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Sinus lift complication

L deF Silva, V N de Lima, L P Faverani, M R de Mendonça, R Okamoto, E P Pellizzer
The purpose of this systematic review was to perform a comparative analysis of the use or not of graft material in maxillary sinus lift surgery. Relevant studies published in the last 10 years were identified through a search of the PubMed/MEDLINE, ScienceDirect, and Cochrane Library databases and were assessed against the study inclusion and exclusion criteria. The initial search resulted in 1037 articles. After applying the inclusion and exclusion criteria, 16 articles remained. Four hundred and thirty-six patients were followed up over a postoperative period ranging from 6 months to 11 years...
October 17, 2016: International Journal of Oral and Maxillofacial Surgery
Alexander Zill, Clarissa Precht, Benedicta Beck-Broichsitter, Susanne Sehner, Ralf Smeets, Max Heiland, Carsten Rendenbach, Anders Henningsen
PURPOSE: To report the outcome of graftless osteotome sinus floor elevation (OSFE) in order to evaluate whether apical bone gain depends on the initial residual bone height and whether the initial residual bone height has an influence on the amount of marginal bone loss. Furthermore the study aimed to assess if perforations of the Schneiderian membrane or residual bone height are potential predictors of implant survival. MATERIALS AND METHODS: In this retrospective study all patients were included who were treated between 2001 and 2010 and received dental implants in combination with OSFE in a private practice...
2016: European Journal of Oral Implantology
M Rapani, C Rapani, L Ricci
Perforation of the Schneiderian membrane is a common complication of sinus augmentation. The aim of this retrospective study was to assess the associations between the lateral wall technique and the ridge approach and the risk of perforation, together with the relations between the thickness of the membrane and the risk of perforation. We studied 200 patients (103 men and 97 women) who had cone-beam computed tomography (CT) before a sinus lift with either a lateral wall technique (n=100) or the rigid approach (n=100) for insertion of prosthetic implants...
August 27, 2016: British Journal of Oral & Maxillofacial Surgery
Marco Tallarico, Silvio Mario Meloni, Erta Xhanari, Milena Pisano, David L Cochran
The aim of this study was to evaluate clinical and radiologic outcomes of a novel device that allows simultaneous hydraulic sinus membrane elevation, bone grafting, and implant placement. A sample of 18 consecutive participants with severe atrophy of the posterior maxilla underwent transcrestal elevation of the sinus membrane and implant placement. At the 6-month follow-up, the following parameters were assessed: implant success, any complications, marginal bone loss (MBL), three-dimensional (3D) graft measurements, implant stability quotient (ISQ), and graft density...
August 24, 2016: International Journal of Periodontics & Restorative Dentistry
Miguel Velasco-Torres, Miguel Padial-Molina, Jose A Alarcón, Francisco OʼValle, Andrés Catena, Pablo Galindo-Moreno
BACKGROUND: The posterior superior alveolar (PSA) artery is frequently encountered in the area where the lateral osteotomy is performed during direct sinus augmentation procedures. OBJECTIVE: To investigate the correlation between patient-dependent variables and measurements related to PSA using cone beam computed tomography (CBCT) data. METHODS: Three hundred ninety-four CBCT scans were evaluated to assess the PSA artery diameter and distances to the sinus floor and to alveolar crest...
August 2016: Implant Dentistry
Amod Patankar, Rajesh Kshirsagar, Swapna Patankar, Sudhir Pawar
This report demonstrates the clinical use of a modified, truly anatomic, root analogue zirconia implant for immediate replacement of a right mandibular first premolar. A 22-year-old female patient with chronic apical periodontitis of the right mandibular first premolar was referred and the tooth was carefully extracted. A truly anatomical, root identical, roughened zirconia implant modified by macro-retentions was manufactured and placed into the extraction socket by tapping 3 days later. After 4 months a composite crown was cemented in place...
July 2016: Journal of Maxillofacial and Oral Surgery
Nicola Baldini, Chiara D'Elia, Andrea Bianco, Cecilia Goracci, Massimo de Sanctis, Marco Ferrari
OBJECTIVES: To test whether a reduction of bone window dimension, in a split-mouth randomized study design, focused on lateral sinus floor elevations, can achieve better results than a wider window in terms of augmented bone height and a reduction of patient discomfort and surgical complications. MATERIALS AND METHODS: Of the sixteen subjects enrolled in the study, each underwent a bilateral sinus lift procedure based on two different access flaps to maxillary sinus...
July 5, 2016: Clinical Oral Implants Research
Gokhan Gurler, Cagri Delilbasi
BACKGROUND: Blood products have been widely used in soft tissue and bone regeneration in oral and maxillofacial surgery. The purpose of this study is to evaluate the effects of leukocyte-platelet rich fibrin (L-PRF) following direct sinus lifting procedure. METHODS: Twenty-eight patients were included in the study. Direct sinus lifting was performed via lateral window approach under conscious sedation and local anesthesia. Bony window and sinus floor elevation were performed using piezosurgery device...
August 2016: Minerva Stomatologica
Michael R Norton
INTRODUCTION: Sinus grafts are a safe and predictable treatment for increasing bone volume in the posterior maxilla. Common complications include membrane perforations and postoperative infection. Little is published with regard to late-onset infection except as it relates to periimplantitis. This report presents a case of late sequestration of bovine bone mineral graft fully consolidated within host lamellar bone, 8 years postsinus lift. Histology revealed mature lamellar bone encapsulating well-integrated particles of bovine bone material with evidence of devitalization and marrow spaces filled with a dense neutrophil infiltrate and a filamentous mixed microbial flora...
August 2016: Implant Dentistry
Marco Tallarico, Haddar Better, Giacomo De Riu, Silvio Mario Meloni
PURPOSE: To evaluate clinical and radiographic performance of a novel implant system that allows for hydraulic Schneiderian membrane elevation and simultaneously bone graft augmentation. MATERIALS AND METHODS: Sixty-two consecutive patients with a mean age of 53.1 years and a severe atrophy of the posterior maxilla (3.0 to 7.0 mm) underwent 64 transcrestal sinus floor elevations and submerged implant placement. The following clinical and radiographic parameters were assessed: implant failure, any complications and bone gain measured using cone beam computed tomography...
August 2016: Journal of Cranio-maxillo-facial Surgery
Tengfei Fan, Yicun Li, Wei-Wei Deng, Tianfu Wu, Wenfeng Zhang
OBJECTIVE: The specific purposes of this study were (1) to undertake a thorough systematic review and meta-analysis based only on randomized clinical trials (RCTs) to compare the rates of survival and complications of short implants to those of long implants; (2) to compare the surgical time and cost of short implants to those of long implants. METHODS: RCTs were identified from the major electronic databases (MEDLINE, Embase and Cochrane Library) using the keywords "dental implant," "short implant" and "atrophic maxilla," and a quantitative meta-analysis was conducted...
June 13, 2016: Clinical Implant Dentistry and related Research
Lucian Chirilă, Cristian Rotaru, Iulian Filipov, Mihai Săndulescu
BACKGROUND: The sinus lift was first described in 1974 and it has proven to be a predictable procedure ever since. The complications of this surgical procedure are reported in the literature to be low, and can include acute maxillary sinusitis, scattering of the grafting material into the sinus cavity, wound dehiscence and Schneiderian membrane perforations. We aimed to evaluate the rate of acute maxillary sinusitis after sinus lift procedures and the appropriate management strategies...
2016: BMC Infectious Diseases
T Fattahi, S Salman
The management of upper facial trauma is a common responsibility of surgeons taking care of maxillofacial injuries. Historically, the most commonly used surgical approach has been the bi-temporal (coronal) incision. As is well known, the coronal incision carries some inherent complications such as hair loss, long scars, and increased length of hospital stay. The purpose of this article is to describe an aesthetic approach, similar to an endoscopic brow lift, for the repair of anterior wall fractures of the frontal sinus without the need for long incisions or fixation devices...
September 2016: International Journal of Oral and Maxillofacial Surgery
Andrea E Borgonovo, Tatiana Vitaliano, Pierpaolo Medagliani, Albino Bianchi, Dino Re
BACKGROUND: The aim of this study was to present a case series treated with an atraumatic procedure for maxillary sinus lift by crestal approach. This technique avoids the use of classical osteotomes, thus decreasing complications due to percussive and vibratory forces. METHODS: Three cases of partial edentulism in the distal maxillae with inadequate bone volume are treated by using SinCrest procedure (Meta, Reggio Emilia, Italy). With the guide of surgical templates, the sinus lift was performed, and implants were placed during the same procedure...
April 2016: Minerva Stomatologica
Javier Carreño Carreño, Gerardo Gómez-Moreno, Antonio Aguilar-Salvatierra, Ramón Martínez Corriá, María Luisa Menéndez López-Mateos, Mario Menéndez-Núñez
OBJECTIVES: This study set out to make antibiograms of positive bacteria cultures in samples collected when performing maxillary sinus elevations to determine a specific and effective antibiotic in each case. MATERIAL AND METHODS: A total of 174 patients (90 women and 84 men) with a mean age of 55.92 years underwent 227 sinus elevations. As the membrane was lifted, a sample was collected from the maxillary sinus floor with a cotton swab and placed on a blood agar and chocolate agar culture to incubate for 48 h at 37°; the samples then underwent microbiological analysis...
March 19, 2016: Clinical Oral Implants Research
Mahmoud Al-Dajani
OBJECTIVES: To evaluate the incidence of Schneiderian membrane perforation occurring during sinus lift surgery, and to investigate possible risk factors and associated complications. MATERIALS AND METHODS: A systematic search for papers published between 1975 and 2015 was performed in MEDLINE, EMBASE, Scopus, Web of Science, Trip, Cochrane Oral Health Group's Trials Register, Cochrane Central Register of Controlled Trials, and ProQuest Dissertations & Theses. The quality assessment of each study was performed using the GRADE system...
June 2016: Implant Dentistry
Andreas Sakkas, Ioannis Konstantinidis, Karsten Winter, Alexander Schramm, Frank Wilde
BACKGROUND: Sinuslift is meanwhile an established method of bone augmentation in the posterior maxilla. Aim of the study was to evaluate the significance of intraoperative Schneiderian membrane perforations during maxillary sinus floor elevation surgery using autogenous bone harvested from two different donor sites using a Safescraper device on the success rate, graft survival and implant integration. METHODS: The investigators conducted a retrospective cohort study at the Department of Oral and Maxillofacial Surgery of Military Hospital Ulm composed of patients with severe maxillary atrophy who underwent sinus augmentation from January 2011 until December 2011...
2016: GMS Interdisciplinary Plastic and Reconstructive Surgery DGPW
Ik Jae Kwon, Byung Ho Lee, Mi Young Eo, Soung Min Kim, Jong Ho Lee, Suk Keun Lee
The mandibular ramus is considered an appropriate choice for reconstruction of maxillofacial defects because of sufficient amounts of material and fewer donor site complications. Although bone harvesting from the mandibular ramus has many advantages, in rare cases it can result in pathologic fracture of the mandible. Here, we present a case of 59-year-old man who suffered a pathologic mandible fracture related to biting hard foods, such as crab shells, after a sinus bone lifting with ramal bone graft procedure performed 2 weeks prior...
October 2016: Dental Traumatology: Official Publication of International Association for Dental Traumatology
Marco Milone, Loredana Maria Sosa Fernandez, Mario Musella, Francesco Milone
IMPORTANCE: Video-assisted ablation of pilonidal sinus (VAAPS) is a new minimally invasive treatment based on the complete removal of the sinus cavity with a minimal surgical wound. OBJECTIVE: To validate the safety and efficacy of VAAPS. DESIGN, SETTING, AND PARTICIPANTS: From January 1, 2012, through December 31, 2013, we enrolled 145 consecutive patients from an intention-to-treat population at a single academic center in Italy. The last date of follow-up for this analysis was December 31, 2014...
June 1, 2016: JAMA Surgery
Mick P Kelly, Olushola L Akinshemoyin Vaughn, Paul A Anderson
PURPOSE: Recombinant human bone morphogenetic protein-2 (rhBMP-2) is approved by the Food and Drug Administration as a viable alternative to bone graft in spinal fusion and maxillary sinus lift. The research questions for meta-analysis were: Is rhBMP-2 an effective bone graft substitute in localized alveolar ridge augmentation and maxillary sinus floor augmentation? What are the potential adverse events? MATERIALS AND METHODS: A search of MEDLINE from January 1980 to January 2014 using PubMed, the Cochrane Database of Systematic Reviews and Controlled Trials, CINAHL, and EMBASE was performed...
May 2016: Journal of Oral and Maxillofacial Surgery
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