Palatal window osteotomy technique improves maxillary sinus augmentation in previously insufficient augmentation case
Identifieur interne : 000E58 ( Main/Exploration ); précédent : 000E57; suivant : 000E59Palatal window osteotomy technique improves maxillary sinus augmentation in previously insufficient augmentation case
Auteurs : Daisuke Ueno [Japon] ; Takashi Kurokawa [Japon] ; Katsuichiro Maruo [Japon] ; Tsuneaki Watanabe [Japon] ; Jayanetti Asiri Jayawardena [Japon]Source :
- International Journal of Implant Dentistry [ 2198-4034 ] ; 2015.
Abstract
Perforation of the Schneiderian membrane is the most common complication in sinus floor augmentation (SFA). When volume of grafting is qualified to prevent enlargement of the membrane perforation, lack of bone volume may occur in optimal site.
SFA was performed in sites #24 to 26 in a 63-year-old male. However, a 10-mm size perforation of the Schneiderian membrane occurred in site #26. Although the sinus cavity was grafted with deproteinized bovine bone mineral (DBBM) after repair of membrane perforation, insufficient bone formation was observed on palatal and distal aspects of site #26 at 5 months after SFA. Although additional SFA was required for implant placement, it seemed to be difficult to elevate the membrane by a conventional lateral approach in the palatal aspect of the sinus floor (site #26). Considering the configuration of new bone formation, it was decided to perform the palatal antrostomy approach. The Schneiderian membrane was elevated without perforation, and the sinus cavity was grafted with DBBM mixed with venous blood. Two 12-mm long, 4.1-mm diameter implants were placed in sites #14 and 16. Four months after implant placement, abutment-connection surgery was successfully performed. The radiographic image indicated improved radiopacity, without obvious bone resorption in site #26.
The palatal window osteotomy technique could be considered as an alternative method for augmentation of maxillary sinus in cases where difficulty is encountered to elevate a membrane by a conventional approach (e.g., in cases in which buccal bone height is long).
Url:
DOI: 10.1186/s40729-015-0018-y
PubMed: 27747640
PubMed Central: 5005647
Affiliations:
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<front><div type="abstract" xml:lang="en"><sec><title>Introduction</title>
<p>Perforation of the Schneiderian membrane is the most common complication in sinus floor augmentation (SFA). When volume of grafting is qualified to prevent enlargement of the membrane perforation, lack of bone volume may occur in optimal site.</p>
</sec>
<sec><title>Case presentation</title>
<p>SFA was performed in sites #24 to 26 in a 63-year-old male. However, a 10-mm size perforation of the Schneiderian membrane occurred in site #26. Although the sinus cavity was grafted with deproteinized bovine bone mineral (DBBM) after repair of membrane perforation, insufficient bone formation was observed on palatal and distal aspects of site #26 at 5 months after SFA. Although additional SFA was required for implant placement, it seemed to be difficult to elevate the membrane by a conventional lateral approach in the palatal aspect of the sinus floor (site #26). Considering the configuration of new bone formation, it was decided to perform the palatal antrostomy approach. The Schneiderian membrane was elevated without perforation, and the sinus cavity was grafted with DBBM mixed with venous blood. Two 12-mm long, 4.1-mm diameter implants were placed in sites #14 and 16. Four months after implant placement, abutment-connection surgery was successfully performed. The radiographic image indicated improved radiopacity, without obvious bone resorption in site #26.</p>
</sec>
<sec><title>Conclusion</title>
<p>The palatal window osteotomy technique could be considered as an alternative method for augmentation of maxillary sinus in cases where difficulty is encountered to elevate a membrane by a conventional approach (e.g., in cases in which buccal bone height is long).</p>
</sec>
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<name sortKey="Jayawardena, Jayanetti Asiri" sort="Jayawardena, Jayanetti Asiri" uniqKey="Jayawardena J" first="Jayanetti Asiri" last="Jayawardena">Jayanetti Asiri Jayawardena</name>
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