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Spontaneous Bone Formation in the Maxillary Sinus after Removal of a Cyst: Coincidence or Consequence?

Identifieur interne : 007180 ( Istex/Corpus ); précédent : 007179; suivant : 007181

Spontaneous Bone Formation in the Maxillary Sinus after Removal of a Cyst: Coincidence or Consequence?

Auteurs : Stefan Lundgren ; Sten Andersson ; Lars Sennerby

Source :

RBID : ISTEX:E50EFF10602834F87EFC1E098F823D267F7FDF0C

English descriptors

Abstract

Background: Maxillary sinus floor‐augmentation techniques are frequently used to increase the bone volume in the posterior edentulous maxilla to enable placement and integration of titanium implants. Purpose: The purpose of this report is to document an unexpected healing pattern after maxillary sinus surgery and to discuss the implications for future bone‐augmentation techniques. Materials and Methods: In a patient referred for sinus augmentation, an intrasinus mucosal cyst was removed 3 months prior to the planned augmentation procedure. A replaceable bone window was prepared in the lateral aspect of the sinus wall. The cyst was removed, the ruptured mucosa was sutured, and the bone window was replaced, resulting in a secluded space in the sinus. Results: After 3 months of healing, the space between the replaced bony window and the lifted sinus membrane was filled with newly formed bone. The surgical technique was repeated in a second patient and resulted in a similar bone reformation pattern. Conclusion: Surgical trauma and the creation of a secluded space between the bone surfaces and the sinus mucosa result in spontaneous bone formation in the maxillary sinus. The surgical approach described may be used to achieve bone reformation to enable placement of dental implants without the addition of any grafting material.

Url:
DOI: 10.1111/j.1708-8208.2003.tb00187.x

Links to Exploration step

ISTEX:E50EFF10602834F87EFC1E098F823D267F7FDF0C

Le document en format XML

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<hi rend="italic">Background</hi>
: Maxillary sinus floor‐augmentation techniques are frequently used to increase the bone volume in the posterior edentulous maxilla to enable placement and integration of titanium implants.</p>
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<hi rend="italic">Purpose</hi>
: The purpose of this report is to document an unexpected healing pattern after maxillary sinus surgery and to discuss the implications for future bone‐augmentation techniques.</p>
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<hi rend="italic">Materials and Methods</hi>
: In a patient referred for sinus augmentation, an intrasinus mucosal cyst was removed 3 months prior to the planned augmentation procedure. A replaceable bone window was prepared in the lateral aspect of the sinus wall. The cyst was removed, the ruptured mucosa was sutured, and the bone window was replaced, resulting in a secluded space in the sinus.</p>
<p>
<hi rend="italic">Results</hi>
: After 3 months of healing, the space between the replaced bony window and the lifted sinus membrane was filled with newly formed bone. The surgical technique was repeated in a second patient and resulted in a similar bone reformation pattern.</p>
<p>
<hi rend="italic">Conclusion</hi>
: Surgical trauma and the creation of a secluded space between the bone surfaces and the sinus mucosa result in spontaneous bone formation in the maxillary sinus. The surgical approach described may be used to achieve bone reformation to enable placement of dental implants without the addition of any grafting material.</p>
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<correspondenceTo>Reprint requests: Stefan Lundgren, DDS, PhD, Department of Oral and Maxillofaxial Surgery, Umeå University, SE 901 87 Umeå, Sweden; e‐mail:
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<title type="main">Spontaneous Bone Formation in the Maxillary Sinus after Removal of a Cyst: Coincidence or Consequence?</title>
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<i>Background</i>
: Maxillary sinus floor‐augmentation techniques are frequently used to increase the bone volume in the posterior edentulous maxilla to enable placement and integration of titanium implants.</p>
<p>
<i>Purpose</i>
: The purpose of this report is to document an unexpected healing pattern after maxillary sinus surgery and to discuss the implications for future bone‐augmentation techniques.</p>
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<i>Materials and Methods</i>
: In a patient referred for sinus augmentation, an intrasinus mucosal cyst was removed 3 months prior to the planned augmentation procedure. A replaceable bone window was prepared in the lateral aspect of the sinus wall. The cyst was removed, the ruptured mucosa was sutured, and the bone window was replaced, resulting in a secluded space in the sinus.</p>
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<i>Results</i>
: After 3 months of healing, the space between the replaced bony window and the lifted sinus membrane was filled with newly formed bone. The surgical technique was repeated in a second patient and resulted in a similar bone reformation pattern.</p>
<p>
<i>Conclusion</i>
: Surgical trauma and the creation of a secluded space between the bone surfaces and the sinus mucosa result in spontaneous bone formation in the maxillary sinus. The surgical approach described may be used to achieve bone reformation to enable placement of dental implants without the addition of any grafting material.</p>
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<abstract lang="en">Background: Maxillary sinus floor‐augmentation techniques are frequently used to increase the bone volume in the posterior edentulous maxilla to enable placement and integration of titanium implants. Purpose: The purpose of this report is to document an unexpected healing pattern after maxillary sinus surgery and to discuss the implications for future bone‐augmentation techniques. Materials and Methods: In a patient referred for sinus augmentation, an intrasinus mucosal cyst was removed 3 months prior to the planned augmentation procedure. A replaceable bone window was prepared in the lateral aspect of the sinus wall. The cyst was removed, the ruptured mucosa was sutured, and the bone window was replaced, resulting in a secluded space in the sinus. Results: After 3 months of healing, the space between the replaced bony window and the lifted sinus membrane was filled with newly formed bone. The surgical technique was repeated in a second patient and resulted in a similar bone reformation pattern. Conclusion: Surgical trauma and the creation of a secluded space between the bone surfaces and the sinus mucosa result in spontaneous bone formation in the maxillary sinus. The surgical approach described may be used to achieve bone reformation to enable placement of dental implants without the addition of any grafting material.</abstract>
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