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International Journal of Implant Dentistry

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Open Access 01-12-2018 | Research

Impact of surgical management in cases of intraoperative membrane perforation during a sinus lift procedure: a follow-up on bone graft stability and implant success

Authors: Benedicta E. Beck-Broichsitter, Dorothea Westhoff, Eleonore Behrens, Jörg Wiltfang, Stephan T. Becker

Published in: International Journal of Implant Dentistry | Issue 1/2018

Abstract

Background

Until now, sinus floor elevation represents the gold standard procedure in the atrophic maxilla in order to facilitate dental implant insertion. Although the procedure remains highly predictive, the perforation of the Schneiderian membrane might compromise the stability of the augmented bone and implant success due to chronic sinus infection. The aim of this retrospective cohort study was to show that a membrane tear, if detected and surgically properly addressed, has no influence on the survival of dental implants and bone resorption in the augmented area.

Methods

Thirty-one patients with 39 perforations could be included in this evaluation, and a control group of 32 patients with 40 sinus lift procedures without complications were compared regarding the radiographically determined development of bone level, peri-implant infection, and implant loss.

Results

Implant survival was 98.9% in the perforation group over an observation period of 2.7 (± 2.03) years compared to 100% in the control group after 1.8 (± 1.57) years. The residual bone level was significantly lower in the perforation group (p = 0.05) but showed no difference direct postoperatively (p = 0.7851) or in the follow-up assessment (p = 0.2338). Bone resorption remained not different between both groups (p = 0.945). A two-stage procedure was more frequent in the perforation group (p = 0.0003) as well as peri-implantitis (p = 0.0004).

Conclusions

Within the limits of our study, the perforation of the Schneiderian membrane did not have a negative impact on long-term graft stability or the overall implant survival.

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Title: Impact of surgical management in cases of intraoperative membrane perforation during a sinus lift procedure: a follow-up on bone graft stability and implant success
Authors: Benedicta E. Beck-Broichsitter
Dorothea Westhoff
Eleonore Behrens
Jörg Wiltfang
Stephan T. Becker
Publication date: 01-12-2018
Publisher: Springer Berlin Heidelberg
Published in: International Journal of Implant Dentistry / Issue 1/2018
Electronic ISSN: 2198-4034
DOI: https://doi.org/10.1186/s40729-018-0116-8

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Impact of surgical management in cases of intraoperative membrane perforation during a sinus lift procedure: a follow-up on bone graft stability and implant success

Abstract

Background

Methods

Results

Conclusions

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