ISSN 2415-3060 (print), ISSN 2522-4972 (online)
  • 37 of 49
УЖМБС 2018, 3(1): 199–205
Clinical Medicine

X-ray Features of the Mucoperiastole of the Alveolar Bay of the Maxillary Sinus, as a Risk Factor for Developing Intraoperative Complications in Subantral Bone Augmentation

Shkorbotun Ya. V.

Paranasal sinuses pathology is one of the possible factors in developing the dental implantation complications. The frequencies of the mucoperiosteum rupture as one of the most common complications of subantral bone augmentation, is up to 35%. The purpose of the study lies in exploring the relationship between the mucoperiosteum peculiarities of the maxillary sinus and the development of sinus lifting intraoperative complications. Matherials and Methods. We examined 119 patients with sinus lifting and 40 practically healthy subjects. During our study we analyzed the frequency of X-ray features of the mucoperiosteum changes (mucous membrane thickening and the presence of maxillary sinus cysts) in the people underwent sinus lifting with and without using sealing membrane. Results and Discussion. For successful performance of bone subantral augmentation before dental implantation we need to consider not only features of an alveolar shoot of the top jaw but also the state of mucoperiosteum of a maxillary sinus. Existing thickness of mucoperiosteum in a zone of the planned bone augmentation demands an exception of rhinogenic process and needs performing drug treatment or surgical intervention. When planning surgical interventions on a maxillary sine, especially in patients of young age, it is necessary to treat carefully a mucoperiosteum in the alveolar bay. Postoperative hems and inflammatory processes can lead mucoperiosteum which is so important at sinus lifting, to change of barrier functions density. The patients who needed the sealing membrane during sinus lifting had significantly higher frequencies of the mucoperiosteum thickening and maxillary sinus cysts of the alveolar recess in the adenitis area (93,6±6,8 %). Conclusions. The cysts and hyperplasy of the maxillary sinus mucoperiosteum increases the risk of Schneider membrane perforation during sinus lifting. Each patient should be considered as a potential candidate for dental implantation. That is why during maxillary sinus surgery operations we should avoid unnecessary injury of the alveolar bay mucoperiosteum.

Keywords: maxillary sinus, sinus lifting, subantral bone augmentation, complication, Schneider membrane perforation, cyst of maxillary sinus, thickening of mucoperiosteum

Full text: PDF (Ukr) 302K

  1. Sakkas A, Wilde F, Heufelder M, Winter K, Schramm A. Autogenous bone grafts in oral implantology—is it still a “gold standard”? A consecutive review of 279 patients with 456 clinical procedures. International Journal of Implant Dentistry. 2017; 3 (1): 23.
  2. Sakkas A, Konstantinidis I, Winter K, Schramm A, Wilde F. Effect of Schneiderian membrane perforation on sinus lift graft outcome using two different donor sites: a retrospective study of 105 maxillary sinus elevation procedures. GMS Interdisciplinary Plastic and Reconstructive Surgery DGPW. 2016; 5: Doc11.
  3. Jensen AT, Jensen SS, Worsaae N. Complications related to bone augmentation procedures of localized defects in the alveolar ridge. A retrospective clinical study. Oral Maxillofac Surg. 2016; 20 (2): 115–22.
  4. Meleo D, Mangione F, Corbi S, Pacifici L. Management of the Schneiderian membrane perforation during the maxillary sinus elevation procedure: a case report. Annals of Stomatology. 2012; 3 (1): 24-30.
  5. Sadygov RV. Nadtochyi AG. Orlov AA. Estimation of the state of the operated maxillary sinus prior to the performance of modified sinus lifting. Russian Journal of Dentistry. 2011; 3: 16-8. [Russian]
  6. Zernickij AJu. Kuzmina IV. Faktory, vlijajuschije na blagoprijatnyj ishod operacii sinislifting. Institut stomatologii. 2012; 3: 56–7. [Russian]
  7. Maksjukov SJu. Shhepljakov DS. Borzilov AV. Kozhemjakina ES. Kurbatova JeV. Prevention of mucosal perforation of the bottom of the maxillary sinus with an open sinus lifting due to the simultaneous conduction of endonasal interventionson the maxillary sinus. Medical Herald of the South of Russia. 2015; 3: 82-5.
  8. Bakotina AV. Vishnyakov VV. Panin AM. The problem of maxillary sinusitis after sinus lift and dental implantation: A review of literature. Russian rhynology. 2016; 2: 46-9.
  9. Shkorbotun YV. X-ray-anatomical features medial wall and alveolar recess of maxillary sinus in patients undergoing subantral bone augmentation. Actual Problems of the Modern Medicine. 2017; 2 (58): 221-7.
  10. Xu GZ, Jiang, Q, Yang C, Yu CQ, & Zhang ZY. Clinicopathologic features of dentigerous cysts in the maxillary sinus. The Journal of craniofacial surgery. 2012; 23 (3): 226-31.
  11. Boiko NV, Toporkova SYu. Rate of asymptomatic cysts in maxillarysinuses. Russian rhynology. 2014; 1: 15-16.
  12. Kolotilov NN, Syrota SB. Cyst of maxillary sinus. Diagnostic radiology and radiotherapy. 2012; 2: 46-9.