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Evaluation of preoperative model surgery and the use of a maxillary sinus surgical template in sinus floor augmentation surgery.

Identifieur interne : 002508 ( Main/Exploration ); précédent : 002507; suivant : 002509

Evaluation of preoperative model surgery and the use of a maxillary sinus surgical template in sinus floor augmentation surgery.

Auteurs : Ismail Doruk Kocyi It [Chypre (pays)] ; Fatih Mehmet Coskunses ; Ozkan Ozgul ; Hakan Hifzi Tuz ; Yasemin Kartal ; Muhlis Polat ; Kaan Orhan

Source :

RBID : pubmed:24220481

Descripteurs français

English descriptors

Abstract

Maxillary sinus augmentation is an accepted technique for dental implant placement in presence of insufficient maxillary bone. There are various techniques in the literature, either by crestal or lateral approach in maxillary sinus augmentation that have high percentage of success, while all have complications. Schneiderian membrane perforation is the most common complication encountered during surgery. The aim of this study was to evaluate the benefits of preoperative model surgery and the ease of use of a maxillary sinus surgical template (MSST) during maxillary sinus augmentation surgery with a lateral approach. Ten patients included in the study needed rehabilitation of a partially or totally edentulous maxilla with an implant-supported fixed prosthesis and requiring sinus augmentation. A questionnaire was asked to performing surgeons, and study results showed the use of an MSST was found to be effective in terms of adaptation (62.5%), window preparation (87.5%), ease of elevation (95.9%), ease of grafting (95.9%), reduction of perforation risk (91.7%), and achieving immobility during the procedure (62.5%); however, the use of an MSST was also found to prolong the surgical procedure (100%) and restrict the view of the surgical area (79.2%). Maxillary sinus augmentation appears to be a useful tool for locating an appropriate entrance to the sinus cavity, allowing for safe elevation of the sinus membrane and effectively grafting the sinus floor.

DOI: 10.1097/SCS.0b013e3182a2b6b0
PubMed: 24220481


Affiliations:


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Le document en format XML

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<nlm:affiliation>From the *Department of Oral and Maxillofacial Surgery, Kirikkale University Faculty of Dentistry, Kirikkale; †Department of Oral and Maxillofacial Surgery, Kocaeli University Faculty of Dentistry, Kocaeli; ‡Department of Oral and Maxillofacial Surgery, Ufuk University, Ankara Turkey; and §Department of Oral and Maxillofacial Radiology, Near East University Faculty of Dentistry, Nicosia, Cyprus.</nlm:affiliation>
<country xml:lang="fr">Chypre (pays)</country>
<wicri:regionArea>From the *Department of Oral and Maxillofacial Surgery, Kirikkale University Faculty of Dentistry, Kirikkale; †Department of Oral and Maxillofacial Surgery, Kocaeli University Faculty of Dentistry, Kocaeli; ‡Department of Oral and Maxillofacial Surgery, Ufuk University, Ankara Turkey; and §Department of Oral and Maxillofacial Radiology, Near East University Faculty of Dentistry, Nicosia</wicri:regionArea>
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<nlm:affiliation>From the *Department of Oral and Maxillofacial Surgery, Kirikkale University Faculty of Dentistry, Kirikkale; †Department of Oral and Maxillofacial Surgery, Kocaeli University Faculty of Dentistry, Kocaeli; ‡Department of Oral and Maxillofacial Surgery, Ufuk University, Ankara Turkey; and §Department of Oral and Maxillofacial Radiology, Near East University Faculty of Dentistry, Nicosia, Cyprus.</nlm:affiliation>
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<title level="j">The Journal of craniofacial surgery</title>
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<term>Attitude of Health Personnel</term>
<term>Computer-Aided Design</term>
<term>Dental Implantation, Endosseous (instrumentation)</term>
<term>Dental Implants</term>
<term>Dental Prosthesis, Implant-Supported</term>
<term>Female</term>
<term>Humans</term>
<term>Imaging, Three-Dimensional (methods)</term>
<term>Intraoperative Complications (prevention & control)</term>
<term>Jaw, Edentulous (rehabilitation)</term>
<term>Jaw, Edentulous (surgery)</term>
<term>Jaw, Edentulous, Partially (rehabilitation)</term>
<term>Jaw, Edentulous, Partially (surgery)</term>
<term>Male</term>
<term>Maxilla (surgery)</term>
<term>Maxillary Sinus (surgery)</term>
<term>Middle Aged</term>
<term>Models, Anatomic</term>
<term>Nasal Mucosa (pathology)</term>
<term>Operative Time</term>
<term>Patient Care Planning</term>
<term>Sinus Floor Augmentation (instrumentation)</term>
<term>Surgery, Computer-Assisted (methods)</term>
<term>User-Computer Interface</term>
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<term>Adulte d'âge moyen</term>
<term>Attitude du personnel soignant</term>
<term>Chirurgie assistée par ordinateur ()</term>
<term>Complications peropératoires ()</term>
<term>Conception assistée par ordinateur</term>
<term>Durée opératoire</term>
<term>Femelle</term>
<term>Humains</term>
<term>Imagerie tridimensionnelle ()</term>
<term>Implants dentaires</term>
<term>Interface utilisateur</term>
<term>Maxillaire ()</term>
<term>Modèles anatomiques</term>
<term>Muqueuse nasale (anatomopathologie)</term>
<term>Mâchoire partiellement édentée ()</term>
<term>Mâchoire partiellement édentée (rééducation et réadaptation)</term>
<term>Mâchoire édentée ()</term>
<term>Mâchoire édentée (rééducation et réadaptation)</term>
<term>Mâle</term>
<term>Planification des soins du patient</term>
<term>Pose d'implant dentaire endo-osseux (instrumentation)</term>
<term>Prothèse dentaire implanto-portée</term>
<term>Rehaussement du plancher du sinus (instrumentation)</term>
<term>Sinus maxillaire ()</term>
<term>Sujet âgé</term>
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<term>Dental Implants</term>
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<term>Muqueuse nasale</term>
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<keywords scheme="MESH" qualifier="instrumentation" xml:lang="en">
<term>Dental Implantation, Endosseous</term>
<term>Sinus Floor Augmentation</term>
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<term>Imaging, Three-Dimensional</term>
<term>Surgery, Computer-Assisted</term>
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<term>Nasal Mucosa</term>
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<keywords scheme="MESH" qualifier="prevention & control" xml:lang="en">
<term>Intraoperative Complications</term>
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<term>Jaw, Edentulous</term>
<term>Jaw, Edentulous, Partially</term>
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<keywords scheme="MESH" qualifier="rééducation et réadaptation" xml:lang="fr">
<term>Mâchoire partiellement édentée</term>
<term>Mâchoire édentée</term>
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<keywords scheme="MESH" qualifier="surgery" xml:lang="en">
<term>Jaw, Edentulous</term>
<term>Jaw, Edentulous, Partially</term>
<term>Maxilla</term>
<term>Maxillary Sinus</term>
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<term>Aged</term>
<term>Attitude of Health Personnel</term>
<term>Computer-Aided Design</term>
<term>Dental Prosthesis, Implant-Supported</term>
<term>Female</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Models, Anatomic</term>
<term>Operative Time</term>
<term>Patient Care Planning</term>
<term>User-Computer Interface</term>
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<term>Adulte d'âge moyen</term>
<term>Attitude du personnel soignant</term>
<term>Chirurgie assistée par ordinateur</term>
<term>Complications peropératoires</term>
<term>Conception assistée par ordinateur</term>
<term>Durée opératoire</term>
<term>Femelle</term>
<term>Humains</term>
<term>Imagerie tridimensionnelle</term>
<term>Implants dentaires</term>
<term>Interface utilisateur</term>
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<term>Planification des soins du patient</term>
<term>Pose d'implant dentaire endo-osseux</term>
<term>Prothèse dentaire implanto-portée</term>
<term>Rehaussement du plancher du sinus</term>
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<term>Sujet âgé</term>
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<div type="abstract" xml:lang="en">Maxillary sinus augmentation is an accepted technique for dental implant placement in presence of insufficient maxillary bone. There are various techniques in the literature, either by crestal or lateral approach in maxillary sinus augmentation that have high percentage of success, while all have complications. Schneiderian membrane perforation is the most common complication encountered during surgery. The aim of this study was to evaluate the benefits of preoperative model surgery and the ease of use of a maxillary sinus surgical template (MSST) during maxillary sinus augmentation surgery with a lateral approach. Ten patients included in the study needed rehabilitation of a partially or totally edentulous maxilla with an implant-supported fixed prosthesis and requiring sinus augmentation. A questionnaire was asked to performing surgeons, and study results showed the use of an MSST was found to be effective in terms of adaptation (62.5%), window preparation (87.5%), ease of elevation (95.9%), ease of grafting (95.9%), reduction of perforation risk (91.7%), and achieving immobility during the procedure (62.5%); however, the use of an MSST was also found to prolong the surgical procedure (100%) and restrict the view of the surgical area (79.2%). Maxillary sinus augmentation appears to be a useful tool for locating an appropriate entrance to the sinus cavity, allowing for safe elevation of the sinus membrane and effectively grafting the sinus floor.</div>
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