Maxillary sinus floor augmentation: a review of current evidence on anatomical factors and a decision tree.

IF 10.8 1区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE
Mingyue Lyu, Dingyi Xu, Xiaohan Zhang, Quan Yuan
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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.

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上颌窦底增强术:对解剖学因素和决策树的现有证据的回顾。
采用侧窗和嵴技术提高上颌窦底被认为是可预测的增加残余骨高度的方法;然而,该手术常并发施耐德膜穿孔,这与解剖学因素密切相关。本文旨在评估成功隆胸手术的解剖学因素。在回顾了目前关于鼻窦增强技术的证据后,我们评估了与施耐德膜拉伸潜力相关的解剖学因素,并提出了一个合理选择手术入路的决策树。当局部张力超过其拉伸电位时,可能发生施耐德膜穿孔,这与上颌窦的解剖变异密切相关。施耐德膜的拉伸电位影响手术入路的选择和临床结果。除了残余骨高度外,临床医生在评估手术入路选择和临床结果时,还应考虑受膜健康状况、上颌窦轮廓和室间隔存在影响的拉伸潜力。
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来源期刊
International Journal of Oral Science
International Journal of Oral Science DENTISTRY, ORAL SURGERY & MEDICINE-
CiteScore
31.80
自引率
1.30%
发文量
53
审稿时长
>12 weeks
期刊介绍: The International Journal of Oral Science covers various aspects of oral science and interdisciplinary fields, encompassing basic, applied, and clinical research. Topics include, but are not limited to: Oral microbiology Oral and maxillofacial oncology Cariology Oral inflammation and infection Dental stem cells and regenerative medicine Craniofacial surgery Dental material Oral biomechanics Oral, dental, and maxillofacial genetic and developmental diseases Craniofacial bone research Craniofacial-related biomaterials Temporomandibular joint disorder and osteoarthritis The journal publishes peer-reviewed Articles presenting new research results and Review Articles offering concise summaries of specific areas in oral science.
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