Mucosal cyst aspiration in conjunction with maxillary sinus elevation: A clinical cohort study

IF 3.7 2区医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE

Clinical Implant Dentistry and Related Research Pub Date : 2024-03-10 DOI:10.1111/cid.13315

Tiziano Testori, Riccardo Scaini, Matteo Deflorian, Silvio Taschieri, Ann M. Decker, Muhammad Saleh, Francesco Zuffetti, Alberto Maria Saibene, Giovanni Felisati, Stephen S. Wallace, Luca Francetti, Hom-Lay Wang, Massimo Del Fabbro

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引用次数: 0

Abstract

Introduction

Patients with mucosal cysts in the maxillary sinus require special consideration in patients who require implant therapy for the restoration when undergoing implant therapy for the restoration of the posterior maxillary dentition. Treatment strategies for these clinical situations remain controversial in the literature. Thus, this study seeks to describe a safe and effective therapeutic strategy for sinus augmentation in patients with pre-existing maxillary antral cysts.

Methods

A total of 15 patients and 18 sinuses were consecutively enrolled in this cohort study and underwent maxillary antral cyst treatment by needle aspiration and simultaneous maxillary sinus augmentation (MSA). During surgical procedures, threeimplants (Zimmer Biomet, Indiana, USA) were positioned in 11 sinuses and two implants (Zimmer Biomet, Indiana, USA) were positioned in 5 sinuses.

Results

Overall implant success and survival rates were 100% and 97.8%, respectively at 1 year and 5-year follow-ups. Crestal bone resorption averaged 0.3 ± 0.2 mm 5-year post-loading, showing bone stability. Implant survival rate at 5-year follow-up expressed predictability of the technique comparable to historical data when MSA was performed alone. Crestal bone resorption averaged 0.3 ± 0.2 mm 5 years post-loading and shows bone stability utilizing mucosal cyst aspiration with concomitant MSA procedures. Quality of life evaluation at 1-week post-op showed similar results to published historical data. In 81% (13 sinuses), the CBCT examination at 5-year follow-up showed no cyst reformation, in 19% (3 sinuses) cyst reformation was visible, but smaller in size when compared to the pre-op CBCT evaluation, and all the patients were asymptomatic.

Conclusions

Maxillary sinus mucosal cyst aspiration with concomitant MSA, may be a viable option to treat maxillary sinus cyst.

Abstract Image

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粘膜囊肿抽吸术与上颌窦提升术的结合：临床队列研究

导言：上颌窦粘膜囊肿患者在接受种植治疗修复上颌后牙时需要特别考虑。针对这些临床情况的治疗策略在文献中仍存在争议。因此，本研究试图描述一种安全有效的上颌前牙囊肿患者上颌窦增量治疗策略：这项队列研究连续纳入了 15 名患者和 18 个上颌窦，通过针吸术治疗上颌前庭囊肿，并同时进行上颌窦增量术（MSA）。在手术过程中，11 个上颌窦植入了 3 个种植体（Zimmer Biomet，美国印第安纳州），5 个上颌窦植入了 2 个种植体（Zimmer Biomet，美国印第安纳州）：结果：在 1 年和 5 年的随访中，植入体的总体成功率和存活率分别为 100%和 97.8%。植入 5 年后，嵴骨吸收平均为 0.3 ± 0.2 mm，显示了骨的稳定性。5 年随访时的种植体存活率表明该技术的可预测性与单独进行 MSA 时的历史数据相当。加载后 5 年的峰顶骨吸收平均为 0.3 ± 0.2 mm，显示了利用粘膜囊肿抽吸术同时进行 MSA 手术的骨稳定性。术后一周的生活质量评估结果与已公布的历史数据相似。81%的患者（13 个上颌窦）在术后 5 年的 CBCT 检查中未发现囊肿复旧，19% 的患者（3 个上颌窦）可见囊肿复旧，但与术前的 CBCT 检查相比，囊肿的大小有所缩小，所有患者均无症状：结论：上颌窦粘膜囊肿抽吸术与同时进行的MSA可能是治疗上颌窦囊肿的可行方案。

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来源期刊

Clinical Implant Dentistry and Related Research 医学-牙科与口腔外科

CiteScore

6.00

自引率

13.90%

发文量

103

审稿时长

4-8 weeks

期刊介绍： The goal of Clinical Implant Dentistry and Related Research is to advance the scientific and technical aspects relating to dental implants and related scientific subjects. Dissemination of new and evolving information related to dental implants and the related science is the primary goal of our journal. The range of topics covered by the journals will include but be not limited to: New scientific developments relating to bone Implant surfaces and their relationship to the surrounding tissues Computer aided implant designs Computer aided prosthetic designs Immediate implant loading Immediate implant placement Materials relating to bone induction and conduction New surgical methods relating to implant placement New materials and methods relating to implant restorations Methods for determining implant stability A primary focus of the journal is publication of evidenced based articles evaluating to new dental implants, techniques and multicenter studies evaluating these treatments. In addition basic science research relating to wound healing and osseointegration will be an important focus for the journal.