Maxillofacial Plastic and Reconstructive Surgery

  • 제38권
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  • Pages.50.1-50.6
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  • 2016
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  • 2288-8101(pISSN)
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  • 2288-8586(eISSN)
대한악안면성형재건외과학회 (Korean Association of Maxillofacial Plastic and Reconstructive Surgeons)
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Evaluation of clinical outcomes of implants placed into the maxillary sinus with a perforated sinus membrane: a retrospective study

  • Kim, Gwang-Seok (Department of Oral and Maxillofacial Surgery, School of Dentistry, Chonnam National University) ;
  • Lee, Jae-Wang (Department of Oral and Maxillofacial Surgery, School of Dentistry, Chonnam National University) ;
  • Chong, Jong-Hyon (Department of Oral and Maxillofacial Surgery, School of Dentistry, Chonnam National University) ;
  • Han, Jeong Joon (Department of Oral and Maxillofacial Surgery, School of Dentistry, Chonnam National University) ;
  • Jung, Seunggon (Department of Oral and Maxillofacial Surgery, School of Dentistry, Chonnam National University) ;
  • Kook, Min-Suk (Department of Oral and Maxillofacial Surgery, School of Dentistry, Chonnam National University) ;
  • Park, Hong-Ju (Department of Oral and Maxillofacial Surgery, School of Dentistry, Chonnam National University) ;
  • Ryu, Sun-Youl (Department of Oral and Maxillofacial Surgery, School of Dentistry, Chonnam National University) ;
  • Oh, Hee-Kyun (Department of Oral and Maxillofacial Surgery, School of Dentistry, Chonnam National University)
  • 투고 : 2016.10.20
  • 심사 : 2016.11.18
  • 발행 : 2016.12.31
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초록

Background: The aim of this study was to evaluate the clinical outcomes of implants that were placed within the maxillary sinus that has a perforated sinus membrane by the lateral window approach. Methods: We examined the medical records of the patients who had implants placed within the maxillary sinus that has a perforated sinus membrane by the lateral approach at the Department of Oral and Maxillofacial Surgery of Chonnam National University Dental Hospital from January 2009 to December 2015. There were 41 patients (male:female = 28:13). The mean age of patients was $57.2{\pm}7.2years$ at the time of operation (range, 20-76 years). The mean follow-up duration was 2.1 years (range, 0.5-5 years) after implant placement. Regarding the method of sinus elevation, only the lateral approach was included in this study. Results: Ninety-nine implants were placed in 41 patients whose sinus membranes were perforated during lateral approach. The perforated sinus membranes were repaired with a resorbable collagen membrane. Simultaneous implant placements with sinus bone grafting were performed in 37 patients, whereas delayed placements were done in four patients. The average residual bone height was $3.4{\pm}2.0mm$ in cases of simultaneous implant placement and $0.6{\pm}0.9mm$ in cases of delayed placement. Maxillary bone graft with implant placement, performed on the patients with a perforated maxillary sinus membrane did not fail, and the cumulative implant survival rate was 100%. Conclusions: In patients with perforations of the sinus mucosa, sinus elevation and implant placement are possible regardless of the location and size of membrane perforation. Repair using resorbable collagen membrane is a predictable and reliable technique.

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참고문헌

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피인용 문헌

  1. Recent advances in dental implants vol.39, pp.None, 2017, https://doi.org/10.1186/s40902-017-0132-2
  2. Treatment of dental implant displacement into the maxillary sinus vol.39, pp.39, 2016, https://doi.org/10.1186/s40902-017-0133-1
  3. Management of Schneiderian Membrane Perforations during Sinus Augmentation Procedures: A Preliminary Comparison of Two Different Approaches vol.8, pp.9, 2019, https://doi.org/10.3390/jcm8091491
  4. Outcomes of intentional perforation of the maxillary sinus floor during implant placement: A single-center, prospective study in 57 subjects vol.9, pp.2, 2019, https://doi.org/10.4103/jdi.jdi_24_19
  5. Management of Schneiderian membrane perforations during maxillary sinus floor augmentation with lateral approach in relation to subsequent implant survival rates: a systematic review and meta-analysis vol.7, pp.1, 2016, https://doi.org/10.1186/s40729-021-00346-7