Association between lateral wall thickness and sinus membrane perforation during lateral sinus elevation: A retrospective study

被引:2
作者
Basma, Hussein [1 ]
Saleh, Islam [2 ]
Abou-Arraj, Ramzi [1 ]
Li, Peng [3 ]
Benavides, Erika [2 ]
Wang, Hom-Lay [2 ]
Chang, Hsun-Liang [2 ]
机构
[1] Univ Alabama Birmingham, Sch Dent, Dept Periodont & Oral Med, 1919 7th Ave, Birmingham, AL 35233 USA
[2] Univ Michigan, Sch Dent, Dept Periodont & Oral Med, Ann Arbor, MI 48109 USA
[3] Univ Alabama Birmingham, Sch Nursing, Birmingham, AL 35233 USA
关键词
atrophied maxilla; lateral window; sinus elevation; sinus membrane; BEAM COMPUTED-TOMOGRAPHY; SUPERIOR ALVEOLAR ARTERY; MAXILLARY SINUS; FLOOR ELEVATION; COMPLICATIONS; AUGMENTATION; ANATOMY; IMPLANTS; WINDOW; CLASSIFICATION;
D O I
暂无
中图分类号
R78 [口腔科学];
学科分类号
1003 ;
摘要
Purpose: This study aimed to investigate the influence of the thickness of the sinus lateral wall on the incidence of sinus membrane perforation. Materials and methods: A retrospective study was conducted by reviewing dental records of patients who received lateral wall sinus elevation in two educational institutes. The wall thickness 4 mm and 6 mm coronal to the sinus floor was measured with CBCT. The occurrence of sinus membrane perforation was recorded and correlated to the wall thickness using a multilevel regression analysis. Results: A total of 209 CBCT scans and patient records (N = 251 sinuses, with 42 scans exhibiting bilateral sinuses) were included. The mean residual ridge height was 3.33 +/- 1.41 mm. Sinus membrane perforation occurred in 67 sites. The overall mean lateral wall thickness was 1.59 +/- 0.84 mm and 1.58 +/- 0.83 mm at 4 mm and 6 mm coronal to the sinus floor, respectively. The mean wall thickness at 4 mm and 6 mm coronal to the sinus floor in the perforation group was 2.43 +/- 0.56 mm and 2.41 +/- 0.56 mm respectively, compared to 1.21 +/- 0.40 mm and 1.23 +/- 0.41 mm respectively in the non-perforation group (P < 0.01). The perforation rate was 56.4% if the lateral wall thickness at 4 mm coronal to the sinus floor was >= 2 mm and 12.1% if it was <= 1 mm. A similar difference in perforation rate was reported for the wall thickness measured at 6 mm coronal to the sinus floor (57.9% vs 13.4%). There was no statistically significant difference between smokers and non-smokers regarding perforation rate (P = 0.9604). The presence of sinus septa and sinus wall irregularities did not display a statistically significant difference (P = 0.7155 and P = 0.2971, respectively). Conclusion: The thickness of the lateral wall of the maxillary sinus was related to the occurrence of membrane perforation.
引用
收藏
页码:77 / 85
页数:9
相关论文
共 50 条
[1]   Prevalence of the posterior superior alveolar canal in cone beam computed tomography scans [J].
Anamali, Sindhura ;
Avila-Ortiz, Gustavo ;
Elangovan, Satheesh ;
Qian, Fang ;
Ruprecht, Axel ;
Finkelstein, Michael ;
Allareddy, Veeratrishul .
CLINICAL ORAL IMPLANTS RESEARCH, 2015, 26 (01) :E8-E12
[2]   The clinical significance of sinus membrane perforation during augmentation of the maxillary sinus [J].
Ardekian, L ;
Oved-Peleg, E ;
Mactei, EE ;
Peled, M .
JOURNAL OF ORAL AND MAXILLOFACIAL SURGERY, 2006, 64 (02) :277-282
[3]   Lateral approach for sinus floor elevation: large versus small bone window - a split-mouth randomized clinical trial [J].
Baldini, Nicola ;
D'Elia, Chiara ;
Bianco, Andrea ;
Goracci, Cecilia ;
de Sanctis, Massimo ;
Ferrari, Marco .
CLINICAL ORAL IMPLANTS RESEARCH, 2017, 28 (08) :974-981
[4]   Management of Schneiderian Membrane Perforations during Sinus Augmentation Procedures: A Preliminary Comparison of Two Different Approaches [J].
Barbu, Horia Mihail ;
Iancu, Stefania Andrada ;
Mirea, Iasmin Jarjour ;
Mignogna, Michele Davide ;
Samet, Nachum ;
Luis Calvo-Guirado, Jose .
JOURNAL OF CLINICAL MEDICINE, 2019, 8 (09)
[5]  
Barone A, 2006, INT J ORAL MAX IMPL, V21, P81
[6]   Osteotomy and membrane elevation during the maxillary sinus augmentation procedure - A comparative study: piezoelectric device vs. conventional rotative instruments [J].
Barone, Antonio ;
Santini, Stefano ;
Marconcini, Simone ;
Giacomelli, Luca ;
Gherlone, Enrico ;
Covani, Ugo .
CLINICAL ORAL IMPLANTS RESEARCH, 2008, 19 (05) :511-515
[7]   Performance of dental implants after staged sinus floor elevation procedures: 5-year results of a prospective study in partially edentulous patients [J].
Bornstein, Michael M. ;
Chappuis, Vivianne ;
von Arx, Thomas ;
Buser, Daniel .
CLINICAL ORAL IMPLANTS RESEARCH, 2008, 19 (10) :1034-1043
[8]  
BOYNE PJ, 1980, J ORAL SURG, V38, P613
[9]   Evaluation of maxillary sinus width on cone-beam computed tomography for sinus augmentation and new sinus classification based on sinus width [J].
Chan, Hsun-Liang ;
Suarez, Fernando ;
Monje, Alberto ;
Benavides, Erika ;
Wang, Hom-Lay .
CLINICAL ORAL IMPLANTS RESEARCH, 2014, 25 (06) :647-652
[10]   Sinus Pathology and Anatomy in Relation to Complications in Lateral Window Sinus Augmentation [J].
Chan, Hsun-Liang ;
Wang, Hom-Lay .
IMPLANT DENTISTRY, 2011, 20 (06) :406-412