Comparison of three different methods of internal sinus lifting for elevation heights of 7 mm: an ex vivo study
Identifieur interne : 000D05 ( Pmc/Curation ); précédent : 000D04; suivant : 000D06Comparison of three different methods of internal sinus lifting for elevation heights of 7 mm: an ex vivo study
Auteurs : Aghiad Yassin Alsabbagh [Syrie] ; Mohammed Monzer Alsabbagh [Syrie] ; Batol Darjazini Nahas [Syrie] ; Salam Rajih [États-Unis]Source :
- International Journal of Implant Dentistry [ 2198-4034 ] ; 2017.
Abstract
Various techniques are available for elevating the sinus membrane. The aim of this study is to evaluate three methods of indirect sinus floor elevation regarding elevation heights of 7 mm on the outcomes of membrane perforation, length of perforation, and time required to perform the procedure
Three different methods for indirect sinus lifting, bone added osteotome sinus floor elevation (BAOSFE), sinus floor elevation with an inflatable balloon, and crestal approach system (CAS kit) from OSSTEM, were assessed for their ability to lift the sinus without causing laceration of the Schneiderian membrane. The study was performed on 18 freshly slaughtered sheep heads (36 sinus lifts were done, 12 for each method). CBCT images of the heads were taken to assess the best location for the sinus lift. Then, the heads were bisected and the membrane was exposed from the medial aspect. After that, each method was performed. The intended elevation height was 7 mm. If the 7 mm were not reached, the maximum height of elevation was measured.
The method used was significantly associated with the occurrence of perforation (
The study shows that both the balloon and the CAS kit were superior to the BAOSFE in terms of safety in elevating the sinus membrane. Further, in vivo studies have to prove these findings.
Url:
DOI: 10.1186/s40729-017-0103-5
PubMed: 28871524
PubMed Central: 5583135
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<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Comparison of three different methods of internal sinus lifting for elevation heights of 7 mm: an ex vivo study</title>
<author><name sortKey="Yassin Alsabbagh, Aghiad" sort="Yassin Alsabbagh, Aghiad" uniqKey="Yassin Alsabbagh A" first="Aghiad" last="Yassin Alsabbagh">Aghiad Yassin Alsabbagh</name>
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<institution>Department of Periodontology,</institution>
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Damascus, Syrian Arab Republic</nlm:aff>
<country xml:lang="fr">Syrie</country>
<wicri:regionArea>Damascus</wicri:regionArea>
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<author><name sortKey="Alsabbagh, Mohammed Monzer" sort="Alsabbagh, Mohammed Monzer" uniqKey="Alsabbagh M" first="Mohammed Monzer" last="Alsabbagh">Mohammed Monzer Alsabbagh</name>
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<author><name sortKey="Darjazini Nahas, Batol" sort="Darjazini Nahas, Batol" uniqKey="Darjazini Nahas B" first="Batol" last="Darjazini Nahas">Batol Darjazini Nahas</name>
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Damascus, Syrian Arab Republic</nlm:aff>
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<series><title level="j">International Journal of Implant Dentistry</title>
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<front><div type="abstract" xml:lang="en"><sec><title>Background</title>
<p id="Par1">Various techniques are available for elevating the sinus membrane. The aim of this study is to evaluate three methods of indirect sinus floor elevation regarding elevation heights of 7 mm on the outcomes of membrane perforation, length of perforation, and time required to perform the procedure<bold>.</bold>
</p>
</sec>
<sec><title>Methods</title>
<p id="Par2">Three different methods for indirect sinus lifting, bone added osteotome sinus floor elevation (BAOSFE), sinus floor elevation with an inflatable balloon, and crestal approach system (CAS kit) from OSSTEM, were assessed for their ability to lift the sinus without causing laceration of the Schneiderian membrane. The study was performed on 18 freshly slaughtered sheep heads (36 sinus lifts were done, 12 for each method). CBCT images of the heads were taken to assess the best location for the sinus lift. Then, the heads were bisected and the membrane was exposed from the medial aspect. After that, each method was performed. The intended elevation height was 7 mm. If the 7 mm were not reached, the maximum height of elevation was measured.</p>
</sec>
<sec><title>Results</title>
<p id="Par3">The method used was significantly associated with the occurrence of perforation (<italic>p</italic>
value = 0.014) where BAOSFE was associated with the largest number of perforations (58.4%, <italic>n</italic>
= 7) compared to 8.3% and 8.3% for the balloon and CAS kit methods, respectively. The odds ratio for perforation occurrence from BAOSFE compared to the CAS kit was significant (OR = 0.091, <italic>p</italic>
= .022). No significant odds ratio was found for the balloon method compared to CAS kit. Additionally, the method used was significantly associated with time of operation and with the length of perforation (<italic>p</italic>
value < 0.001) where CAS kit required the longest time and BAOSFE caused the biggest perforations.</p>
</sec>
<sec><title>Conclusions</title>
<p id="Par4">The study shows that both the balloon and the CAS kit were superior to the BAOSFE in terms of safety in elevating the sinus membrane. Further, in vivo studies have to prove these findings.</p>
</sec>
</div>
</front>
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<pmc article-type="research-article"><pmc-dir>properties open_access</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-ta">Int J Implant Dent</journal-id>
<journal-id journal-id-type="iso-abbrev">Int J Implant Dent</journal-id>
<journal-title-group><journal-title>International Journal of Implant Dentistry</journal-title>
</journal-title-group>
<issn pub-type="epub">2198-4034</issn>
<publisher><publisher-name>Springer Berlin Heidelberg</publisher-name>
<publisher-loc>Berlin/Heidelberg</publisher-loc>
</publisher>
</journal-meta>
<article-meta><article-id pub-id-type="pmid">28871524</article-id>
<article-id pub-id-type="pmc">5583135</article-id>
<article-id pub-id-type="publisher-id">103</article-id>
<article-id pub-id-type="doi">10.1186/s40729-017-0103-5</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Research</subject>
</subj-group>
</article-categories>
<title-group><article-title>Comparison of three different methods of internal sinus lifting for elevation heights of 7 mm: an ex vivo study</article-title>
</title-group>
<contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">http://orcid.org/0000-0002-0947-4857</contrib-id>
<name><surname>Yassin Alsabbagh</surname>
<given-names>Aghiad</given-names>
</name>
<address><email>aghiad88@gmail.com</email>
</address>
<xref ref-type="aff" rid="Aff1">1</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Alsabbagh</surname>
<given-names>Mohammed Monzer</given-names>
</name>
<address><email>rolalsabbagh@gmail.com</email>
</address>
<xref ref-type="aff" rid="Aff1">1</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Darjazini Nahas</surname>
<given-names>Batol</given-names>
</name>
<xref ref-type="aff" rid="Aff2">2</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Rajih</surname>
<given-names>Salam</given-names>
</name>
<address><email>dr.salamrajih@gmail.com</email>
</address>
<xref ref-type="aff" rid="Aff3">3</xref>
</contrib>
<aff id="Aff1"><label>1</label>
<institution-wrap><institution-id institution-id-type="ISNI">0000 0001 2353 3326</institution-id>
<institution-id institution-id-type="GRID">grid.8192.2</institution-id>
<institution>Department of Periodontology,</institution>
<institution>Damascus University Dental School,</institution>
</institution-wrap>
Damascus, Syrian Arab Republic</aff>
<aff id="Aff2"><label>2</label>
<institution-wrap><institution-id institution-id-type="ISNI">0000 0001 2353 3326</institution-id>
<institution-id institution-id-type="GRID">grid.8192.2</institution-id>
<institution>Department of Orthodontics,</institution>
<institution>Damascus University Dental School,</institution>
</institution-wrap>
Damascus, Syrian Arab Republic</aff>
<aff id="Aff3"><label>3</label>
<institution-wrap><institution-id institution-id-type="ISNI">0000 0001 2248 3398</institution-id>
<institution-id institution-id-type="GRID">grid.264727.2</institution-id>
<institution>Temple university,</institution>
</institution-wrap>
Philadelphia, USA</aff>
</contrib-group>
<pub-date pub-type="epub"><day>4</day>
<month>9</month>
<year>2017</year>
</pub-date>
<pub-date pub-type="pmc-release"><day>4</day>
<month>9</month>
<year>2017</year>
</pub-date>
<pub-date pub-type="collection"><month>12</month>
<year>2017</year>
</pub-date>
<volume>3</volume>
<elocation-id>40</elocation-id>
<history><date date-type="received"><day>13</day>
<month>3</month>
<year>2017</year>
</date>
<date date-type="accepted"><day>29</day>
<month>8</month>
<year>2017</year>
</date>
</history>
<permissions><copyright-statement>© The Author(s). 2017</copyright-statement>
<license license-type="OpenAccess"><license-p><bold>Open Access</bold>
This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (<ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/licenses/by/4.0/">http://creativecommons.org/licenses/by/4.0/</ext-link>
), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.</license-p>
</license>
</permissions>
<abstract id="Abs1"><sec><title>Background</title>
<p id="Par1">Various techniques are available for elevating the sinus membrane. The aim of this study is to evaluate three methods of indirect sinus floor elevation regarding elevation heights of 7 mm on the outcomes of membrane perforation, length of perforation, and time required to perform the procedure<bold>.</bold>
</p>
</sec>
<sec><title>Methods</title>
<p id="Par2">Three different methods for indirect sinus lifting, bone added osteotome sinus floor elevation (BAOSFE), sinus floor elevation with an inflatable balloon, and crestal approach system (CAS kit) from OSSTEM, were assessed for their ability to lift the sinus without causing laceration of the Schneiderian membrane. The study was performed on 18 freshly slaughtered sheep heads (36 sinus lifts were done, 12 for each method). CBCT images of the heads were taken to assess the best location for the sinus lift. Then, the heads were bisected and the membrane was exposed from the medial aspect. After that, each method was performed. The intended elevation height was 7 mm. If the 7 mm were not reached, the maximum height of elevation was measured.</p>
</sec>
<sec><title>Results</title>
<p id="Par3">The method used was significantly associated with the occurrence of perforation (<italic>p</italic>
value = 0.014) where BAOSFE was associated with the largest number of perforations (58.4%, <italic>n</italic>
= 7) compared to 8.3% and 8.3% for the balloon and CAS kit methods, respectively. The odds ratio for perforation occurrence from BAOSFE compared to the CAS kit was significant (OR = 0.091, <italic>p</italic>
= .022). No significant odds ratio was found for the balloon method compared to CAS kit. Additionally, the method used was significantly associated with time of operation and with the length of perforation (<italic>p</italic>
value < 0.001) where CAS kit required the longest time and BAOSFE caused the biggest perforations.</p>
</sec>
<sec><title>Conclusions</title>
<p id="Par4">The study shows that both the balloon and the CAS kit were superior to the BAOSFE in terms of safety in elevating the sinus membrane. Further, in vivo studies have to prove these findings.</p>
</sec>
</abstract>
<kwd-group xml:lang="en"><title>Keywords</title>
<kwd>Maxillary sinus</kwd>
<kwd>Schneiderian membrane</kwd>
<kwd>Sinus floor elevation</kwd>
<kwd>Balloon elevation</kwd>
<kwd>Elevation height</kwd>
<kwd>CAS kit</kwd>
</kwd-group>
<custom-meta-group><custom-meta><meta-name>issue-copyright-statement</meta-name>
<meta-value>© The Author(s) 2017</meta-value>
</custom-meta>
</custom-meta-group>
</article-meta>
</front>
</pmc>
</record>
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