The comparative analysis of the effectiveness of various forms of the surgical treatment of the patients presenting with chronic odontogenic maxillary sinusitis

Vv, Vishnyakov; Vn, Talalaev; Dl, Yalymova

doi:10.17116/otorino201580577-79

Cited by 5 publications

(3 citation statements)

References 2 publications

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“…Scanning of bone samples was carried out in parallel with two phantoms (0.25 and 0.75 g/cm 3 The Comparison of Methods for Bone Reconstruction in the Anterior Wall of the Maxillary Sinus The digital data were reconstructed using the NRecon 1.7.4.2 program (Bruker-microCT) with the following parameters: smoothing value -2, ring reduction -20, beam gain -36, minimum for converting CS to image was 0.005, and the maximum -0.05. 3D orientation (x, y, z) and selection of the relevant areas in the reconstructed images were performed using the DataViewer 1.5.6.2 program (Bruker-microCT).…”

Section: Methodsmentioning

confidence: 99%

“…The long post-extraction reparative period, bone resorption, and the sinus pneumatization often result in a reduced height of the maxillary alveolar ridge, making it difficult to place implants and prosthetics in these areas. To increase the volume of bone tissue in the lateral parts of the upper jaw, sinus lift surgery is used [1][2][3][4][5][6][7][8].…”

Section: Introductionmentioning

confidence: 99%

“…Currently, there are a number of methods for closing the lateral window after sinus lift: e.g., closing the window with collagen membranes, using platelet-rich masses, or bone blocks [1][2][3][4][5][6][7][8]. In the literature, however, there are no convincing data on the advantages or disadvantages of a particular technique.…”

Section: Introductionmentioning

confidence: 99%

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The Comparison of Methods for Bone Reconstruction in the Anterior Wall of the Maxillary Sinus (an Experimental Study)

Trubushkina¹,

Boyko²,

Stomatov³

et al. 2022

Sovrem Tehnol Med

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The aim of the study was to compare various methods used for the bone reconstruction in the anterior wall of the maxillary sinus during sinus lift surgery; in addition, we aimed to study the effect of maxillary sinus membrane perforation on the healing process.Materials and Methods. The experiments were carried out using the North Caucasian sheep. Maxillary sinus lift surgery was performed on the animals under general anesthesia. The skin and muscle fascia were dissected layer-by-layer providing the optimal conditions for bone preparation; then, three bone windows were made on each side of the head. Two windows were sawn out with a spherical bur, the third window -with a hollow bur and part of the anterior wall was taken out. On one side, the mucous membrane of the maxillary sinus was pulled and perforated; on the other side, the sinus lift was performed with no membrane perforation. On each side, one window was left uncovered, the second was closed with a collagen membrane, and the third was closed with a bone cover. After 30 and 60 days, the sheep were taken out of the experiment in groups of three; samples were collected from the operated areas and examined using computed microtomography and histology.Results. According to the histological study, the bone repair process developed normally regardless of the surgery technique. The process started with the appearance of granulation tissue and connective tissue cords; in the final stages, cellular differentiation, pronounced osteoblastic activity, and inter-beam formation were seen.The most active regeneration was observed in the areas where the bone defects were closed with a collagen membrane, and especially in the windows made with no perforation of the maxillary sinus membrane. The microtomographic and histological tests proved that perforation of the mucous membrane during the sinus lift operation impaired bone tissue regeneration. Conclusion.The obtained results suggest that the most promising way to close a bone defect in the anterior wall of the maxillary sinus is the use of a collagen membrane; therefore, we recommend choosing this approach for sinus lift surgery.

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Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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The Comparison of Methods for Bone Reconstruction in the Anterior Wall of the Maxillary Sinus (an Experimental Study)

Trubushkina¹,

Boyko²,

Stomatov³

et al. 2022

Sovrem Tehnol Med

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Prevention and treatment of post-implantation maxillary sinusitis in connection with the restorative operations on the alveolar process of the upper jaw

Vishnyakov¹,

Bakotina²,

Talalaev³

et al. 2018

Ross. rinol.

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Реабилитация пациентов с адентией верхней челюсти (ВЧ) с применением дентальных имплантатов широко распространена в стоматологической практике. Все чаще встречаются верхнечелюстные синуситы (ВЧС), возникающие в результате имплантологического лечения. Цель-разработать методы профилактики и повысить эффективность лечения постимплантационных ВЧС. Материал и методы. Пациенты проходили стационарное лечение ВЧС в клинике ЛОР-болезней ФГБОУ ВО «Московский государственный медико-стоматологический университет им. А.И. Евдокимова» Минздрава России на базе ГБУЗ «Городская клиническая больница им. С.И. Спасокукоцкого» Департамента здравоохранения Москвы. Из отделения хирургической стоматологии Клинического центра стоматологии МГМСУ им. А.И. Евдокимова были направлены 72 человека, 11 обратились самостоятельно после лечения в частных стоматологических клиниках. Исследование проводилось в 2014-2017 гг. Критерии включения: пациенты с заболеваниями верхнечелюстных пазух (ВЧП) в анамнезе, адентией ВЧ, нуждавшиеся в восстановительных операциях на альвеолярном отростке ВЧ. Критерии исключения: наличие психического заболевания, декомпенсированные соматические заболевания. В 1-ю группу вошли больные (n=43), у которых в раннем послеоперационном периоде развился одонтогенный ВЧС. Пациенты (n=40), предъявившие в ходе предоперационного обследования у стоматолога жалобы со стороны носа или имевшие изменения в ВЧП на КТ ВЧ, составили 2-ю группу. Результаты. У лиц данной группы на КТ околоносовых пазух (ОНП) фиксировались патологии строения структур остиомеатального комплекса, схожие с теми, что присутствовали и у пациентов 1-й группы. Всем больным была проведена эндоскопическая эндоназальная гайморотомия с одномоментной коррекцией внутриносовых структур. У пациентов 2-й группы одонтогенный ВЧС не возникал. Риск развития осложнений после восстановительных операций на альвеолярном отростке ВЧ у пациентов с предварительной хирургической санацией ВЧП, коррекцией внутриносовых структур, в особенности остиомеатального комплекса, меньше такового риска для пациентов, получивших неполное предоперационное обследование в виде невнимательно собранного анамнеза и рентгенологического обследования в недостаточном объеме (только ВЧ, без включения всех ОНП). Ключевые слова: обострение хронического гайморита, субантральная пластика, осложнение дентальной имплантации. Prevention and treatment of post-implantation maxillary sinusitis in connection with the restorative operations on the alveolar process of the upper jaw

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Modern view on the problem of oroantral fistula closure: literature review

Дурново

Fedorichev

Homutinnikova

2019

Stomat.

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The comparative analysis of the effectiveness of various forms of the surgical treatment of the patients presenting with chronic odontogenic maxillary sinusitis

Cited by 5 publications

References 2 publications

The Comparison of Methods for Bone Reconstruction in the Anterior Wall of the Maxillary Sinus (an Experimental Study)

The Comparison of Methods for Bone Reconstruction in the Anterior Wall of the Maxillary Sinus (an Experimental Study)

Prevention and treatment of post-implantation maxillary sinusitis in connection with the restorative operations on the alveolar process of the upper jaw

Modern view on the problem of oroantral fistula closure: literature review

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