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Oral and Maxillofacial Surgery

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Open Access 01-06-2020 | Original Article

Perforation of the Schneiderian membrane during sinus floor elevation: a risk factor for long-term success of dental implants?

Authors: Benedicta E. Beck-Broichsitter, Mirko Gerle, Jörg Wiltfang, Stephan Thomas Becker

Published in: Oral and Maxillofacial Surgery | Issue 2/2020

Abstract

Purpose

In cases of highly atrophic alveolar ridges, augmentation procedures became a frequent procedure to gain optimal conditions for dental implants. Especially in the maxilla sinus floor elevation procedures represent the gold standard pre-prosthetic and mainly successful procedure. The perforation of the Schneiderian is one of the most common complications. The aim of this study was to evaluate whether the intraoperative perforation of the Schneiderian membrane has an impact on long-term implant success.

Methods

Thirty-four patients from a former study collective of the years 2005 and 2006 with a total of 41 perforations were invited for a follow-up examination to determine the long-term success rates after sinus floor elevation and subsequent implantation.

Results

Twenty-one patients with 25 perforations were subsequently re-evaluated. One implant was lost due to a of periimplant infection after 232 days, resulting in an implant survival rate of 98% within a mean follow-up period of 8.9 years (± 1.5 years).

Conclusion

Regarding the long-term success, there was no increased risk for implant failure or other persisting complications, e.g., sinusitis, after intraoperative perforation during sinus floor elevation in this study.

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Title: Perforation of the Schneiderian membrane during sinus floor elevation: a risk factor for long-term success of dental implants?
Authors: Benedicta E. Beck-Broichsitter
Mirko Gerle
Jörg Wiltfang
Stephan Thomas Becker
Publication date: 01-06-2020
Publisher: Springer Berlin Heidelberg
Published in: Oral and Maxillofacial Surgery / Issue 2/2020
Print ISSN: 1865-1550
Electronic ISSN: 1865-1569
DOI: https://doi.org/10.1007/s10006-020-00829-8

At a glance: The STEP trials

Springer Medicine

Perforation of the Schneiderian membrane during sinus floor elevation: a risk factor for long-term success of dental implants?

Abstract

Purpose

Methods

Results

Conclusion

At a glance: The STEP trials

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusion

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