NABE): a prospective study on 35 patients with 4 months of follow-up post implant loading

Surgical Complications Associated to Maxillary Sinus Floor Elevation in Implantology

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