Evaluation of the treatment effect on sinus elevation and implant restoration in cases with odontogenic maxil-lary sinusitis after tooth extraction
10.12016/j.issn.2096-1456.2024.03.006
- VernacularTitle:伴牙源性上颌窦炎患牙拔除后行上颌窦底提升术种植修复的效果评价
- Author:
Yunying ZHU
1
;
Yun LIU
;
Ting XU
;
Zhenzhen LIU
;
Shaoping CAO
;
Zhangsong WANG
;
Donghui WU
Author Information
1. 广州市海珠区口腔医院,广东 广州(510220)
- Keywords:
odontogenic maxillary sinusitis;
tooth extraction;
lateral wall sinus elevation;
crest approach sinus elevation;
implant restoration;
sinus mucosal thickness;
sinus bone gain;
apical bone height;
marginal bone loss
- From:
Journal of Prevention and Treatment for Stomatological Diseases
2024;(3):202-208
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the clinical effects of sinus elevation surgery and implant restorationdue to in-sufficient bone massafter tooth extraction in patients with odontogenic maxillary sinusitis(OMS)and to provide a refer-ence for use in clinical practice.Methods This study was reviewed and approved by the Ethics Committee,and in-formed consent was obtained from the patients.Forty-five teeth were extracted from patients with OMS in the maxillary posterior area(the study group).Sinus elevation and implantation were performed due to insufficient bone height in the implant area 6-8 months after tooth extraction in the study group.Forty-eight teeth were extracted from patients without"OMS"in the maxillary posterior area(the control group),and sinus elevation and implantation were performed due to insufficient bone height in the implant area 6-8 months after tooth extraction inthe control group.In the study group,13 cases of discontinuous maxillary sinus floor bone and residual alveolar bone height of the maxillary sinus floor less than 4 mm were addressed with lateral wall sinus elevation,and the other 32 cases were addressed with crest-approach sinus elevation.In the control group,8 cases of residual alveolar bone height less than 4 mm in the maxillary sinus floor were addressed with lateral wall sinus,and the other 40 cases were addressed with crest approach sinus elevation.Restora-tions were placed 6 to 8 months after surgery.The patients were followed up 21 days,3 months,and 8 months after im-plantation and every 6 months after the placement of the restorations.The sinus bone gain(SBG),apical bone height(ABL)and marginal bone loss(MBL)were statistically analyzed 24 months after the restoration.Results The average preoperative mucosal thickness in the 45 patients in the study group was(1.556±0.693)mm,which was significantly larger than that in the control group(1.229±0.425)mm(P＜0.001).There were no perforations in either group.Twenty-four months after restoration,there was no significant difference in the SBG,ABH or MBL between the two groups(P＞0.05).Conclusion After the extraction of teeth from patients with OMS,the inflammation of the maxillary sinus de-creased,and the bone height and density in the edentulous area were restored to a certain degree.The effects of sinus floor lifting surgery and implant restoration do not differ between patients with and without OMS.
