Schneiderian Membrane Thickness and Clinical Implications for Sinus Augmentation: A Systematic Review and Meta‐Regression Analyses

Monje, Alberto; Diaz, Karla Tatiana; Aranda, Luisiana; Ínsua, Ángel; Nogales, Agustín García; Wang, Hom Lay

doi:10.1902/jop.2016.160041

Cited by 74 publications

(99 citation statements)

References 44 publications

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“…An intact Schneiderian membrane, which usually averages approximately 1 mm in thickness, plays a crucial role in containing the inserted bone graft. 20 It should be kept intact to avoid the loss of graft material and to provide coverage that offers vascular function.…”

Section: Discussionmentioning

confidence: 99%

The implications of different lateral wall thicknesses on surgical access to the maxillary sinus

2017

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The objective of this study was to measure the topographic thickness of the lateral wall of the maxillary sinus in selected Asian populations. Measurements were made on the lateral walls of maxillary sinuses recorded using CBCT in a convenient sample of patients attending an Asian teaching hospital. The points of measurement were the intersections between the axes along the apices of the canine, first premolar, and second premolar and along the mesiobuccal and distobuccal apices of the first and second molars and horizontal planes 10 mm, 20 mm, 30 mm and 40 mm beneath the orbital floor. The CBCT images of 109 patients were reviewed. The mean age of the patients was 33.0 (SD 14.8) years. Almost three quarters (71.8%) of the patients were male. The mean bone thickness decreased beginning at the 10-mm level and continuing to 40 mm below the orbital floor. Few canine regions showed encroachment of the maxillary sinus. The thickness of the buccal wall gradually increased from the canine region (where sinus encroachment of the canine region was present) to the first molar region, after which it decreased to the thickness observed at the canine region. The buccal wall of the maxillary sinus became thicker anteroposteriorly, except in the region of the second molar, and thinner superoinferiorly. These changes will affect the approach used to osteotomize the lateral sinus wall for oral surgery and for the sinus lift procedure.

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Section: Discussionmentioning

confidence: 99%

The implications of different lateral wall thicknesses on surgical access to the maxillary sinus

2017

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“…8,9,12 T A B L E 1 Sinus membrane thickening based on number of posterior teeth The aim of the present investigation was to evaluate the factors that may have an influence on the thickness and morphology of the Schneiderian membrane. 8,9,12 T A B L E 1 Sinus membrane thickening based on number of posterior teeth The aim of the present investigation was to evaluate the factors that may have an influence on the thickness and morphology of the Schneiderian membrane.…”

Section: Discussionmentioning

confidence: 99%

“…4,5 The maxillary sinus membrane, Schneiderian membrane, consists of ciliated respiratory epithelium and exhibits radiographic thickness of 0.8 ± 1.2 to 1.99 ± 2.1 mm. [8][9][10] In particular, male patients, smokers, and patients over 60 years of age are reported to possess thicker maxillary sinus mucosa. [8][9][10] In particular, male patients, smokers, and patients over 60 years of age are reported to possess thicker maxillary sinus mucosa.…”

Section: Introductionmentioning

confidence: 99%

“…6,7 The thickness of maxillary sinus membrane may be affected by the local and patient-related factors. 8,9,11 Additionally, positive association between apical periodontitis, the severity of periodontal bone loss (PBL), and sinus mucosal thickening are presented in the literature. 8,9,11 Additionally, positive association between apical periodontitis, the severity of periodontal bone loss (PBL), and sinus mucosal thickening are presented in the literature.…”

Section: Introductionmentioning

confidence: 99%

“…10 Membrane thicknesses between 5-10 mm and exceeding 10 mm are reported in 10% and 14% of cone beam computed tomography (CBCT) images, respectively. 9 CBCT is an imaging technique, which provides detailed information about anatomical structures and abnormalities including sinus membrane thickness. 9 CBCT is an imaging technique, which provides detailed information about anatomical structures and abnormalities including sinus membrane thickness.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Effects of clinical local factors on thickness and morphology of Schneiderian membrane: A retrospective clinical study

Ramanauskaitė

Ataman-Duruel

Duruel

et al. 2019

Clin Implant Dent Rel Res

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Background: It was informed that the thickness of maxillary sinus membrane may be affected by the local and patient-related factors in the literature.Purpose: The aim of this retrospective study is to evaluate factors that may have an influence of the thickness and morphology of the maxillary sinus membrane. Materials and Methods:A total of 414 cone beam computed tomography images of 207 patients were evaluated. Radiographic parameters were evaluated at each maxillary premolar and molar tooth regions. Statistical analysis was performed to assess the association between the maxillary sinus mucosa thickness and morphology. The following factors including gender, periodontal bone loss (PBL), bone density, amount of residual alveolar bone at the edentulous space, vitality of the teeth present, and anatomical relationship between the sinus floor and posterior teeth were evaluated. Results:The mean thickness of maxillary sinus membrane ranged between 1.47 to 2.92 mm and was significantly thicker in male subjects (P < .05). Positive correlation was detected between the sinus membrane thickness values in each posterior tooth region (P < .05). Thickening of the membrane was noted in 53% of the scans. The most commonly observed morphological change was flat thickening of the membrane (21%). No correlation was found between the evaluated local factors on the thickness and morphology of the maxillary sinus membrane (P > .05).Conclusions: Tooth vitality, residual alveolar bone height, and PBL seem to have no effect on the thickness and morphology of the maxillary sinus membrane. K E Y W O R D SCBCT imaging, computerized tomography, maxillary sinus, sinus floor elevation

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Maxillary Sinus Floor Elevation in the Atrophic Posterior Maxillae: Anatomy, Principles, Techniques, Outcomes, and Complications

Monje¹,

Wang²,

Miron³

2017

Platelet Rich Fibrin in Regenerative Dentistry: Biological Background and Clinical Indications

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Schneiderian Membrane Thickness and Clinical Implications for Sinus Augmentation: A Systematic Review and Meta‐Regression Analyses

Cited by 74 publications

References 44 publications

The implications of different lateral wall thicknesses on surgical access to the maxillary sinus

The implications of different lateral wall thicknesses on surgical access to the maxillary sinus

Effects of clinical local factors on thickness and morphology of Schneiderian membrane: A retrospective clinical study

Maxillary Sinus Floor Elevation in the Atrophic Posterior Maxillae: Anatomy, Principles, Techniques, Outcomes, and Complications

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