PALATAL VERSUS BUCCAL ANTRAL APPROACH FOR MAXILLARY SINUS LIFTING AND IMPLANT PLACEMENT | ||||
Alexandria Dental Journal | ||||
Article 7, Volume 43, Issue 2, August 2018, Page 39-45 PDF (351.42 K) | ||||
Document Type: Original Article | ||||
DOI: 10.21608/adjalexu.2018.57621 | ||||
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Authors | ||||
Omar N. EL-prince1; Abdelaziz F. Khalil2; Ahmed M. EL-sabbagh2; Magued H. Fahmy3 | ||||
1MD Oral and Maxillofacial Surgery, Faculty of Dentistry, Alexandria University, Egypt | ||||
2Professor of Oral and Maxillofacial Surgery, Faculty of Dentistry, Alexandria University, Egypt | ||||
3-Professor of Oral and Maxillofacial Surgery, Faculty of Dentistry, Alexandria University, Egypt. | ||||
Abstract | ||||
INTRODUCTION: Implant placement in the maxillary posterior alveolar ridge is often complicated by post extraction bone resorption, pneumatization of maxillary sinuses, and poor quality of alveolar bone. In these situations, the residual vertical bone height is reduced making standard implant placement difficult. Elevation of the maxillary sinus floor using the lateral antral approach is one possible solution. Palatal window osteotomy approach for maxillary sinus floor lifting is a new surgical technique used to increase vertical bone height prior to implant placement. OBJECTIVES: This study was designed for clinical evaluation of the maxillary sinus lifting technique using a palatal approach versus buccal approach. MATERIALS AND METHODS: this study was carried out as a randomized controlled clinical trial, the study sample included 14 patients. The sample was selected conveniently to fulfill a list of inclusion and exclusion criteria. All patients were divided into two equal groups, had gone maxillary sinus lifting together with implant placement, group1 :( study group) seven patients had sinus lifting through the palatal approach technique simultaneously with implant insertion. In group2 (control group) seven patients had maxillary sinus lifting using buccal antral approach technique simultaneously with implant insertion. Clinical and radiographic evaluation was done through 6 months postoperatively. RESULTS: Regarding postoperative clinical evaluation, group 1 was superior to that of group 2 in tissue management, because the vestibular anatomy in this group was not altered neither postoperative swelling occurred consequently nor disharmonious soft tissue scarring. Regarding the postoperative radiographic evaluation, group 1 was significantly increased in bone density around dental implants and less marginal bone loss postoperatively, however group 2 had higher vertical amount of bone gained around implants postoperatively. CONCLUSIONS: The palatal sinus lifting approach permitted higher postoperative comfort, less postoperative edema, less marginal bone loss around implants, and higher bone density around implants postoperatively. | ||||
Keywords | ||||
Palatal sinus lifting approach; buccal sinus lifting approach; Dental implants | ||||
References | ||||
1.Christensen GJ. Elective vs. mandatory dentistry. J Am Dent Assoc. 2000;131:1496-8.
2.Branemark AI, Hansson BO, Adell R, Breine U, Lindstrom J, Hallen O, et al. Osseointegrated implants in the treatment of the orthognathic treated jaw. Experience from a 10-year period. Scand J Plast Reconstr Surg Suppl. 1974;16:3-24.
3. Albrektsson T, Johansson C. Osteoinduction, osteoconduction and osseointegration. Eur Spine J. 2003;2:12-22.
4.Jensen OT. The sinus bone graft. Chicago, London: Quintessence Publ.; 1999. p. 52
5.Chanavaz M. Maxillary sinus dextra sinistra: anatomy, physiology, surgery, and bone grafting related to extraction--eleven years of surgical experience (1979- 1990). J Oral Implantol. 1992;12:192-200.
6.Misch CE, Steignga J, Barboza E, Misch-Dietsh F, Cianciola LJ, Kazor C.. Short dental implants in posterior partial edentulism: A multicenter retrospective 6-year case series study. J Periodontal. 2006;77:1340-7.
7. Del Fabbro M, Rosano G, Taschieri S. Implant survival rates after maxillary sinus augmentation. Eur J Oral Sci. 2008;116:497-506.
8.Boyne PJ. Grafting of maxillary sinus floor with autogenous marrow and bone. J Oral Surg. 1980;38:613- 6.
9.Tatum Jr H. Maxillary and sinus implant reconstructions. Dent Clin North Am. 1986;30:207-29.
10.Wood RM, Moore DL. Grafting of the maxillary sinus with intraorally harvested autogenous bone in order to place implant in the edentolous jaw. Int J Oral Maxillofac Implants. 1994;3:201-12.
11. Summers RB. A new concept in maxillary implant surgery: the osteotome technique. Compend Contin Educ Dent. 1994;15:152-62.
12. Marx RE, Garg AK. A novel aid to elevation of the sinus membrane for the sinus lift procedure. Implant Dent. 2002;11:268–71.
13. Raghoebar GM, Timmenga NM, Reintsema H, Stegenga B, Vissink A. Maxillary bone grafting for insertion of endosseous implants: results after 12–124 months. Clin Oral Implants Res. 2001;12:279–86.
14. Kahnberg KE, Ekestubbe A, Gröndahl K, Nilsson P, Hirsch JM. Sinus lifting procedure. I. One-stage surgery with bone transplant and implants. Clin Oral Implants Res. 2001;12:479–87.
15. Zitzmann NU, Scharer P. Sinus elevation procedures in the resorbed posterior maxilla: Comparison of the crestal and lateral approaches. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 1998;85:8–17.
16. Summers RB. The osteotome technique: Part 3. Less invasive methods of elevating sinus floor. Compend Contin Educ Dent. 1994;15:698-708.
17. Cosci F, Luccioli M. A new sinus lift technique in conjunction with placement of 265 implants: A 6-year retrospective study. Implant Dent. 2000;9:363-8.
18. Fugazzotto PA. The modified trephine/osteotome sinus augmentation technique: Technical considerations and discussion of indications. Implant Dent. 2001;10:259- 64.
19. Ping-Yuen F. Piezoelectric-assisted osteotomemediated sinus floor elevation: An innovative approach. Implant Dent. 2010;19:299-305.
20. Stübinger S, Saldamli B, Landes CA, Sader R. Palatal piezosurgical window osteotomy for maxillary sinus augmentation. Int J Oral Maxillofac Surg. 2010;39:606–9.
21. Chang DJ, Bird SR, Bohidar NR, King T. Analgesic efficacy of rofecoxib compared with codeine/acetaminophen using a model of acute dental pain. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2005;100:e74-80.
22. Henrikson PA, Thilander H, Wåhlander LA. Voltaren as an analgesic after surgical removal of a lower wisdom tooth. Int J Oral Maxillofac Surg.1985;14:333- 8.
23. Wachtel H, Schenk G, Bohm S. Weng D, Zuhr O, Hurzeler M. Micro·surgical access flap and enamel matrix derivative for the treatmentof periodontal intrabony defects: A controlled clinical study. J Clin Periodontal. 2003;30:496-504.
24. Kotz S BN, Read CB, Vidakovic B. Encyclopedia of statistical sciences. N.J.: Wiley-Interscience; 2006. pp 33-59.
25. Hayek E, Nasseh I, Hadchiti W, Bouchard P, Moarbes M, Khawam G, et al. Location of posterosuperior alveolar artery and correlation with maxillary sinus anatomy. Int J Periodontics Restorative Dent. 2015;35:e60-5.
26. Nedir R, Bischof M, VazquezL, Szmukler-Moncler S, Bernard JP. Osteotome sinus floor elevation without grafting material: a 1year prospective pilot study with ITI implants. Clin Oral Implants Res. 2006;17:679-86.
27.He L, Chang X, Liu Y. Sinus floor elevation using osteotome technique without grafting materials: a 2-year retrospective study. Clin Oral Implants Res. 2011;8:1-5.
28.Sohn DS, Moon JW, Lee WH, Kim SS, Kim CW, Kim KT, et al. Comparison of new bone formation in the maxillary sinus with and without bone grafts: immunochemical rabbit study. Int J Oral Maxillofac Implants. 2011;26:1033-42.
29.Hatano N, Sennerby L, Lundgren S. Maxillary sinus augmentation using sinus membrane elevation and peripheral venous blood for implant-supported rehabilitation of the atrophic posterior maxilla: Case series. Clin Implant DentRelat Res. 2007;9:150-5.
30.Sani E, Veltri M, Cagidiaco MC, Balleri P, Ferrari M. Sinus membrane elevation in combination with placement of blasted implants: a 3-year case report of sinus augmentation without grafting material. Int J Oral MaxillofacSurg. 2008;37:966-9.
31.Balleri P, Veltri M, Nuti N, Ferrari M. Implant placement in combination with sinus membrane elevation without Biomaterials: a 1-year study on 15patients. Clin Implant Dent Relat Res. 2012;14:682-9. | ||||
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