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Relationship among Schneiderian Membrane, Underwood's Septa, and the Maxillary Sinus Inferior Border

Identifieur interne : 000095 ( Istex/Corpus ); précédent : 000094; suivant : 000096

Relationship among Schneiderian Membrane, Underwood's Septa, and the Maxillary Sinus Inferior Border

Auteurs : Binali Çakur ; Muhammed Akif Sümbüllü ; Do An Durna

Source :

RBID : ISTEX:1958C834EA3779748E852565E29F25317381ACC9

English descriptors

Abstract

Background: Osseo‐integrated implants are increasingly being used to restore functional dentition; however, in the posterior region, implant placement can be problematic because of inadequate bone height. In this condition, maxillary sinus floor elevation surgery has become the treatment of choice. The presence of anatomic variations within the maxillary sinus such as Underwood's septa and thin schneiderian membrane decreases the success of the sinus floor elevation.

Url:
DOI: 10.1111/j.1708-8208.2011.00336.x

Links to Exploration step

ISTEX:1958C834EA3779748E852565E29F25317381ACC9

Le document en format XML

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<hi rend="bold">Background:</hi>
Osseo‐integrated implants are increasingly being used to restore functional dentition; however, in the posterior region, implant placement can be problematic because of inadequate bone height. In this condition, maxillary sinus floor elevation surgery has become the treatment of choice. The presence of anatomic variations within the maxillary sinus such as Underwood's septa and thin schneiderian membrane decreases the success of the sinus floor elevation.</p>
<p>
<hi rend="bold">Purpose:</hi>
In this study, we tried to determine the relationship between the anatomic variations of the maxillary sinus: Underwood's septa, schneiderian membrane thickness, and the cortical thickness of the inferior border of the maxillary sinus.</p>
<p>
<hi rend="bold">Material and Methods:</hi>
The left and right maxillary sinus images of 74 patients were obtained by using dental computed tomography (CT). The schneiderian membrane and the cortical thickness of the inferior border of the maxillary sinus were measured on the coronal images of dental CT scans at the deepest portion of the sinus cavity. The presence of Underwood's septa was identified on the axial images. The correlations between these variables were assessed.</p>
<p>
<hi rend="bold">Results:</hi>
We found that there was only a negative correlation between the schneiderian membrane thickness and the presence of Underwood's septa (
<hi rend="italic">r</hi>
 = –0.168
<hi rend="italic">p</hi>
 = .042).</p>
<p>
<hi rend="bold">Conclusion:</hi>
It is suggested that Underwood's septa may be the reason for the thinness of the schneiderian membrane. However, future studies among larger groups are necessary for confirming the finding by using well‐designed clinical studies.</p>
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<correspondenceTo>Dr. Binali Çakur, Department of Oral Diagnosis and Radiology, Faculty of Dentistry, Ataturk University, 25240 Erzurum, Turkey; e‐mail:
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<title type="main">Relationship among Schneiderian Membrane, Underwood's Septa, and the Maxillary Sinus Inferior Border</title>
<title type="shortAuthors">Clinical Implant Dentistry and Related Research, Volume *, Number *, 2011</title>
<title type="short">Correlation among the Sinus Variations</title>
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<personName>
<givenNames>Muhammed Akif</givenNames>
<familyName>Sümbüllü</familyName>
<degrees>DDS, PhD</degrees>
</personName>
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<personName>
<givenNames>Doğan</givenNames>
<familyName>Durna</familyName>
<degrees>DDS</degrees>
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<keyword xml:id="k1">dental computed tomography</keyword>
<keyword xml:id="k2">maxillary sinus floor</keyword>
<keyword xml:id="k3">maxillary sinuses</keyword>
<keyword xml:id="k4">schneiderian membrane</keyword>
<keyword xml:id="k5">Underwood's septa</keyword>
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<p>
<b>Background:</b>
Osseo‐integrated implants are increasingly being used to restore functional dentition; however, in the posterior region, implant placement can be problematic because of inadequate bone height. In this condition, maxillary sinus floor elevation surgery has become the treatment of choice. The presence of anatomic variations within the maxillary sinus such as Underwood's septa and thin schneiderian membrane decreases the success of the sinus floor elevation.</p>
<p>
<b>Purpose:</b>
In this study, we tried to determine the relationship between the anatomic variations of the maxillary sinus: Underwood's septa, schneiderian membrane thickness, and the cortical thickness of the inferior border of the maxillary sinus.</p>
<p>
<b>Material and Methods:</b>
The left and right maxillary sinus images of 74 patients were obtained by using dental computed tomography (CT). The schneiderian membrane and the cortical thickness of the inferior border of the maxillary sinus were measured on the coronal images of dental CT scans at the deepest portion of the sinus cavity. The presence of Underwood's septa was identified on the axial images. The correlations between these variables were assessed.</p>
<p>
<b>Results:</b>
We found that there was only a negative correlation between the schneiderian membrane thickness and the presence of Underwood's septa (
<i>r</i>
 = –0.168
<i>p</i>
 = .042).</p>
<p>
<b>Conclusion:</b>
It is suggested that Underwood's septa may be the reason for the thinness of the schneiderian membrane. However, future studies among larger groups are necessary for confirming the finding by using well‐designed clinical studies.</p>
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<abstract>Background: Osseo‐integrated implants are increasingly being used to restore functional dentition; however, in the posterior region, implant placement can be problematic because of inadequate bone height. In this condition, maxillary sinus floor elevation surgery has become the treatment of choice. The presence of anatomic variations within the maxillary sinus such as Underwood's septa and thin schneiderian membrane decreases the success of the sinus floor elevation.</abstract>
<abstract>Purpose: In this study, we tried to determine the relationship between the anatomic variations of the maxillary sinus: Underwood's septa, schneiderian membrane thickness, and the cortical thickness of the inferior border of the maxillary sinus.</abstract>
<abstract>Material and Methods: The left and right maxillary sinus images of 74 patients were obtained by using dental computed tomography (CT). The schneiderian membrane and the cortical thickness of the inferior border of the maxillary sinus were measured on the coronal images of dental CT scans at the deepest portion of the sinus cavity. The presence of Underwood's septa was identified on the axial images. The correlations between these variables were assessed.</abstract>
<abstract>Results: We found that there was only a negative correlation between the schneiderian membrane thickness and the presence of Underwood's septa (r = –0.168 p = .042).</abstract>
<abstract>Conclusion: It is suggested that Underwood's septa may be the reason for the thinness of the schneiderian membrane. However, future studies among larger groups are necessary for confirming the finding by using well‐designed clinical studies.</abstract>
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<genre>keywords</genre>
<topic>dental computed tomography</topic>
<topic>maxillary sinus floor</topic>
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