Changes in sinus mucosal thickening in the course of tooth extraction and lateral sinus augmentation with surgical drainage: A cone-beam computed tomographic study

被引:8
作者
Park, Won-Bae [1 ]
Kim, Jiyeong [2 ]
Kim, Young-Jin [3 ]
Kang, Philip [4 ]
Lim, Hyun-Chang [5 ]
Han, Ji-Young [6 ]
机构
[1] Kyung Hee Univ, Coll Dent, Dept Periodontol, Private Practice Periodont & Implant Dent, Seoul, South Korea
[2] Hanyang Univ, Ind Univ Cooperat Fdn, Med Res Collaborating Ctr, Biostat Consulting & Res, Seoul, South Korea
[3] Eulji Univ, Nowon Eulji Med Ctr, Private Practice Otorhinolaryngol Clin, Seoul, South Korea
[4] Columbia Univ, Coll Dent Med, Div Periodont, Sect Oral Diagnost & Rehabil Sci, New York, NY USA
[5] Kyung Hee Univ, Periodontal Implant Clin Res Inst, Med Ctr, Dept Periodontol,Coll Dent, Kyunghee Daero 23, Seoul 02447, South Korea
[6] Hanyang Univ, Coll Med, Dept Periodontol, Div Dent, 222-1 Wangsimni Ro, Seoul 04763, South Korea
关键词
dental implant; membrane perforation; nasal mucosa; sinus floor augmentation; FLOOR ELEVATION SURGERY; ODONTOGENIC SINUSITIS; SCHNEIDERIAN MEMBRANE; RISK-FACTORS; ASSOCIATION; TRANSCRESTAL; PERFORATION; THICKNESS;
D O I
10.1111/clr.14019
中图分类号
R78 [口腔科学];
学科分类号
1003 ;
摘要
Objectives The objective of the study was to evaluate the radiographic changes in sinus mucosal thickness (SMT) in patients with mucosal thickening of odontogenic origin after maxillary molar extraction and lateral sinus augmentation with simultaneous surgical drainage and implant placement. Materials and Methods Forty-six patients were included in this study. The changes in SMT were evaluated using cone-beam computed tomography images produced at four time points: before extraction (T0), before surgery (T1), immediately after surgery (T2), and after prosthesis delivery (T3), and statistical differences between time points were analyzed. The changes in SMT and augmented bone height (ABH) regarding the reason of extraction, smoking, ostial patency, and the presence of postoperative sinusitis were also evaluated. Results Over time points, SMT gradually decreased (T0: 19.44 +/- 9.22 mm, T1: 15.10 +/- 8.89 mm, T2: 8.42 +/- 6.01 mm, and T3: 4.16 +/- 4.91 mm) (p < .05). Five out of 6 patients with ostial obstruction at T1 presented ostial patency at T3. Two patients developed postoperative sinusitis but recovered with medication. Ostial patency at T1, SMT at T1, and reason of extraction did not statistically significantly influence SMT at T3. SMT at T1 had no statistically significant impact on ABH change between T2 and T3. Conclusion Sinus mucosal thickness was gradually reduced by extraction of compromised teeth and drainage during lateral sinus augmentation. The drainage contributed more to the reduction in SMT.
引用
收藏
页码:95 / 104
页数:10
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