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Marin, S; Kirnbauer, B; Rugani, P; Payer, M; Jakse, N.
Potential risk factors for maxillary sinus membrane perforation and treatment outcome analysis.
Clin Implant Dent Relat Res. 2019; 21(1):66-72 Doi: 10.1111/cid.12699 [OPEN ACCESS]
Web of Science PubMed FullText FullText_MUG

Co-Autor*innen der Med Uni Graz: Jakse Norbert; Kirnbauer Barbara; Payer Michael; Rugani Petra
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Abstract:: Most common complication of sinus floor elevation (SFE) is sinus membrane perforation (SMP). To investigate the correlation between SMP and potential risk factors and to evaluate SMP treatment outcomes. This study included patients who had undergone a SFE at Division of Oral Surgery and Orthodontics, Medical University of Graz from 2013 to 2017. Analysis of patients' records and CBCT focused on patient-related risk factors (sinus contours, thickness of membrane and lateral sinus wall, interfering septa, crossing vessels, former oroantral communication) and intervention-related risk factors (surgical approach, sides, number of tooth units, and sites). The outcome of SMP treatment was analyzed in the recalls. In all, 121 patients underwent 137 SFE. There were 19 cases of SMP (13.9%). Two significant factors were identified: maxillary sinus contours (P = .001) and thickness of the sinus membrane (P = .005). The sinus membrane perforation rate was highest in narrow tapered sinus contours and when the sinus membrane was thinner than 1 mm. Among 19 cases with SMP, no complications were seen upon recall. Maxillary sinus contours and sinus membrane thickness seem to be relevant factors for SMP. Sinus membrane perforations were successfully treated by coverage with collagen membrane. © 2018 Wiley Periodicals, Inc.
Find related publications in this database (Keywords): collagen membrane; cone beam computed tomography; risk factors; sinus membrane elevation; sinus membrane perforation