Pier C Passarelli, Michele A Lopez, Andrea Netti, Piotr Wychowański, Massimo Del Fabbro, Matteo Chiapasco, Antonio D'Addona
{"title":"A novel approach to manage Schneiderian membrane perforation in the maxillary sinus floor augmentation: The \"Sinus Pack\" technique. Histomorphometric analysis. Part 2/3.","authors":"Pier C Passarelli, Michele A Lopez, Andrea Netti, Piotr Wychowański, Massimo Del Fabbro, Matteo Chiapasco, Antonio D'Addona","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Purpose: </strong>This retrospective study examined the histomorphometrical outcomes resulting from managing Schneiderian membrane perforation during maxillary sinus floor augmentation using two different approaches and relating the results to perforation size.</p><p><strong>Methods: </strong>19 subjects (7 males, 12 females, mean age 53.3±10.5 years), who experienced a sinus membrane perforation during lateral sinus lift procedure, were enrolled. Perforations were addressed utilizing either the \"Sinus Pack\" technique (test group, 11 subjects) or collagen membranes with absorbable sutures (control group, 8 subjects). The \"Sinus Pack\" consisted of a combination of collagenated porcine bone, polyunsaturated fatty acids, and a biocompatible synthetic copolymer, wrapped in a resorbable porcine mesenchymal collagen membrane. Histomorphometry outcomes of both techniques were compared.</p><p><strong>Results: </strong>The percentage of vital bone was significantly higher with the \"Sinus Pack\" approach (44.5% ± 19.8%) compared to the control group (26.3% ± 21.2%) (P= 0.045).</p><p><strong>Clinical significance: </strong>The \"Sinus Pack\" approach for managing sinus membrane perforations appears to be effective and advantageous, as it has resulted in optimal histomorphometric outcomes, indicating a significant increase in vital bone.</p>","PeriodicalId":7538,"journal":{"name":"American journal of dentistry","volume":"37 SIA","pages":"18A-20A"},"PeriodicalIF":0.9,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142387259","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pier C Passarelli, Michele A Lopez, Andrea Netti, Erich Marcano, Piotr Wychowański, Anna Starzyńska, Franklin Garcia-Godoy, Antonio D'Addona
{"title":"Closure of small oroantral communications using heterologous biomaterials: A case series.","authors":"Pier C Passarelli, Michele A Lopez, Andrea Netti, Erich Marcano, Piotr Wychowański, Anna Starzyńska, Franklin Garcia-Godoy, Antonio D'Addona","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Purpose: </strong>To provide a surgical strategy for small oroantral communication closure and bone regeneration that can meet the needs of an effective, less invasive, and simpler operation by utilizing procedures and biomaterials commonly employed in guided bone regeneration techniques. The primary goal was to close the communication, while the second aim was to achieve bone regeneration.</p><p><strong>Methods: </strong>This retrospective and monocentric case series was conducted using data from the medical records of 12 subjects with oroantral communications and bone deficits greater than 3 mm who were treated with a heterologous cortico-cancellous graft covered in resorbable collagen membranes. The primary outcome was communication closure, whereas the secondary outcome was bone augmentation, which was demonstrated radiographically and clinically.</p><p><strong>Results: </strong>Twelve individuals were treated consecutively for oroantral communication closure. The subjects consisted of eight men and four women. The mean age was 57.5 years. Closure was effective in all 12 subjects, and radiographic examination after 6 months revealed bone reformation in all cases. This procedure effectively isolated the maxillary sinus from the mouth cavity, resulting in seal and healing, as well as bone regeneration.</p><p><strong>Clinical significance: </strong>Small oroantral communications are frequent in dentistry, often requiring special expertise and interventions that affect patient morbidity. The use of a heterologous cortico-cancellous graft covered with resorbable collagen membranes can allow effective closure of the small communication, preventing migration of pathological epithelia while increasing the bone ridge.</p>","PeriodicalId":7538,"journal":{"name":"American journal of dentistry","volume":"37 SIA","pages":"29A-32A"},"PeriodicalIF":0.9,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142387281","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pier C Passarelli, Michele A Lopez, Andrea Netti, Piotr Wychowański, Massimo Del Fabbro, Matteo Chiapasco, Antonio D'Addona
{"title":"A novel approach to manage Schneiderian membrane perforation in the maxillary sinus floor augmentation: The \"Sinus Pack\" technique. Anatomical factors and surgical outcomes related to perforation size and handling. Part 3/3.","authors":"Pier C Passarelli, Michele A Lopez, Andrea Netti, Piotr Wychowański, Massimo Del Fabbro, Matteo Chiapasco, Antonio D'Addona","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Purpose: </strong>To highlight the different risk factors, whether surgical or anatomical, related to Schneiderian membrane perforation, while evaluating the predictability of currently available methods to manage such perforations.</p><p><strong>Methods: </strong>Charts of subjects experiencing perforation during maxillary sinus augmentation were retrospectively reviewed. Data related to possible anatomical and surgical risk factors were extracted. The correlation between membrane perforation size and anatomical risk factors (e.g., sinus septa, residual bone height and membrane thickness), surgical risk factors (satisfactory clinical management score - SCMs) and implant outcomes was statistically evaluated.</p><p><strong>Results: </strong>Nine out of 10 subjects with perforation size ≥5 mm presented a less than 1.5 mm (P= 0.011) sinus membrane thickness. About 80% of subjects with easy or fair SCMs presented a residual bone height lower than 4 mm (P= 0.02) The SCMs were significantly worse in subjects with a perforation size ≥ 5 mm (2.8 ± 1.5) compared to those with a perforation size < 5 mm (1.4 ± 0.7) (P= 0.03).</p><p><strong>Clinical significance: </strong>Techniques for the management of Schneider's membrane perforation should take into consideration anatomical and surgical risk factors, to render surgical therapies more predictable, reducing patient morbidity.</p>","PeriodicalId":7538,"journal":{"name":"American journal of dentistry","volume":"37 SIA","pages":"21A-24A"},"PeriodicalIF":0.9,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142387258","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Michele A Lopez, Pier C Passarelli, Andrea Netti, Camilla Cavalcanti, Piotr Wychowański, Raffaele Cavalcanti, Antonio D'Addona
{"title":"Bone into Bone technique: An alternative to horizontal bone regeneration techniques. Retrospective case-control study.","authors":"Michele A Lopez, Pier C Passarelli, Andrea Netti, Camilla Cavalcanti, Piotr Wychowański, Raffaele Cavalcanti, Antonio D'Addona","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Purpose: </strong>To evaluate the efficacy of lateral ridge augmentation (LRA) of porcine cortical barriers when placed in a surgical bone gap, buccal to the defect, using the Bone into Bone (BiB) technique compared to a guided bone regeneration (GBR) technique.</p><p><strong>Methods: </strong>The study was a retrospective case-control evaluation. A group of 23 subjects (test) underwent horizontal augmentation procedures using the BiB technique. A group of 18 subjects (control) was treated with the guided bone regeneration (GBR) technique, using a resorbable membrane and a mixture of heterologous bovine particles and autologous bone fragments. Radiological and histological analysis of the outcomes were performed.</p><p><strong>Results: </strong>Mean ridge width varied from a preoperative value of 3.4 mm to a postoperative value, measured 8 months postoperatively, of 7.1 mm in the Control Group. The mean ridge width varied from a preoperative value of 4.8 mm to a postoperative value, measured 8 months after the procedure, of 7.5 mm in the Test Group. Histological images, after 8 months, showed native, mineralized bone with a lamellar pattern of varying thickness (30.3% ± 5.3).</p><p><strong>Clinical significance: </strong>This technique (Bone-into-Bone) using resorbable heterologous biomaterials and without the use of retention devices for horizontal bone augmentation may be a viable alternative that is easily reproducible and has reduced morbidity for the patient.</p>","PeriodicalId":7538,"journal":{"name":"American journal of dentistry","volume":"37 SIA","pages":"37A-40A"},"PeriodicalIF":0.9,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142387279","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Michele A Lopez, Pier C Passarelli, Andrea Netti, Erich Marcano, Piotr Wychowański, Franklin Garcia-Godoy, Antonio D'Addona
{"title":"Closure of oroantral communications using heterologous biomaterials stabilized by porcine cortical lamina: A case series.","authors":"Michele A Lopez, Pier C Passarelli, Andrea Netti, Erich Marcano, Piotr Wychowański, Franklin Garcia-Godoy, Antonio D'Addona","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Purpose: </strong>To describe a surgical technique for oroantral communication closure and bone regeneration that can meet the needs of an effective, less invasive, and simpler surgery using approaches and biomaterials used in guided bone regeneration (GBR) techniques. The main objective was to close the communication, and the secondary was to achieve bone regeneration.</p><p><strong>Methods: </strong>This retrospective and monocentric case series was conducted using data obtained from the medical records of 28 patients with oroantral communications with bone deficits greater than 3 mm and treated with heterologous cortico-cancellous graft covered with resorbable collagen membranes and heterologous cortical lamina. The primary outcome was closure of the communication, and the secondary outcome was bone augmentation, both tested radiographically and clinically.</p><p><strong>Results: </strong>28 subjects were treated consecutively for the closure of oroantral communications. The subjects included 16 men and 12 women. The mean age was 57.5 years. Closure was successful in all 28 cases, and radiographic control after 6 months showed bone regeneration in all the cases. This technique was effective in isolating the maxillary sinus from the oral cavity, showing results in terms of seal and healing, and bone regeneration.</p><p><strong>Clinical significance: </strong>Oroantral communications are frequent in dentistry, requiring special expertise and interventions affecting patient morbidity. The use of a heterologous cortical lamina can allow effective closure of the communication, preventing migration of pathological epithelia while increasing the bone ridge.</p>","PeriodicalId":7538,"journal":{"name":"American journal of dentistry","volume":"37 SIA","pages":"33A-36A"},"PeriodicalIF":0.9,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142387280","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Michele A Lopez, Pier C Passarelli, Andrea Netti, Filippo Marianelli, Piotr Wychowański, Franklin Garcia-Godoy, Antonio D'Addona
{"title":"A new technique of alveolar bone augmentation: \"Pack into Bone\". A retrospective case-series study.","authors":"Michele A Lopez, Pier C Passarelli, Andrea Netti, Filippo Marianelli, Piotr Wychowański, Franklin Garcia-Godoy, Antonio D'Addona","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Purpose: </strong>To provide an overview of an innovative surgical approach to guided bone regeneration, the Pack Into Bone (PIB) technique.</p><p><strong>Methods: </strong>Twenty subjects, eight men and 12 women, aged 34 to 68 (mean 51.5) were selected. They were treated with the PiB technique, and upon re-entry surgery, performed 8 months postoperatively, implants were placed, and bone samples were collected by using trephine burs for histological and histomorphometric analysis purposes.</p><p><strong>Results: </strong>Mean ridge width varied between 4.71 (W0) mm and 7.37 mm (W1), measured 8 months postoperatively, with a mean W augmentation of 2.69 mm ± 0.19. Mean height ranged between 8.0 mm (H0) and 11.15 mm (H1), measured 8 months after surgery with a mean augmentation of 3.53 mm ± 0.14 (P< 0.05).</p><p><strong>Clinical significance: </strong>Stability and versatility are the pillars of the PIB technique compared to common GBRs. The PIB technique is effective and reduces the difficulty in stabilizing the graft, is more feasible for operators, and decreases morbidity for the subjects.</p>","PeriodicalId":7538,"journal":{"name":"American journal of dentistry","volume":"37 SIA","pages":"41A-44A"},"PeriodicalIF":0.9,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142387256","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pier C Passarelli, Michele A Lopez, Andrea Netti, Alessia Felicetti, Piotr Wychowański, Franklin Garcia-Godoy, Matteo Chiapasco, Antonio D'Addona
{"title":"Alveolar regeneration of the post-extraction site with cortical deficiency using the Lamina Socket Sealing technique: Retrospective study with histomorphometric analysis of regenerated bone and evaluation of soft tissue changes. Part 2/2.","authors":"Pier C Passarelli, Michele A Lopez, Andrea Netti, Alessia Felicetti, Piotr Wychowański, Franklin Garcia-Godoy, Matteo Chiapasco, Antonio D'Addona","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Purpose: </strong>This retrospective observational study evaluated the histomorphometric and soft tissue outcome of a new alveolar ridge preservation (ARP) technique, \"Lamina Socket Sealing\" (LSS) technique, using a porcine barrier.</p><p><strong>Methods: </strong>Patients with maxillary premolars to be extracted and extensive alveolar wall defects were enrolled and treated. Porcine-derived barriers and mesenchymal membrane were used to seal the extraction socket with alveolar particulate graft. An optical scan of the dental arches was performed with an intraoral scanner (Trios 3, 3Shape) at baseline and at a 4-month follow-up. At the time of implant placement, a bone sample was taken at the implant site with a trephine drill (Hager & Meisinger) and subjected to histomorphometric analysis.</p><p><strong>Results: </strong>36 subjects (21 females and 15 males) were treated. At 4 months, histomorphometric analysis of the bone samples revealed that the percentage of vital bone was 42.87%, 8.75% of residual granules, 30.76% of soft tissue. Linear comparison of the width of the keratinized gingiva showed an increase (mean + SE) of 3.16 ± 0.35 mm. The net volumetric change of soft tissue was (mean + SE) +28.41 ± 19.52 mm³.</p><p><strong>Clinical significance: </strong>This alveolar ridge preservation technique (Lamina Socket Sealing) using a resorbable heterologous cortical lamina with a flapless approach has proven effective in maintaining adequate soft tissue and grafting of particulate bone and lamina, with a high percentage of viable bone.</p>","PeriodicalId":7538,"journal":{"name":"American journal of dentistry","volume":"37 SIA","pages":"9A-12A"},"PeriodicalIF":0.9,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142387278","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Michele A Lopez, Pier C Passarelli, Andrea Netti, Alessia Felicetti, Flavia Dell'Aquila, Piotr Wychowański, Antonio D'Addona
{"title":"Transcrestal maxillary sinus floor elevation with injectable xenogeneic bone substitute in gel form: A clinical, radiological and histological analysis.","authors":"Michele A Lopez, Pier C Passarelli, Andrea Netti, Alessia Felicetti, Flavia Dell'Aquila, Piotr Wychowański, Antonio D'Addona","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Purpose: </strong>This retrospective study measured the increase in bone tissue using the transcrestal maxillary sinus floor elevation with injectable xenogeneic bone substitute in gel form with simultaneous implant placement. This procedure allows elevation of the sinus floor atraumatically, reducing the risk of perforation of the Schneiderian membrane.</p><p><strong>Methods: </strong>52 subjects needing unilateral sinus floor elevation, with a residual crestal height from 2 mm to 5 mm, and a request for at least one implant-prosthetic rehabilitation in the posterior maxillary area were enrolled. Transcrestal maxillary sinus floor elevation was performed with injectable xenogeneic bone substitute in gel form. The sinus elevation was measured after the surgery and 6 months later with a CBCT. Average values were calculated for each measure.</p><p><strong>Results: </strong>46 implants were simultaneously placed; six implants were placed after 4 months because of the lack of primary stability. All the placed implants, with a follow-up varying from 3 to 5 years after loading, osseointegrated successfully resulting in a survival rate of 100%. Average pre-operative bone height was 4.2 mm while after the surgery the average value reached was 10.1 mm with an average value of new bone gain of 6.43 mm. Histological analysis revealed the presence of 33.2% of vital bone.</p><p><strong>Clinical significance: </strong>Transcrestal sinus floor elevation with injectable xenogenic bone substitute in gel form is a minimally invasive technique that can reduce the incidence of Schneider membrane perforations, making a widely used method, such as sinus floor elevation, safer and less operator dependent.</p>","PeriodicalId":7538,"journal":{"name":"American journal of dentistry","volume":"37 SIA","pages":"25A-28A"},"PeriodicalIF":0.9,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142387282","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pier C Passarelli, Michele A Lopez, Andrea Netti, Alessia Felicetti, Piotr Wychowański, Franklin Garcia-Godoy, Matteo Chiapasco, Antonio D'Addona
{"title":"Alveolar regeneration of the post-extraction site with cortical deficiency using the Lamina Socket Sealing technique: A retrospective study with clinical, radiographic and histomorphometric analysis. Part 1/2.","authors":"Pier C Passarelli, Michele A Lopez, Andrea Netti, Alessia Felicetti, Piotr Wychowański, Franklin Garcia-Godoy, Matteo Chiapasco, Antonio D'Addona","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Purpose: </strong>This retrospective observational study aims to evaluate the outcome of a new alveolar ridge preservation (ARP) technique, \"Lamina Socket Sealing\" (LSS) technique, using a porcine barrier.</p><p><strong>Methods: </strong>36 subjects with maxillary premolars to be extracted and extensive alveolar wall defects were enrolled and treated. Porcine-derived barriers and mesenchymal membrane were used to seal the extraction socket with alveolar particulate graft. The outcome variables were: radiographical bone changes and clinical outcomes.</p><p><strong>Results: </strong>36 subjects, 21 females and 15 males were treated. The change in mm (mean + SE) of horizontal ridge width from baseline to 4 months after surgery at the coronal level of the alveolus was +1.25 ± 0.20 mm (P< 0.05), mean level was +0.34 ± 0.1 mm (P< 0.05) and at the apical level was +0.08 ± 0.17 mm (P> 0.05) which was not statistically significant. The buccal and palatal height changes in mm (mean + SE) from baseline to 4 months after surgery were respectively 1.21 ± 0.17 mm for the buccal wall (P< 0.05) and 1.06 ± 0.24 mm for the palatal wall (P< 0.05). The bone volume of all sites allowed for the placement of the planned implants.</p><p><strong>Clinical significance: </strong>The alveolar ridge preservation technique (Lamina Socket Sealing) using resorbable heterologous cortical lamina with flapless approach allowed not only the preservation of the damaged post-extraction socket, but also minimal ridge augmentation, according to the principles of guided bone regeneration.</p>","PeriodicalId":7538,"journal":{"name":"American journal of dentistry","volume":"37 SIA","pages":"4A-8A"},"PeriodicalIF":0.9,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142387277","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Michele A Lopez, Pier C Passarelli, Andrea Netti, Piotr Wychowański, Massimo Del Fabbro, Matteo Chiapasco, Antonio D'Addona
{"title":"A novel approach to manage Schneiderian membrane perforation in the maxillary sinus floor augmentation: The \"Sinus Pack\" technique. A retrospective case-control study. Part 1/3.","authors":"Michele A Lopez, Pier C Passarelli, Andrea Netti, Piotr Wychowański, Massimo Del Fabbro, Matteo Chiapasco, Antonio D'Addona","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Purpose: </strong>This retrospective study evaluated the effectiveness of a technique for the management of maxillary sinus floor augmentation.</p><p><strong>Methods: </strong>Nineteen subjects [7 males, 12 females, mean age 53.3±10.5 (standard deviation) years], who experienced membrane perforation during lateral sinus lift procedure, were included. Perforations were managed either using the \"Sinus Pack\" technique (test, 11 subjects) or collagen membranes and resorbable sutures (control, eight subjects). Clinical and radiological outcomes were assessed.</p><p><strong>Results: </strong>The mean follow-up was 18.3± 11.7 months (range 5-40 months). A significantly lower mean vertical gain was observed in the control group (7.8± 0.9 mm), compared to the sinus pack approach (8.8± 0.9 mm) (P= 0.04), but both were effective for implant-prosthetic rehabilitation.</p><p><strong>Clinical significance: </strong>The \"Sinus Pack\" technique was effective in managing perforations during sinus floor elevation surgery, allowing the completion of the surgical procedure even in cases of large perforations.</p>","PeriodicalId":7538,"journal":{"name":"American journal of dentistry","volume":"37 SIA","pages":"13A-17A"},"PeriodicalIF":0.9,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142387257","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}