Maxillary sinus floor augmentation: a review of current evidence on anatomical factors and a decision tree
Abstract Maxillary sinus floor augmentation using lateral window and crestal technique is considered as predictable methods to increase the residual bone height; however, this surgery is commonly complicated by Schneiderian membrane perforation, which is closely related to anatomical factors. This a...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Nature Publishing Group
2023-09-01
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| Series: | International Journal of Oral Science |
| Online Access: | https://doi.org/10.1038/s41368-023-00248-x |
| _version_ | 1797453691405467648 |
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| author | Mingyue Lyu Dingyi Xu Xiaohan Zhang Quan Yuan |
| author_facet | Mingyue Lyu Dingyi Xu Xiaohan Zhang Quan Yuan |
| author_sort | Mingyue Lyu |
| collection | DOAJ |
| description | Abstract Maxillary sinus floor augmentation using lateral window and crestal technique is considered as predictable methods to increase the residual bone height; however, this surgery is commonly complicated by Schneiderian membrane perforation, which is closely related to anatomical factors. This article aimed to assess anatomical factors on successful augmentation procedures. After review of the current evidence on sinus augmentation techniques, anatomical factors related to the stretching potential of Schneiderian membrane were assessed and a decision tree for the rational choice of surgical approaches was proposed. Schneiderian membrane perforation might occur when local tension exceeds its stretching potential, which is closely related to anatomical variations of the maxillary sinus. Choice of a surgical approach and clinical outcomes are influenced by the stretching potential of Schneiderian membrane. In addition to the residual bone height, clinicians should also consider the stretching potential affected by the membrane health condition, the contours of the maxillary sinus, and the presence of antral septa when evaluating the choice of surgical approaches and clinical outcomes. |
| first_indexed | 2024-03-09T15:26:17Z |
| format | Article |
| id | doaj.art-60108d6e2dc249c3a9d56285727001a5 |
| institution | Directory Open Access Journal |
| issn | 2049-3169 |
| language | English |
| last_indexed | 2024-03-09T15:26:17Z |
| publishDate | 2023-09-01 |
| publisher | Nature Publishing Group |
| record_format | Article |
| series | International Journal of Oral Science |
| spelling | doaj.art-60108d6e2dc249c3a9d56285727001a52023-11-26T12:31:27ZengNature Publishing GroupInternational Journal of Oral Science2049-31692023-09-011511910.1038/s41368-023-00248-xMaxillary sinus floor augmentation: a review of current evidence on anatomical factors and a decision treeMingyue Lyu0Dingyi Xu1Xiaohan Zhang2Quan Yuan3State Key Laboratory of Oral Diseases & National Center for Stomatology & National Clinical Research Center for Oral Diseases & West China Hospital of Stomatology, Sichuan UniversityState Key Laboratory of Oral Diseases & National Center for Stomatology & National Clinical Research Center for Oral Diseases & West China Hospital of Stomatology, Sichuan UniversityState Key Laboratory of Oral Diseases & National Center for Stomatology & National Clinical Research Center for Oral Diseases & West China Hospital of Stomatology, Sichuan UniversityState Key Laboratory of Oral Diseases & National Center for Stomatology & National Clinical Research Center for Oral Diseases & West China Hospital of Stomatology, Sichuan UniversityAbstract Maxillary sinus floor augmentation using lateral window and crestal technique is considered as predictable methods to increase the residual bone height; however, this surgery is commonly complicated by Schneiderian membrane perforation, which is closely related to anatomical factors. This article aimed to assess anatomical factors on successful augmentation procedures. After review of the current evidence on sinus augmentation techniques, anatomical factors related to the stretching potential of Schneiderian membrane were assessed and a decision tree for the rational choice of surgical approaches was proposed. Schneiderian membrane perforation might occur when local tension exceeds its stretching potential, which is closely related to anatomical variations of the maxillary sinus. Choice of a surgical approach and clinical outcomes are influenced by the stretching potential of Schneiderian membrane. In addition to the residual bone height, clinicians should also consider the stretching potential affected by the membrane health condition, the contours of the maxillary sinus, and the presence of antral septa when evaluating the choice of surgical approaches and clinical outcomes.https://doi.org/10.1038/s41368-023-00248-x |
| spellingShingle | Mingyue Lyu Dingyi Xu Xiaohan Zhang Quan Yuan Maxillary sinus floor augmentation: a review of current evidence on anatomical factors and a decision tree International Journal of Oral Science |
| title | Maxillary sinus floor augmentation: a review of current evidence on anatomical factors and a decision tree |
| title_full | Maxillary sinus floor augmentation: a review of current evidence on anatomical factors and a decision tree |
| title_fullStr | Maxillary sinus floor augmentation: a review of current evidence on anatomical factors and a decision tree |
| title_full_unstemmed | Maxillary sinus floor augmentation: a review of current evidence on anatomical factors and a decision tree |
| title_short | Maxillary sinus floor augmentation: a review of current evidence on anatomical factors and a decision tree |
| title_sort | maxillary sinus floor augmentation a review of current evidence on anatomical factors and a decision tree |
| url | https://doi.org/10.1038/s41368-023-00248-x |
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