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Maxillofacial Plastic and Reconstructive Surgery

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Open Access 01-12-2016 | Research

Evaluation of clinical outcomes of implants placed into the maxillary sinus with a perforated sinus membrane: a retrospective study

Authors: Gwang-Seok Kim, Jae-Wang Lee, Jong-Hyon Chong, Jeong Joon Han, Seunggon Jung, Min-Suk Kook, Hong-Ju Park, Sun-Youl Ryu, Hee-Kyun Oh

Published in: Maxillofacial Plastic and Reconstructive Surgery | Issue 1/2016

Abstract

Background

The aim of this study was to evaluate the clinical outcomes of implants that were placed within the maxillary sinus that has a perforated sinus membrane by the lateral window approach.

Methods

We examined the medical records of the patients who had implants placed within the maxillary sinus that has a perforated sinus membrane by the lateral approach at the Department of Oral and Maxillofacial Surgery of Chonnam National University Dental Hospital from January 2009 to December 2015. There were 41 patients (male:female = 28:13). The mean age of patients was 57.2 ± 7.2 years at the time of operation (range, 20–76 years). The mean follow-up duration was 2.1 years (range, 0.5–5 years) after implant placement. Regarding the method of sinus elevation, only the lateral approach was included in this study.

Results

Ninety-nine implants were placed in 41 patients whose sinus membranes were perforated during lateral approach. The perforated sinus membranes were repaired with a resorbable collagen membrane. Simultaneous implant placements with sinus bone grafting were performed in 37 patients, whereas delayed placements were done in four patients. The average residual bone height was 3.4 ± 2.0 mm in cases of simultaneous implant placement and 0.6 ± 0.9 mm in cases of delayed placement. Maxillary bone graft with implant placement, performed on the patients with a perforated maxillary sinus membrane did not fail, and the cumulative implant survival rate was 100%.

Conclusions

In patients with perforations of the sinus mucosa, sinus elevation and implant placement are possible regardless of the location and size of membrane perforation. Repair using resorbable collagen membrane is a predictable and reliable technique.

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Title: Evaluation of clinical outcomes of implants placed into the maxillary sinus with a perforated sinus membrane: a retrospective study
Authors: Gwang-Seok Kim
Jae-Wang Lee
Jong-Hyon Chong
Jeong Joon Han
Seunggon Jung
Min-Suk Kook
Hong-Ju Park
Sun-Youl Ryu
Hee-Kyun Oh
Publication date: 01-12-2016
Publisher: Springer Berlin Heidelberg
Published in: Maxillofacial Plastic and Reconstructive Surgery / Issue 1/2016
Electronic ISSN: 2288-8586
DOI: https://doi.org/10.1186/s40902-016-0097-6

At a glance: The STEP trials

Springer Medicine

Evaluation of clinical outcomes of implants placed into the maxillary sinus with a perforated sinus membrane: a retrospective study

Abstract

Background

Methods

Results

Conclusions

At a glance: The STEP trials

Springer Medicine

Abstract

Background

Methods

Results

Conclusions

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