Mucosal perforation in open maxillary sinus lift and dental implantation after restoration

doi:10.3969/j.issn.2095-4344.2014.51.005

Abstract

Abstract:

BACKGROUND: Mucosal perforation is the most common complication in open maxillary sinus lift, which limits the clinical application of dental implantation. Clinical effects of precise operation in open maxillary sinus lift with dental implant for mucosal perforation.

OBJECTIVE: To analyze the cause of mucosal perforation in maxillary sinus lift with dental implant and to observe the effect of dental implantation after perforation closure.

METHODS: Twenty-nine cases underwent open maxillary sinus lift (39 implants). Mucosal perforation was repaired by absorbable biofilms, and coralline hydroxyapatite was used as a bone graft material in open maxillary sinus lift.

RESULTS AND CONCLUSION: Eight of 29 cases (20.5%) developed mucosal perforation, among which, 5 were repaired and implanted instantly, and the other 3 cases underwent sinus lifting and delayed dental implantation. No infection occurred, and only one case appeared to have implant shedding. All the 29 cases (39 dental implants) completed the restoration, and no implant loosening and pain occurred. These findings indicate that mucosal perforation in maxillary sinus lift is mainly related to the mucosal condition of the sinus floor, choice of operating instruments and surgeon’s operating skill. Based on the proper mucosal repair and appropriate selection of dental implants, open maxillary sinus lift with instant or delayed dental implantation can both achieve satisfactory effects.

中国组织工程研究杂志出版内容重点：组织构建；骨细胞；软骨细胞；细胞培养；成纤维细胞；血管内皮细胞；骨质疏松；组织工程

全文链接：

Key words: tissue engineering, mouth, dental implantation, dental prosthesis repair

CLC Number:

R318

Wu Pei-ling, Zhang Xiao-qian, Nijiati Tuerxun, Li Yi-ming. Mucosal perforation in open maxillary sinus lift and dental implantation after restoration[J]. Chinese Journal of Tissue Engineering Research, 2014, 18(51): 8223-8227.

Figures/Tables 1

References

[1]Barone A, Santini S, Sbordone L, et al. A clinical study of the outcomes and complications associated with maxillary sinus augmentation. Int J Oral Maxillofac Implants. 2006; 21(1):81-85.
[2]Sorní M, Guarinós J, García O, et al. Implant rehabilitation of the atrophic upper jaw: a review of the literature since 1999. Med Oral Patol Oral Cir Bucal. 2005;10 Suppl 1: E45-E56.
[3]Torrella F, Pitarch J, Cabanes G, et al. Ultrasonic ostectomy for the surgical approach of the maxillary sinus: a technical note. Int J Oral Maxillofac Implants. 1998;13(5):697-700.
[4]Albrektsson T, Zarb GA. Current interpretations of the osseointegrated response: clinical significance. Int J Prosthodont. 1993;6(2):95-105.
[5]Sanchez-Recio C, Penarrocha-Diago M, Penarrocha-Diago M, et al. Maxillary sinus lift performed using ultrasound. Evaluation of 21 patients. Med Oral Patol Oral Cir Buacl. 2010;15(2):371-374.
[6]Ulm CW, Solar P, Krennmail G, et al. Incidence and suggested suragical management of septa in sinus-lift procedures. Int Joral Maxillofac Implants. 1995;10(4): 462-465.
[7]Kasabah S, Slezak R, Simnek A, et al. Evaluation of the accuracy of panoramic radiograph in the definition of maxillary sinus septa. ACTA Medical Hrade Kralove. 2001; 45(4):173-175.
[8]Blus C, Szmukler-Moncler S, Salama M, et al. Sinus bone grafting procedures using ultrasonic bone surgery: 5-year experience. Int J periodontics Restorative Dent. 2008;28(3): 221-229.
[9]Vlassis JM, Fugazzotto PA. A classification system for sinus membrane perforations during augmentation procedures with options for repair. J Periodontol. 1999; 70:692-699.
[10]Hernández-Alfaro F, Torradeflot MM, Marti C. Prevalence and management of Schneiderian membrane perforations during sinus lift procedures. Clinal Oral Implants Res. 2008; 19:91-98.
[11]Thor A, Sennerby L, Hirsch JM, et al. Bone formation at the maxillary sinus floor following simultaneous elevation of the mucosal lining and implant installation without graft material: an evaluation of 20 patients treated with 44 Astra Tech implants. J Oral Maxillofac Surg. 2007;65:64-72.
[12]Suo WC, Gu ZY, Ruan H, et al. Measurement of the height and width of residual alveolar crests in lowset maxillary sinus patients with missing upper molar. 2011;20(3): 308-313.
[13]Du LZ, Feng HN, Chang XF, et al. A clinical study of piezosurgery osteotomy in lateral sinus floor augmentation. J Pract Stomatol. 2014;30(5):689-691.
[14]Jungner M, Legrell PE, Lundgren S. Follow-up study of implants with turned or oxidized surfaces placed after sinus augmentation. Int J Oral Maxillofac Implants. 2014;29(6): 1380-1387.
[15]Tiwana PS, Kushner GM, Haug RH. Maxillary sinus augmentation. Dent Clin North Am. 2006;50(3):409-424.
[16]Robier A, de Geofroy P, Pandraud L. Use of coral implants in maxillofacial and otorhinolaryngologic surgery. 1987; 104(4):303-306.
[17]Tatum HJR. Maxillary and sinus implant reconstruction. Dent Clin North Am. 1986;30:207-229.
[18]Sverzut AT, Rodrigues DC, Lauria A, et al. Clinical, radiographic, and histological analyses of calcium phosphate cement as filling material in maxillary sinus lift surgery. Clin Oral Implants Res. 2014 [Epub ahead of print].
[19]Bortoluzzi MC, Manfro R, Fabris V, et al. Comparative study of immediately inserted dental implants in sinus lift: 24 months of follow-up. Ann Maxillofac Surg. 2014;4(1):30-33.
[20]Wang F, Fan Z, Wang ZL. Augmentation of atrophic posterior maxilla by sinus floor elevation. Kouqiang Hemian Waike Zazhi. 2013;23(2):110-115.
[21]Balaji SM. Direct v/s indirect sinus lift in maxillary dental implants. Ann Maxillofac Surg. 2013;3(2):148-153.
[22]Cortes AR, Corrêa L, Arita ES. Evaluation of a maxillary sinus floor augmentation in the presence of a large antral pseudocyst. J Craniofac Surg. 2012;23(6):e535-e537.
[23]Kolerman R, Goshen G, Joseph N, et al. Histomorphometric analysis of maxillary sinus augmentation using an alloplast bone substitute. J Oral Maxillofac Surg. 2012;70(8): 1835- 1843.
[24]Torretta S, Mantovani M, Testori T, et al. Importance of ENT assessment in stratifying candidates for sinus floor elevation: a prospective clinical study. Clin Oral Implants Res. 2013;24 Suppl A100:57-62.
[25]Neugebauer J, Ritter L, Mischkowski RA, et al. Evaluation of maxillary sinus anatomy by cone-beam CT prior to sinus floor elevation. J Oral Maxillofac Implants. 2010;25(2):258-265.
[26]Lee JE, Jin SH, Ko Y, et al. Evaluation of anatomical considerations in the posterior maxillae for sinus augmentation. World J Clin Cases. 2014;2(11):683-688.
[27]Hikosaka M, Nagasao T, Ogata H, et al. Evaluation of maxillary sinus volume in cleft alveolus patients using 3-dimensional computed tomography. J Craniofac Surg. 2013; 24(1):e23-e26.
[28]Balleri P, Veltri M, Nuti N, et al. Implant placement in combination with sinus membrane elevation without biomaterials: a 1-year study on 15 patients. Clin Implant Dent Relat Res. 2012;14(5):682-689.
[29]Kao SY, Lui MT, Cheng DH, et al. Lateral trap-door window approach with maxillary sinus membrane lifting for dental implant placement in atrophied edentulous alveolar ridge. J Chin Med Assoc. 2014 [Epub ahead of print].