Three-Dimensional Evaluation of Implant Positioning in the Maxillary Sinus Septum: A Retrospective Study
Identifieur interne : 005F17 ( Ncbi/Checkpoint ); précédent : 005F16; suivant : 005F18Three-Dimensional Evaluation of Implant Positioning in the Maxillary Sinus Septum: A Retrospective Study
Auteurs : Eliza Dragan [Roumanie] ; Odri A. Guillaume [France] ; Danisia Haba [Roumanie] ; Raphael Olszewski [Belgique]Source :
- Medical Science Monitor : International Medical Journal of Experimental and Clinical Research [ 1234-1010 ] ; 2015.
Descripteurs français
- KwdFr :
- Bouche édentée (imagerie diagnostique), Humains, Imagerie tridimensionnelle, Implants dentaires, Interprétation de radiographie assistée par ordinateur, Logiciel, Molaire (imagerie diagnostique), Prémolaire (imagerie diagnostique), Sinus maxillaire (imagerie diagnostique), Tomodensitométrie à faisceau conique, Études rétrospectives.
- MESH :
English descriptors
- KwdEn :
- Bicuspid (diagnostic imaging), Cone-Beam Computed Tomography, Dental Implants, Humans, Imaging, Three-Dimensional, Maxillary Sinus (diagnostic imaging), Molar (diagnostic imaging), Mouth, Edentulous (diagnostic imaging), Radiographic Image Interpretation, Computer-Assisted, Retrospective Studies, Software.
- MESH :
- chemical : Dental Implants.
- diagnostic imaging : Bicuspid, Maxillary Sinus, Molar, Mouth, Edentulous.
- Cone-Beam Computed Tomography, Humans, Imaging, Three-Dimensional, Radiographic Image Interpretation, Computer-Assisted, Retrospective Studies, Software.
Abstract
The aim of this study was to simulate implant placement in the maxillary sinus septum, as a potential alternative site to avoid sinus grafting.
One hundred partially or completely edentulous patients, with their maxillary sinus septum present in the edentulous region, were selected from the database of the Department of Maxillofacial Surgery, Cliniques Universitaires Saint Luc, Bruxelles, Belgium.
Three-dimensional (3D) reconstructions were created using 3D planning software. 3D reconstructions were performed for each maxillary sinus. Using the software implant library, the implants that presented the best fit with the maxillary sinus septum and that followed the established inclusion criteria were selected.
All of the implants were inserted in premolar and molar regions. Most implants were inserted in the position of the second molar (21 of 55) or in the position of the first molar (17 of 55). In all sites the most frequently used implant was 4 mm in diameter and 7 mm in height.
The mean coronal angle for the implant was 80.19±17.13 degrees and the mean sagittal angle was 94.83±9.94 degrees.
The septal height represents 38.13% of the total available bone height (ABH). The mean percentage of the septum used to insert the implants was 47.33±2.47%. The septum increased the available bone height by a mean value of 2.18±1.47 mm.
In 45 cases, the septa did not permit implant placement.
In completely edentulous patients, inserting implants in sinus septa does not exclude the need for sinus grafting, but in partially edentulous patients, this minimally invasive technique is an alternative to subantral augmentation.
Url:
DOI: 10.12659/MSM.894403
PubMed: 26363865
PubMed Central: 4572718
Affiliations:
- Belgique, France, Roumanie
- Centre-Val de Loire, Région Centre, Région de Bruxelles-Capitale
- Bruxelles, Orléans
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PMC:4572718Le document en format XML
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<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Three-Dimensional Evaluation of Implant Positioning in the Maxillary Sinus Septum: A Retrospective Study</title>
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<term>Cone-Beam Computed Tomography</term>
<term>Dental Implants</term>
<term>Humans</term>
<term>Imaging, Three-Dimensional</term>
<term>Maxillary Sinus (diagnostic imaging)</term>
<term>Molar (diagnostic imaging)</term>
<term>Mouth, Edentulous (diagnostic imaging)</term>
<term>Radiographic Image Interpretation, Computer-Assisted</term>
<term>Retrospective Studies</term>
<term>Software</term>
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<term>Humains</term>
<term>Imagerie tridimensionnelle</term>
<term>Implants dentaires</term>
<term>Interprétation de radiographie assistée par ordinateur</term>
<term>Logiciel</term>
<term>Molaire (imagerie diagnostique)</term>
<term>Prémolaire (imagerie diagnostique)</term>
<term>Sinus maxillaire (imagerie diagnostique)</term>
<term>Tomodensitométrie à faisceau conique</term>
<term>Études rétrospectives</term>
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<keywords scheme="MESH" type="chemical" xml:lang="en"><term>Dental Implants</term>
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<keywords scheme="MESH" qualifier="diagnostic imaging" xml:lang="en"><term>Bicuspid</term>
<term>Maxillary Sinus</term>
<term>Molar</term>
<term>Mouth, Edentulous</term>
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<keywords scheme="MESH" qualifier="imagerie diagnostique" xml:lang="fr"><term>Bouche édentée</term>
<term>Molaire</term>
<term>Prémolaire</term>
<term>Sinus maxillaire</term>
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<keywords scheme="MESH" xml:lang="en"><term>Cone-Beam Computed Tomography</term>
<term>Humans</term>
<term>Imaging, Three-Dimensional</term>
<term>Radiographic Image Interpretation, Computer-Assisted</term>
<term>Retrospective Studies</term>
<term>Software</term>
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<term>Imagerie tridimensionnelle</term>
<term>Implants dentaires</term>
<term>Interprétation de radiographie assistée par ordinateur</term>
<term>Logiciel</term>
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<front><div type="abstract" xml:lang="en"><sec><title>Background</title>
<p>The aim of this study was to simulate implant placement in the maxillary sinus septum, as a potential alternative site to avoid sinus grafting.</p>
</sec>
<sec><title>Material/Methods</title>
<p>One hundred partially or completely edentulous patients, with their maxillary sinus septum present in the edentulous region, were selected from the database of the Department of Maxillofacial Surgery, Cliniques Universitaires Saint Luc, Bruxelles, Belgium.</p>
<p>Three-dimensional (3D) reconstructions were created using 3D planning software. 3D reconstructions were performed for each maxillary sinus. Using the software implant library, the implants that presented the best fit with the maxillary sinus septum and that followed the established inclusion criteria were selected.</p>
</sec>
<sec><title>Results</title>
<p>All of the implants were inserted in premolar and molar regions. Most implants were inserted in the position of the second molar (21 of 55) or in the position of the first molar (17 of 55). In all sites the most frequently used implant was 4 mm in diameter and 7 mm in height.</p>
<p>The mean coronal angle for the implant was 80.19±17.13 degrees and the mean sagittal angle was 94.83±9.94 degrees.</p>
<p>The septal height represents 38.13% of the total available bone height (ABH). The mean percentage of the septum used to insert the implants was 47.33±2.47%. The septum increased the available bone height by a mean value of 2.18±1.47 mm.</p>
<p>In 45 cases, the septa did not permit implant placement.</p>
</sec>
<sec><title>Conclusions</title>
<p>In completely edentulous patients, inserting implants in sinus septa does not exclude the need for sinus grafting, but in partially edentulous patients, this minimally invasive technique is an alternative to subantral augmentation.</p>
</sec>
</div>
</front>
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<affiliations><list><country><li>Belgique</li>
<li>France</li>
<li>Roumanie</li>
</country>
<region><li>Centre-Val de Loire</li>
<li>Région Centre</li>
<li>Région de Bruxelles-Capitale</li>
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<settlement><li>Bruxelles</li>
<li>Orléans</li>
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