Dental implants and grafting success remain high despite large variations in maxillary sinus mucosal thickening
Identifieur interne : 000285 ( Main/Exploration ); précédent : 000284; suivant : 000286Dental implants and grafting success remain high despite large variations in maxillary sinus mucosal thickening
Auteurs : Bartosz Maska [États-Unis] ; Guo-Hao Lin [États-Unis] ; Abdullah Othman [États-Unis] ; Shabnam Behdin [États-Unis] ; Suncica Travan [États-Unis] ; Erika Benavides [États-Unis] ; Yvonne Kapila [États-Unis]Source :
- International Journal of Implant Dentistry [ 2198-4034 ] ; 2017.
Abstract
Although mucosal thickening is the most common radiographic finding observed regarding sinus pathology, the knowledge regarding its clinical significance on the outcomes of dental implants and grafting in the maxillary sinuses is still limited. We hypothesized that mucosal thickening would not alter the predictability for sinus floor augmentation and dental implant placement. The purpose of this retrospective study was to evaluate the outcomes of dental implant placement in sinus-augmented areas with preexisting sinus mucosal thickening.
This study involved the review of cone-beam computed tomographic (CBCT) scans taken on patients that underwent both maxillary sinus elevation with grafting and implant placement at the University of Michigan School of Dentistry from 2004 to 2014. Cases with documented radiographic and clinical follow-up were included. The data analyses revealed the following.
A total of 29 CBCT scans met the inclusion criteria for evaluation, and 93.1% of them had maxillary sinus mucosal/tissue thickening. Specifically, 6.9% of cases exhibited no thickening, 6.9% had minimal thickening (1–2 mm), 20.7% of cases had moderate thickening (2–5 mm), and 65.5% had severe thickening (>5 mm). We propose these categorical measurements of tissue thickening as a new “mucosal thickening index.” The tissue thickening did not vary based on gender, age, or smoking status, nor did it relate to the underlying alveolar ridge height. However, patients with a history of periodontal diseases demonstrated a significant association with mucosal thickening (
Based on study findings, this research will help guide dental practitioners regarding cases that exhibit mucosal thickening. These data support the concept that physiologic mucosal thickening in varied ranges is not associated with implant or grafting failure in the maxillary sinus.
Url:
DOI: 10.1186/s40729-017-0064-8
PubMed: 28101784
PubMed Central: 5243237
Affiliations:
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type="state">Michigan</region></placeName><wicri:cityArea>1011 N University Ave, Ann Arbor</wicri:cityArea></affiliation></author><author><name sortKey="Lin, Guo Hao" sort="Lin, Guo Hao" uniqKey="Lin G" first="Guo-Hao" last="Lin">Guo-Hao Lin</name><affiliation wicri:level="2"><nlm:aff id="Aff1"><institution-wrap><institution-id institution-id-type="ISNI">0000000086837370</institution-id><institution-id institution-id-type="GRID">grid.214458.e</institution-id><institution>Department of Periodontics and Oral Medicine, School of Dentistry,</institution><institution>University of Michigan,</institution></institution-wrap>1011 N University Ave, Ann Arbor, MI USA</nlm:aff><country>États-Unis</country><placeName><region type="state">Michigan</region></placeName><wicri:cityArea>1011 N University Ave, Ann Arbor</wicri:cityArea></affiliation><affiliation wicri:level="2"><nlm:aff id="Aff2"><institution-wrap><institution-id institution-id-type="ISNI">0000 0001 2369 3143</institution-id><institution-id institution-id-type="GRID">grid.259670.f</institution-id><institution>Department of Surgical Sciences, School of Dentistry,</institution><institution>Marquette University,</institution></institution-wrap>1801 W Wisconsin Ave, Milwaukee, WI USA</nlm:aff><country>États-Unis</country><placeName><region type="state">Wisconsin</region></placeName><wicri:cityArea>1801 W Wisconsin Ave, Milwaukee</wicri:cityArea></affiliation></author><author><name sortKey="Othman, Abdullah" sort="Othman, Abdullah" uniqKey="Othman A" first="Abdullah" last="Othman">Abdullah Othman</name><affiliation wicri:level="2"><nlm:aff id="Aff1"><institution-wrap><institution-id institution-id-type="ISNI">0000000086837370</institution-id><institution-id institution-id-type="GRID">grid.214458.e</institution-id><institution>Department of Periodontics and Oral Medicine, School of Dentistry,</institution><institution>University of Michigan,</institution></institution-wrap>1011 N University Ave, Ann Arbor, MI USA</nlm:aff><country>États-Unis</country><placeName><region type="state">Michigan</region></placeName><wicri:cityArea>1011 N University Ave, Ann Arbor</wicri:cityArea></affiliation><affiliation wicri:level="2"><nlm:aff id="Aff3"><institution-wrap><institution-id institution-id-type="ISNI">0000 0001 0673 1654</institution-id><institution-id institution-id-type="GRID">grid.266243.7</institution-id><institution>Department of Periodontology & Dental Hygiene,</institution><institution>University of Detroit Mercy,</institution></institution-wrap>2700 Martin Luther King Jr. Blvd, Detroit, MI USA</nlm:aff><country>États-Unis</country><placeName><region type="state">Michigan</region></placeName><wicri:cityArea>2700 Martin Luther King Jr. Blvd, Detroit</wicri:cityArea></affiliation></author><author><name sortKey="Behdin, Shabnam" sort="Behdin, Shabnam" uniqKey="Behdin S" first="Shabnam" last="Behdin">Shabnam Behdin</name><affiliation wicri:level="2"><nlm:aff id="Aff1"><institution-wrap><institution-id institution-id-type="ISNI">0000000086837370</institution-id><institution-id institution-id-type="GRID">grid.214458.e</institution-id><institution>Department of Periodontics and Oral Medicine, School of Dentistry,</institution><institution>University of Michigan,</institution></institution-wrap>1011 N University Ave, Ann Arbor, MI USA</nlm:aff><country>États-Unis</country><placeName><region type="state">Michigan</region></placeName><wicri:cityArea>1011 N University Ave, Ann Arbor</wicri:cityArea></affiliation><affiliation wicri:level="2"><nlm:aff id="Aff4"><institution-wrap><institution-id institution-id-type="ISNI">0000 0001 2164 3847</institution-id><institution-id institution-id-type="GRID">grid.67105.35</institution-id><institution>Department of Periodontics, School of Dental Medicine,</institution><institution>Case Western Reserve University,</institution></institution-wrap>2124 Cornell Rd, Cleveland, OH USA</nlm:aff><country>États-Unis</country><placeName><region type="state">Ohio</region></placeName><wicri:cityArea>2124 Cornell Rd, Cleveland</wicri:cityArea></affiliation></author><author><name sortKey="Travan, Suncica" sort="Travan, Suncica" uniqKey="Travan S" first="Suncica" last="Travan">Suncica Travan</name><affiliation wicri:level="2"><nlm:aff id="Aff1"><institution-wrap><institution-id institution-id-type="ISNI">0000000086837370</institution-id><institution-id institution-id-type="GRID">grid.214458.e</institution-id><institution>Department of Periodontics and Oral Medicine, School of Dentistry,</institution><institution>University of Michigan,</institution></institution-wrap>1011 N University Ave, Ann Arbor, MI USA</nlm:aff><country>États-Unis</country><placeName><region type="state">Michigan</region></placeName><wicri:cityArea>1011 N University Ave, Ann Arbor</wicri:cityArea></affiliation></author><author><name sortKey="Benavides, Erika" sort="Benavides, Erika" uniqKey="Benavides E" first="Erika" last="Benavides">Erika Benavides</name><affiliation wicri:level="2"><nlm:aff id="Aff1"><institution-wrap><institution-id institution-id-type="ISNI">0000000086837370</institution-id><institution-id institution-id-type="GRID">grid.214458.e</institution-id><institution>Department of Periodontics and Oral Medicine, School of Dentistry,</institution><institution>University of Michigan,</institution></institution-wrap>1011 N University Ave, Ann Arbor, MI USA</nlm:aff><country>États-Unis</country><placeName><region type="state">Michigan</region></placeName><wicri:cityArea>1011 N University Ave, Ann Arbor</wicri:cityArea></affiliation></author><author><name sortKey="Kapila, Yvonne" sort="Kapila, Yvonne" uniqKey="Kapila Y" first="Yvonne" last="Kapila">Yvonne Kapila</name><affiliation wicri:level="2"><nlm:aff id="Aff1"><institution-wrap><institution-id institution-id-type="ISNI">0000000086837370</institution-id><institution-id institution-id-type="GRID">grid.214458.e</institution-id><institution>Department of Periodontics and Oral Medicine, School of Dentistry,</institution><institution>University of Michigan,</institution></institution-wrap>1011 N University Ave, Ann Arbor, MI USA</nlm:aff><country>États-Unis</country><placeName><region type="state">Michigan</region></placeName><wicri:cityArea>1011 N University Ave, Ann Arbor</wicri:cityArea></affiliation><affiliation wicri:level="3"><nlm:aff id="Aff5"><institution-wrap><institution-id institution-id-type="ISNI">0000 0001 2297 6811</institution-id><institution-id institution-id-type="GRID">grid.266102.1</institution-id><institution>Department of Orofacial Sciences, School of Dentistry,</institution><institution>University of California San Francisco,</institution></institution-wrap>513 Parnassus Ave, S612D, Box 0422, San Francisco, 94143 CA USA</nlm:aff><country>États-Unis</country><placeName><region type="state">Californie</region></placeName><wicri:regionArea>513 Parnassus Ave, S612D, Box 0422, San Francisco</wicri:regionArea><placeName><settlement type="city">San Francisco</settlement><region type="state">Californie</region></placeName></affiliation></author></analytic><series><title level="j">International Journal of Implant Dentistry</title><idno type="eISSN">2198-4034</idno><imprint><date when="2017">2017</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background</title><p>Although mucosal thickening is the most common radiographic finding observed regarding sinus pathology, the knowledge regarding its clinical significance on the outcomes of dental implants and grafting in the maxillary sinuses is still limited. We hypothesized that mucosal thickening would not alter the predictability for sinus floor augmentation and dental implant placement. The purpose of this retrospective study was to evaluate the outcomes of dental implant placement in sinus-augmented areas with preexisting sinus mucosal thickening.</p></sec><sec><title>Methods</title><p>This study involved the review of cone-beam computed tomographic (CBCT) scans taken on patients that underwent both maxillary sinus elevation with grafting and implant placement at the University of Michigan School of Dentistry from 2004 to 2014. Cases with documented radiographic and clinical follow-up were included. The data analyses revealed the following.</p></sec><sec><title>Results</title><p>A total of 29 CBCT scans met the inclusion criteria for evaluation, and 93.1% of them had maxillary sinus mucosal/tissue thickening. Specifically, 6.9% of cases exhibited no thickening, 6.9% had minimal thickening (1–2 mm), 20.7% of cases had moderate thickening (2–5 mm), and 65.5% had severe thickening (>5 mm). We propose these categorical measurements of tissue thickening as a new “mucosal thickening index.” The tissue thickening did not vary based on gender, age, or smoking status, nor did it relate to the underlying alveolar ridge height. However, patients with a history of periodontal diseases demonstrated a significant association with mucosal thickening (<italic>p</italic> = 0.0043). These data indicate that there is high implant and grafting success rate (100%) in the maxillary sinus despite large and varied physiologic sinus mucosal/tissue thickening.</p></sec><sec><title>Conclusions</title><p>Based on study findings, this research will help guide dental practitioners regarding cases that exhibit mucosal thickening. These data support the concept that physiologic mucosal thickening in varied ranges is not associated with implant or grafting failure in the maxillary sinus.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Beretta, M" uniqKey="Beretta M">M Beretta</name></author><author><name sortKey="Poli, Pp" uniqKey="Poli P">PP Poli</name></author><author><name sortKey="Grossi, Gb" uniqKey="Grossi G">GB Grossi</name></author><author><name sortKey="Pieroni, S" uniqKey="Pieroni S">S Pieroni</name></author><author><name sortKey="Maiorana, C" uniqKey="Maiorana C">C Maiorana</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Del Fabbro, M" uniqKey="Del Fabbro M">M Del Fabbro</name></author><author><name sortKey="Corbella, S" uniqKey="Corbella S">S Corbella</name></author><author><name sortKey="Weinstein, T" uniqKey="Weinstein T">T Weinstein</name></author><author><name sortKey="Ceresoli, V" uniqKey="Ceresoli 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Sharan</name></author><author><name sortKey="Madjar, D" uniqKey="Madjar D">D Madjar</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>États-Unis</li></country><region><li>Californie</li><li>Michigan</li><li>Ohio</li><li>Wisconsin</li></region><settlement><li>San Francisco</li></settlement></list><tree><country name="États-Unis"><region name="Michigan"><name sortKey="Maska, Bartosz" sort="Maska, Bartosz" uniqKey="Maska B" first="Bartosz" last="Maska">Bartosz Maska</name></region><name sortKey="Behdin, Shabnam" sort="Behdin, Shabnam" uniqKey="Behdin S" first="Shabnam" last="Behdin">Shabnam Behdin</name><name sortKey="Behdin, Shabnam" sort="Behdin, Shabnam" uniqKey="Behdin S" first="Shabnam" last="Behdin">Shabnam Behdin</name><name sortKey="Benavides, Erika" sort="Benavides, Erika" uniqKey="Benavides E" first="Erika" last="Benavides">Erika Benavides</name><name sortKey="Kapila, Yvonne" sort="Kapila, Yvonne" uniqKey="Kapila Y" first="Yvonne" last="Kapila">Yvonne Kapila</name><name sortKey="Kapila, Yvonne" sort="Kapila, Yvonne" uniqKey="Kapila Y" first="Yvonne" last="Kapila">Yvonne Kapila</name><name sortKey="Lin, Guo Hao" sort="Lin, Guo Hao" uniqKey="Lin G" first="Guo-Hao" last="Lin">Guo-Hao Lin</name><name sortKey="Lin, Guo Hao" sort="Lin, Guo Hao" uniqKey="Lin G" first="Guo-Hao" last="Lin">Guo-Hao Lin</name><name sortKey="Othman, Abdullah" sort="Othman, Abdullah" uniqKey="Othman A" first="Abdullah" last="Othman">Abdullah Othman</name><name sortKey="Othman, Abdullah" sort="Othman, Abdullah" uniqKey="Othman A" first="Abdullah" last="Othman">Abdullah Othman</name><name sortKey="Travan, Suncica" sort="Travan, Suncica" uniqKey="Travan S" first="Suncica" last="Travan">Suncica Travan</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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