All Issue

2024 Vol.28, Issue 2

Original Article

Comparative Analysis of Three Modalities for Maxillary Sinus Perforation Repair: A Retrospective Study
Jong-Hoon Lee1†
,
Jeoung-A Yu2†
,
Seong-Ho Choi3
,
Dong-Woon Lee4*
1Graduate Student, Department of Periodontoloy, Yonesi University College of Dentistry, Seoul, Korea
2Chair, Department of Periodontology, Veterans Health Service Medical Center, Seoul, Korea
3Professor, Department of Periodontology, Yonsei University College of Dentistry, Seoul, Korea
4Associate Professor, Department of Periodontology, Wonkwang University College of Dentistry, Iksan, Korea
*Corresponding Author
†These authors contributed equally to this work.
30 June 2024. pp. 63-76
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Abstract

Purpose: This study aimed to analyze the prognosis of implant placement after maxillary sinus perforation repair using a collagen membrane during sinus elevation surgery.

Materials and Methods: The radiographic and clinical data of 27 patients who underwent simultaneous or delayed implant placement with perforation repair (using collagen membranes) were retrospectively analyzed. The patients were divided into the following three groups: group 1: perforation repair, bone grafting, and simultaneous implant placement (nine patients, 19 implants); group 2: perforation repair, no bone grafting, and simultaneous implant placement (11 patients, 19 implants); group 3: perforation repair, bone grafting, and delayed implant placement (seven patients, 15 implants). The follow-up period was at least 2 years for all patients.

Results: No significant differences in implant survival rates were observed between groups. Marginal bone loss was minimal in all groups with some exceptions. The thickness of the maxillary sinus measured on the day of surgery differed significantly between the groups, potentially attributed to the variations in the surgical materials employed. However, the thickness normalized in all groups at 1-year follow-up.

Conclusion: This study suggests that simultaneous and delayed implant placement in cases of perforated maxillary sinus membranes repaired with collagen membranes during sinus elevation surgery can achieve favorable long-term outcomes. In certain cases, simultaneous implant placement without bone grafting is a viable option.

Keywords
Dental implant
Intraoperative complications
Maxillary sinus
Perforation
Sinus membrane
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Information
  • Publisher :The Korean Academy of Oral & Maxillofacial Implantology
  • Publisher(Ko) :대한구강악안면임플란트학회
  • Journal Title :Journal of implantology and applied sciences
  • Journal Title(Ko) :대한구강악안면임플란트학회지
  • Volume : 28
  • No :2
  • Pages :63-76
  • Received Date : 2024-04-24
  • Revised Date : 2024-06-22
  • Accepted Date : 2024-06-24
  • DOI :https://doi.org/10.32542/implantology.2024007
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