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Clinical Oral Investigations Oct 2023To evaluate the clinical outcomes following extraction of impacted maxillary tooth adjacent to maxillary via submaxillary sinus membrane space approach. (Randomized Controlled Trial)
Randomized Controlled Trial
OBJECTIVE
To evaluate the clinical outcomes following extraction of impacted maxillary tooth adjacent to maxillary via submaxillary sinus membrane space approach.
MATERIALS AND METHODS
Seventy-two patients were enrolled in our study. The positions of the maxillary impacted tooth were confirmed by cone-beam computed tomography (CBCT). Cases were randomly divided into two groups: the "submaxillary sinus membrane space approach" was applied in the new method (NM) group, and the conventional "avoid maxillary sinus membrane exposure" strategy was executed in the traditional method (TM) group. The clinical and follow-up data were recorded.
RESULTS
The duration of the procedure in the TM group was significantly longer than those in the NM group (P < 0.05). Four teeth were accidentally displaced into the maxillary sinus with MSM perforation. The MSM perforation rate was slightly higher in the TM group than in the NM group, however, without significant difference between the two groups (8/36 vs. 3/36, P = 0.19). The maxillary sinus membrane perforation was associated with the displacement of tooth into the maxillary sinus (OR = 16.2, P = 0.026). The root tip exposure of the adjacent tooth was significantly higher in the TM group than in the NM group (10/36 vs. 1/36, P = 0.006). The incidence of reduced pulp vitality of the adjacent tooth was significantly higher in the TM group (10/36 vs. 1/36, P = 0.006), and it was associated with the exposure of the root tip intraoperatively (OR = 456.5, P < 0.001). The incidence of external root resorption was significantly lower in the NM group, and there was no significant association with the root exposure intraoperatively (OR = 3.7, P = 0.47).
CONCLUSIONS
Submaxillary sinus membrane space approach is a safe and efficient approach in extraction of impacted maxillary tooth. It is an alternative way for cases which are in close proximity to the maxillary sinus.
CLINICAL RELEVANCE
A novel method to extract impacted maxillary tooth adjacent to maxillary sinus.
Topics: Humans; Tooth, Impacted; Maxillary Sinus; Tooth; Root Resorption; Cone-Beam Computed Tomography; Maxilla
PubMed: 37624523
DOI: 10.1007/s00784-023-05223-8 -
Dental Clinics of North America Apr 1971
Topics: Diagnosis, Differential; Humans; Maxillary Diseases; Maxillary Neoplasms; Maxillary Sinus; Oroantral Fistula; Radiography; Sinusitis; Tooth Extraction
PubMed: 5278927
DOI: No ID Found -
Clinical Advances in Periodontics Sep 2022The traditional techniques of maxillary sinus floor elevation via a direct or indirect approach are suitable for the majority of cases. However, in cases of unfavorable...
INTRODUCTION
The traditional techniques of maxillary sinus floor elevation via a direct or indirect approach are suitable for the majority of cases. However, in cases of unfavorable anatomy and/or a thick lateral bony wall, we propose here a new approach for sinus floor elevation.
CASE PRESENTATION
Forty-two-year-old female presents for sinus floor elevation after a failed attempt due to anatomical limitations and intraoperative complications. During the second surgical procedure, the access to the sinus membrane was performed from the palatal side due to thickness of the buccal wall ranging from 6 to 9 mm and the presence of septa. The sinus augmentation was successful, allowing for future implant placement.
CONCLUSION
In selected cases, when the anatomy of the maxillary sinus poses limitations and the lateral wall thickness requires significant bone removal, the palatal approach is a valid alternative to the traditional sinus augmentation techniques.
Topics: Adult; Female; Humans; Maxillary Sinus; Palate; Sinus Floor Augmentation
PubMed: 34245492
DOI: 10.1002/cap.10178 -
Postgraduate Medicine Mar 1991Maxillary sinus hypoplasia is a common condition that may be misdiagnosed as chronic sinusitis. Although hypoplasia can usually be seen on conventional sinus films,... (Review)
Review
Maxillary sinus hypoplasia is a common condition that may be misdiagnosed as chronic sinusitis. Although hypoplasia can usually be seen on conventional sinus films, computed tomography may be necessary, as in the cases described by the authors in this article.
Topics: Adult; Chronic Disease; Diagnosis, Differential; Female; Humans; Male; Maxillary Sinus; Maxillary Sinusitis; Middle Aged; Tomography, X-Ray Computed
PubMed: 2000352
DOI: 10.1080/00325481.1991.11700871 -
Journal of Oral Science 2021The aim of this study was to clarify whether hydroxyapatite/collagen composite material (HAp/Col) could be useful as a graft material for maxillary sinus floor...
The aim of this study was to clarify whether hydroxyapatite/collagen composite material (HAp/Col) could be useful as a graft material for maxillary sinus floor augmentation (MSFA). MSFA and implant placement were performed simultaneously. When the lateral approach was employed, 3 out of 19 implants failed in 3 maxillary sinuses (success rate; 84.2%), and in these cases the alveolar bone heights, cortical bone thicknesses and values of the implant stability quotient were smaller. If alveolar the bone height, cortical bone thickness, and healing period are optimized, HAp/Col can be a useful graft material for MSFA.
Topics: Bone Transplantation; Collagen; Dental Implants; Durapatite; Maxillary Sinus; Sinus Floor Augmentation
PubMed: 34193779
DOI: 10.2334/josnusd.21-0163 -
Implant Dentistry 1999In patients with an inadequate amount of bone for implant placement, sinus lift surgery can be performed to restore a sufficient amount of alveolar bone to allow for... (Review)
Review
In patients with an inadequate amount of bone for implant placement, sinus lift surgery can be performed to restore a sufficient amount of alveolar bone to allow for successful implant placement and subsequent prosthetic reconstruction. In this article, the anatomy and physiology of the maxillary sinus, the mechanisms of bone grafting, bone grafting material, preoperative evaluation, surgical technique, and the grafting procedure, as well as intraoperative bleeding and postoperative complications, are discussed.
Topics: Alveolar Bone Loss; Blood Loss, Surgical; Bone Transplantation; Dental Implantation, Endosseous; Humans; Maxillary Sinus; Oral Surgical Procedures, Preprosthetic
PubMed: 10356455
DOI: 10.1097/00008505-199901000-00004 -
International Journal of Pediatric... Dec 2016To examine the age related volume change of the maxillary sinus in children by measuring the change of the height, weight, and depth using computed tomography (CT).
OBJECTIVE
To examine the age related volume change of the maxillary sinus in children by measuring the change of the height, weight, and depth using computed tomography (CT).
METHODS
Children <18 years of age who underwent a CT Scan of the sinuses for reasons other than sinus related issues were included in the study.
RESULTS
139 patients were included (68 females and 71 Males) and the mean age of the patients was 9.6 ± 5.4 years. The cohort was divided into three groups based on their ages - Age <6 years (n = 45), age between 6 and 12 years (n = 44) and age > 12 years (n = 50). Patients in each age group demonstrated an increase in their Maxillary sinus height (p<0.001). Patients < 6years of age and between 6 and 12 years of age had a significant increase in their maxillary sinus width and depth (p < 0.001). The maxillary sinus width, depth and volume did not increase significantly after the age of 12 years in these patients.
CONCLUSION
We demonstrated periods of significant size increase of the maxillary sinuses as determined by different dimensions in children at various ages. The height of the maxillary sinus has steady growth from birth to at least the age of 18 years. The width and depth increase up to 12 years of age.
Topics: Adolescent; Child; Child, Preschool; Female; Humans; Infant; Male; Maxillary Sinus; Tomography, X-Ray Computed
PubMed: 27863629
DOI: 10.1016/j.ijporl.2016.10.022 -
Medicina (Kaunas, Lithuania) Sep 2020The average rate of chronic sinusitis after maxillary implantation was approximately 5.1%. However, the evidence of predictive risk factors for sinusitis after...
The average rate of chronic sinusitis after maxillary implantation was approximately 5.1%. However, the evidence of predictive risk factors for sinusitis after implantation is lacking. The aim of this study was to perform an anatomic study on the maxillary sinus mucosal thickness (MSMT), the distance between the maxillary sinus ostium and sinus floor (MOD), and the MSMT/MOD ratio as a preoperative risk indicator for sinusitis after maxillary dental implantation. Between October 2008 and October 2019, all patients referred to the otolaryngology department were included in this study. A total of 120 patients were enrolled. The 95 patients who received no treatment prior to implantation were classified into Group A, the 16 patients who used antibiotics before implantation were classified into Group B, and the patients who had implants inserted after functional endoscopic sinus surgery were classified into Group C. The MSMT, MOD, MSMT/MOD ratio, anatomical factors associated with ostial obstruction, and the occurrence of postoperative sinusitis were reviewed. There were significant group differences in MSMT (Group A vs. Group B, = 0.001; Group B vs. Group C, = 0.003; Group C vs. Group A, < 0.0001). The MOD showed no significant difference among the three groups. The MSMT/MOD ratio showed significant differences between Groups A and B ( = 0.001), B and C ( < 0.0001), and C and A ( < 0.0001). Conclusions: It is important to check not only the proportion of the maxillary sinus occupying lesion, but also the status of the maxillary sinus osteomeatal complex when making therapeutic decisions. In addition, collaboration between dentists and otolaryngologists could improve outcomes in patients with maxillary sinus lesions.
Topics: Humans; Maxilla; Maxillary Sinus; Mucous Membrane; Sinus Floor Augmentation; Sinusitis
PubMed: 32937837
DOI: 10.3390/medicina56090470 -
Oral Surgery, Oral Medicine, and Oral... Apr 1968
Topics: Foreign Bodies; Humans; Maxillary Sinus; Oroantral Fistula; Tooth Root
PubMed: 5238790
DOI: 10.1016/0030-4220(68)90296-x -
Asian Journal of Surgery Mar 2023
Topics: Humans; Maxillary Sinus; Carcinoma
PubMed: 36050241
DOI: 10.1016/j.asjsur.2022.08.065