Perforation of the sinus membrane during sinus floor elevation: a retrospective study of frequency and possible risk factors.

von Arx, Thomas; Fodich, Ivo; Bornstein, Michael M.; Jensen, Simon Storgaard (2014). Perforation of the sinus membrane during sinus floor elevation: a retrospective study of frequency and possible risk factors. International journal of oral & maxillofacial implants, 29(3), pp. 718-726. Quintessence Publ. 10.11607/jomi.3657

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PURPOSE

To analyze the frequency of perforation of the sinus membrane during maxillary sinus floor elevation (SFE) and to assess possible risk factors.

MATERIALS AND METHODS

Seventy-seven cases of SFE performed with a lateral window approach were evaluated retrospectively. Clinical and radiographic variables potentially influencing the risk of sinus membrane perforation were evaluated and divided into patient-related factors (age, sex, smoking habit); surgery-related factors (type of surgical approach, side, units, sites, and technique of osteotomy); and maxillary sinus-related factors (presence and height of septum, height of residual ridge, thickness of lateral sinus wall, width of antrum, and thickness and status of sinus membrane).

RESULTS

The following factors presented with at least a 10% difference in rates of perforations: smokers (46.2%) versus nonsmokers (23.4%), simultaneous (32%) versus staged (18.5%) approach, mixed premolar-molar sites (41.2%) versus premolar-only sites (16.7%) versus molar-only sites (26.2%), presence of septa (42.9%) versus no septa (23.8%), and minimum height of residual ridge ≤4 mm (34.2%) versus > 4 mm (20.5%). These same parameters, except minimum height of residual ridge, also showed an odds ratio above 2. However, none of the comparisons reached statistical significance.

CONCLUSION

The present study failed to demonstrate any factor that statistically significantly increased the risk of sinus membrane perforation during SFE using the lateral window approach.

Item Type:

Journal Article (Original Article)

Division/Institute:

04 Faculty of Medicine > School of Dental Medicine > Department of Oral Surgery and Stomatology

UniBE Contributor:

von Arx, Thomas, Bornstein, Michael, Jensen, Simon Storgaard

Subjects:

600 Technology > 610 Medicine & health

ISSN:

0882-2786

Publisher:

Quintessence Publ.

Language:

English

Submitter:

Eveline Carmen Schuler

Date Deposited:

27 Jan 2015 14:47

Last Modified:

02 Mar 2023 23:25

Publisher DOI:

10.11607/jomi.3657

PubMed ID:

24818213

Uncontrolled Keywords:

radiographic analysis, retrospective study, risk factors, sinus floor elevation, sinus membrane

URI:

https://boris.unibe.ch/id/eprint/61641

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