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Sinus Augmentation

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Bone Management in Dental Implantology

Abstract

The maxillary sinus lift is an essential adjunctive procedure of dental implant surgery. It is a highly successful method of improving bone volume of the posterior maxilla for dental implants. However, it also deals with an anatomical region that crosses into the respiratory system. If not properly handled, this may produce complications that cannot be easily treated. This chapter covers the surgical anatomy and describes the various sinus lift grafting procedures. It offers step-by-step technical details and provides surgical tips that will help clinicians understand and improve their success when performing dental implant surgery in the posterior maxilla. There is also an update on alternative solutions that have been developed. Finally, it covers potential complications and their management. The authors hope this chapter will be an insightful read for beginners to moderate level practitioners.

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References

  1. Sharan A, Madjar D. Maxillary sinus pneumatization following extractions: a radiographic study. Int J Oral Maxillofac Implants. 2008;23(1):48–56.

    PubMed  Google Scholar 

  2. Boyne PJ, James RA. Grafting of the maxillary sinus floor with autogenous marrow and bone. J Oral Surg. 1980;38:613–6.

    PubMed  Google Scholar 

  3. Tatum H. Maxillary and sinus implant reconstructions. Dent Clin N Am. 1986;30(2):207–29.

    PubMed  Google Scholar 

  4. Summers RB. A new concept in maxillary implant surgery: the osteotome technique. Compend Contin Educ Dent. 1994;15:152–8.

    Google Scholar 

  5. Aimetti M, Massei G, Morra M, Cardesi E, Romano F. Correlation between gingival phenotype and schneiderian membrane thickness. Int J Oral Maxillofac Implants. 2008;23:1128–32.

    PubMed  Google Scholar 

  6. Pommer B, Dvorak G, Jesch P, Palmer RM, Watzek G, Gahleitner A. Effect of maxillary sinus floor augmentation on sinus membrane thickness in computed tomography. J Periodontol. 2012;83(5):551–6.

    Article  Google Scholar 

  7. Rosano G, Taschieri S, Gaudy JF, Del Fabbro M. Maxillary sinus vascularization: a cadaveric study. J Craniofac Surg. 2009;20(3):940–3. https://doi.org/10.1097/SCS.0b013e3181a2d77f.

    Article  PubMed  Google Scholar 

  8. Elian N, Wallace S, Cho SC, Jalbout ZN, Froum S. Distribution of the maxillary artery as it relates to sinus floor augmentation. Int J Oral Maxillofac Implants. 2005;20(5):784–7.

    PubMed  Google Scholar 

  9. Heitz-Mayfield LJ, Huynh-Ba G. History of treated periodontitis and smoking as risks for implant therapy. Int J Oral Maxillofac Implants. 2009;24(Suppl):39–68.

    PubMed  Google Scholar 

  10. Pjetursson BE, Tan WC, Zwahlen M, Lang NP. A systematic review of the success of sinus floor elevation and survival of implants inserted in combination with sinus floor elevation. J Clin Periodontol. 2008;35(8 Suppl):216–40. https://doi.org/10.1111/j.1600-051X.2008.01272.x.

    Article  PubMed  Google Scholar 

  11. Esposito M, Grusovin MG, Rees J, Karasoulos D, Felice P, Alissa R, Worthington H, Coulthard P. Effectiveness of sinus lift procedures for dental implant rehabilitation: a cochrane systematic review. Eur J Oral Implantol. 2010;3(1):7–26.

    PubMed  Google Scholar 

  12. Handschel J, Simonowska M, Naujoks C, Depprich RA, Ommerborn MA, Meyer U, Kübler RN. A histomorphometric meta-analysis of sinus elevation with various grafting materials. Head Face Med. 2009;5:12. https://doi.org/10.1186/1746-160X-5-12.

    Article  PubMed  PubMed Central  Google Scholar 

  13. Esposito M, Grusovin MG, Felice P, Karatzopoulos G, Worthington HV, Coulthard P. Interventions for replacing missing teeth: horizontal and vertical bone augmentation techniques for dental implant treatment. Cochrane Database Syst Rev. 2009;4:CD003607.

    Google Scholar 

  14. Pignataro L, Mantovani M, Torretta S, Felisati G, Sambataro G. ENT assessment in the integrated management of candidate for (maxillary) sinus lift. Acta Otorhinolaryngol Ital. 2008;28(3):110–9.

    PubMed  PubMed Central  Google Scholar 

  15. Yang HM, Bae HE, Won SY, Hu KS, Song WC, Paik DJ, Kim HJ. The buccofacial wall of maxillary sinus: an anatomical consideration for sinus augmentation. Clin Implant Dent Relat Res. 2009;11(Suppl 1):e2–6. https://doi.org/10.1111/j.1708-8208.2009.00138.x.

    Article  PubMed  Google Scholar 

  16. Barone A, Santini S, Marconcini S, Giacomelli L, Gherlone E, Covani U. Osteotomy and membrane elevation during the maxillary sinus augmentation procedure. A comparative study: piezoelectric device vs. conventional rotative instruments. Clin Oral Implants Res. 2008;19(5):511–5. https://doi.org/10.1111/j.1600-0501.2007.01498.x.

    Article  PubMed  Google Scholar 

  17. Choi KS, Kan JY, Boyne PJ, Goodacre CJ, Lozada JL, Rungcharassaeng K. The effects of resorbable membrane on human maxillary sinus graft: a pilot study. Int J Oral Maxillofac Implants. 2009;24(1):73–80.

    PubMed  Google Scholar 

  18. García-Denche JT, Wu X, Martinez PP, Eimar H, Ikbal DJ, Hernández G, López-Cabarcos E, Fernandez-Tresguerres I, Tamimi F. Membranes over the lateral window in sinus augmentation procedures: a two-arm and split-mouth randomized clinical trials. J Clin Periodontol. 2013;40(11):1043–51. https://doi.org/10.1111/jcpe.12153.

    Article  PubMed  Google Scholar 

  19. Suárez-López Del Amo F, Ortega-Oller I, Catena A, Monje A, Khoshkam V, Torrecillas-Martínez L, Wang HL, Galindo-Moreno P. Effect of barrier membranes on the outcomes of maxillary sinus floor augmentation: a meta-analysis of histomorphometric outcomes. Int J Oral Maxillofac Implants. 2015;30(3):607–18. https://doi.org/10.11607/jomi.3886.

    Article  PubMed  Google Scholar 

  20. Wen SC, Lin YH, Yang YC, Wang HL. The influence of sinus membrane thickness upon membrane perforation during transcrestal sinus lift procedure. Clin Oral Implants Res. 2015;26(10):1158–64.

    Article  Google Scholar 

  21. Jensen SS, Terheyden H. Bone augmentation procedures in localized defects in the alveolar ridge: clinical results with different bone grafts and bone-substitute materials. Int J Oral Maxillofac Implants. 2009;24(Suppl):218–36.

    PubMed  Google Scholar 

  22. Kim Y-K, Cho Y-S, Yun P-Y. Assessment of dentists’ subjective satisfaction with a newly developed device for maxillary sinus membrane elevation by the crestal approach. J Periodontal Implant Sci. 2013;43(6):308–14. https://doi.org/10.5051/jpis.2013.43.6.308.

    Article  PubMed  PubMed Central  Google Scholar 

  23. Pjetursson BE, Rast C, Brägger U, Schmidlin K, Zwahlen M, Lang NP. Maxillary sinus floor elevation using the (transalveolar) osteotome technique with or without grafting material. Part I: implant survival and patients’ perception. Clin Oral Implants Res. 2009;20(7):667–76. https://doi.org/10.1111/j.1600-0501.2009.01704.x.

    Article  PubMed  Google Scholar 

  24. Chen L, Cha J. An 8-year retrospective study: 1,100 patients receiving 1,557 implants using the minimally invasive hydraulic sinus condensing technique. J Periodontol. 2005;76(3):482–91.

    Article  Google Scholar 

  25. Troedhan A, Kurrek A, Wainwright M. Biological principles and physiology of bone regeneration under the schneiderian membrane after sinus lift surgery: a radiological study in 14 patients treated with the transcrestal hydrodynamic ultrasonic cavitational sinus lift (intralift). Int J Dent. 2012;2012:576238. https://doi.org/10.1155/2012/576238.

    Article  PubMed  PubMed Central  Google Scholar 

  26. Kfir E, Kfir V, Eliav E, Kaluski E. Minimally invasive antral membrane balloon elevation: report of 36 procedures. J Periodontol. 2007;78:2032–5.

    Article  Google Scholar 

  27. Kim YK, Lee JY, Park JW, Kim SG, Oh JS. Sinus membrane elevation by the crestal approach using a novel drilling system. Implant Dent. 2017;26(3):351–6. https://doi.org/10.1097/ID.0000000000000570.

    Article  PubMed  Google Scholar 

  28. Palmer P, Palmer R. Implant surgery to overcome anatomical difficulties. In: Palmer R, editor. A clinical guide to implants in dentistry. London: British Dental Association; 2000. p. 57–65.

    Google Scholar 

  29. Valentin-Opran A, Wozney J, Csimma C, Lilly L, Riedel GE. Clinical evaluation of recombinant human bone morphogenic protein-2. Clin Orthop Relat Res. 2002;395:110–20.

    Article  Google Scholar 

  30. Pinchasov G, Juodzbalys G. Graft-free sinus augmentation procedure: a literature review. J Oral Maxillofac Res. 2014;5(1):e1.

    PubMed  PubMed Central  Google Scholar 

  31. Esposito M, Felice P, Worthington HV. Interventions for replacing missing teeth: augmentation procedures of the maxillary sinus. Cochrane Database Syst Rev. 2014;5:CD008397. doi:10.1002/14651858.CD008397.pub2. Review.

    Google Scholar 

  32. Katranji A, Fotek P, Wang HL. Sinus augmentation complications: etiology and treat- ment. Implant Dent. 2008;17:339–49.

    Article  Google Scholar 

  33. Felisati G, Chiapasco M, Lozza P, Saibene AM, Pipolo C, Zaniboni M, Biglioli F, Borloni R. Sinonasal complications resulting from dental treatment: outcome oriented proposal of classification and surgical protocol. Am J Rhinol Allergy. 2013;27(4):e101–6. https://doi.org/10.2500/ajra.2013.27.3936.

    Article  PubMed  Google Scholar 

  34. Aparicio C, Perales P, Rangert B. Tilted implants as an alternative to maxillary sinus grafting: a clinical, radiologic, and periotest study. Clin Implant Dent Relat Res. 2001;3:39–49.

    Article  Google Scholar 

  35. Esposito M, Worthington HV. Interventions for replacing missing teeth: dental implants in zygomatic bone for the rehabilitation of the severely deficient edentulous maxilla. Cochrane Database Syst Rev. 2013;9:CD004151.

    Google Scholar 

  36. Kqiku L, Biblekaj R, Weiglein AH. Location of the extraosseous and intraosseous arterial anastomosis of the maxillary sinus in edentulous specimens. Clin Oral Investig. 2016;20(8):2311–4.

    Article  Google Scholar 

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Author information

Authors and Affiliations

  1. The Oral Maxillofacial Practice, Singapore, Singapore

    Eric Kok Weng Lye & Winston Kwong Shen Tan

  2. Division of Oral and Maxillofacial Surgery, Ng Teng Fong General Hospital, Singapore, Singapore

    Eric Kok Weng Lye & Winston Kwong Shen Tan

  3. Department of Otorhinolaryngology, Changi General Hospital, Singapore, Singapore

    Eric Kok Weng Lye

  4. Department of Oral and Maxillofacial Surgery and OSA Clinic, National Dental Centre, Singapore, Singapore

    Eric Kok Weng Lye

Authors
  1. Eric Kok Weng Lye
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  2. Winston Kwong Shen Tan
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Corresponding author

Correspondence to Eric Kok Weng Lye .

Editor information

Editors and Affiliations

  1. Oral and Maxillofacial Surgery, University of Pelita Harapan Jakarta, Tangerang, Indonesia

    Andi Setiawan Budihardja

  2. Head of the Department of Oral and Maxillofacial and Plastic Surgery, Malteser Clinic Krefeld-Uerdingen, North Rhine-Westfalia, Germany

    Thomas Mücke

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Lye, E.K.W., Tan, W.K.S. (2019). Sinus Augmentation. In: Budihardja, A., Mücke, T. (eds) Bone Management in Dental Implantology. Springer, Cham. https://doi.org/10.1007/978-3-319-78951-4_4

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  • DOI: https://doi.org/10.1007/978-3-319-78951-4_4

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-78950-7

  • Online ISBN: 978-3-319-78951-4

  • eBook Packages: MedicineMedicine (R0)

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