Pal US, Sharma NK, Singh RK, Mahammad S, Mehrotra D, Singh N, Mandhyan D. Direct vs. indirect sinus lift procedure: a comparison. Natl J Maxillofac Surg. 2012; 3:31-37
Riben C, Thor A. The maxillary sinus membrane elevation procedure: augmentation of bone around dental implants without grafts – a review of surgical technique. Int J Dent. 2012; https://doi.org/10.1155/2012/105483
Wallace SS, Froum SJ. Effect of maxillary sinus augmentation on the survival of endosseous dental implants. A systematic review. Ann Periodontol. 2003; 8:328-343
Hallman M, Sennerby L, Lundgren S. A clinical and histological evaluation of implant integration in the posterior maxilla after sinus floor augmentation with autogenous bone, bovine hydroxyapatite or 20:80 mixture. Int J Oral Maxillofac Implants. 2002; 17:635-643
Felisati G, Salibene AM, Di Pasquale D, Borloni R. How the simplest dental implant procedure can trigger an extremely serious complication. BMJ Case Rep. 2012; 2012
Wallace SS. Lateral window sinus augmentation using bone replacement grafts: a biologically sound surgical technique. Alpha Omegan. 2005; 98:36-46
Pjetursson BE, Tan WC, Zwahlen M, Lang NP. A systematic review of the success of sinus floor elevation and survival of implants inserted in combination with sinus floor elevation. Part 1: lateral approach. J Clin Periodontol. 2008; 35:216-240
Alkan A, Celebi N, Bas B. Acute maxillary sinusitis associated with internal sinus lifting: report of a case. Eur J Dent. 2008; 2:69-72
Kim JJ, Freire M, Yoon JH, Kim HK. Postoperative maxillary cyst after maxillary sinus augmentation. J Craniofac Surg. 2013; 24:e521-523
Meleo D, Mangione F, Corbi S, Pacifici L. Management of the Schneiderian membrane perforation during the maxillary sinus elevation procedure: a case report. Ann Stomatol. 2012; 3:24-30
Schwartz-Arad D, Herzberg R, Doley E. The prevalence of surgical complications of the sinus graft procedure and their impact on implant survival. J Periodontol. 2004; 75:511-516
Al-Dajani M. Incidence, risk factors and complications of schneiderian membrane perforation in sinus lift surgery: a meta-analysis. Implant Dent. 2016; 25:409-415
Aimetti M, Romagnoli R, Ricci G, Massei G. Maxillary sinus elevation: the effect of macrolacerations and microlacerations of the sinus membrane as determined by endoscopy. Int J Periodont Rest Dent. 2001; 21:581-589
Viňa-Almunia J, Peňarrocha-Diago M, Peňarrocha-Diago M. Influence of perforation of the sinus membrane on the survival rate of implants placed after direct sinus lift. Literature update. Med Oral Patol Oral Cir Bucal. 2009; 14:E133-136
Wallace SS, Mazor Z, Froum SJ, Cho SC, Tarnow DP. Schneiderian membrane perforation rate during sinus elevation using piezo-surgery: clinical results of 100 consecutive cases. Int J Periodont Rest Dent. 2007; 27:413-419
Migration of bone graft material into the maxillary sinus: a case report Christina Evangelou Georgina Peck Nishma Somaia Wayne Halfpenny Dental Update 2024 44:10, 707-709.
Authors
ChristinaEvangelou
BDS(Hons), MFDS RCSEdin
Royal Free Trust, Oral and Maxillofacial Department, Barnet Hospital, Wellhouse Lane, Barnet, Hertfordshire, EN5 3DJ, UK
A 48-year-old patient presented at the Oral and Maxillofacial Surgery department complaining of symptoms of chronic sinusitis and gave a history of a recent sinus lift procedure in primary care. The patient was examined and investigated via a CBCT which showed extruded bone graft material in the left maxillary antrum. The patient then had to undergo surgery under general anaesthetic to remove the foreign material from the antrum, which eventually relieved his symptoms. This paper discusses potential complications of sinus lift procedures, including perforation of the Schneiderian membrane, perioperative recognition, potential management and how to avoid this complication.
CPD/Clinical Relevance: Membrane perforation is the most common complication of sinus lift procedures. Clinicians need to be aware of the risk, presenting symptoms, investigation and necessary treatment of this complication.
Article
Dental implants are becoming increasingly popular for restoring the aesthetic and functional needs of the adult population. The latest Adult Dental Health Survey found that 1% of the adult population has at least one dental implant1 and this figure is expected to rise.
Sufficient volume and density of bone is required for successful implant placement. In the posterior maxilla, this is often problematic due to alveolar bone resorption and sinus pneumatization.2
The maxillary sinus lift procedure is used to increase vertical bone volume in the posterio-lateral maxilla in order to place the implants.
The procedure involves intra-oral access to the maxillary sinus. The sinus membrane (Schneiderian membrane) is lifted and a bone graft material (allogenic, autogenic or synthetic) is placed under the lining.3 It is possible to place an implant at the same time as the sinus lift procedure.4 However, some literature recommends a healing period of 6–9 months for mature bone formation prior to implant placement.5
Register now to continue reading
Thank you for visiting Dental Update and reading some of our resources. To read more, please register today. You’ll enjoy the following great benefits:
