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Is it safe and effective to extract impacted maxillary tooth adjacent to maxillary sinus via submaxillary sinus membrane space approach?—a randomized controlled trial

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Abstract

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.

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Authors and Affiliations

  1. State Key Laboratory of Oral & Maxillofacial Reconstruction and Regeneration, Key Laboratory of Oral Biomedicine Ministry of Education, Hubei Key Laboratory of Stomatology, School & Hospital of Stomatology, Wuhan University, No. 237 Luoyu Road, Wuhan, 430079, China

    Rui Sun, Lin-wei Zheng, Yu-qi Sun, Ting-ting Li, Jian-gang Ren & Ji-hong Zhao

  2. Department of Oral and Maxillofacial Surgery, School & Hospital of Stomatology, Wuhan University, No. 237 Luoyu Road, Wuhan, 430079, China

    Rui Sun, Jian-gang Ren & Ji-hong Zhao

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  1. Rui Sun
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  3. Yu-qi Sun
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Contributions

Rui Sun was responsible for drafting the article, collecting the images, the patient’s follow-up, and data analysis. Lin-wei Zheng, Yu-qi Sun, and Ting-ting Li were responsible for the patient’s follow-up and collecting the images. Jian-gang Ren and Ji-hong Zhao were responsible for the study design and patient collection.

Corresponding authors

Correspondence to Jian-gang Ren or Ji-hong Zhao.

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Ethics approval and consent to participate

This study followed the Declaration of Helsinki on medical protocol and ethics and the Regional Ethical Review Board of the Ethics Committee of the Hospital of Stomatology, Wuhan University, approved the study. Informed consent was obtained from all subjects.

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The authors declare no competing interests.

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Sun, R., Zheng, Lw., Sun, Yq. et al. Is it safe and effective to extract impacted maxillary tooth adjacent to maxillary sinus via submaxillary sinus membrane space approach?—a randomized controlled trial. Clin Oral Invest 27, 6081–6087 (2023). https://doi.org/10.1007/s00784-023-05223-8

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  • DOI: https://doi.org/10.1007/s00784-023-05223-8

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