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The influence of sinus membrane thickness upon membrane perforation during lateral window sinus augmentation.

Abstract：

OBJECTIVES:To investigate: (1) sinus membrane thickness in patients receiving lateral window sinus augmentation via cone-beam computed tomography (CBCT) and (2) the influence of Schneiderian membrane thickness upon membrane perforation during lateral window approach. MATERIAL AND METHODS:A total of 73 subjects with 81 sinus lift procedures between years 2010 and 2013 were recruited consequently. Each patient selected had CBCT images in initial and immediately after surgery. The values and correlation between variables of membrane thickness, perforation rate, membrane morphology, residual bone height, and elevated bone height were evaluated. RESULTS:The mean thickness of the Schneiderian membrane was 1.32 ± 0.87 mm. Perforation rate was lowest (7.14%) when membrane thickness was 1-1.5 mm. As membrane became thicker (≥2 mm) or thinner (<1 mm), the perforation rate increased abruptly. When examined the membrane thickness category, Class B (between ≥1 mm and <2 mm) had the lowest perforation rate. Statistically significant correlation was found between the perforation and the membrane thickness. The amount of the remaining bone height did not significantly correlate to the membrane thickness nor influence the membrane perforation. CONCLUSIONS:This study demonstrated that membrane thickness was related to the sinus perforation during lateral window sinus augmentation. The perforation rate was lowest when the membrane thickness was 1-1.5 mm.

journal_name

Clin Oral Implants Res

journal_title

Clinical oral implants research

authors

Lin YH,Yang YC,Wen SC,Wang HL

doi

10.1111/clr.12646

subject

Has Abstract

pub_date

2016-05-01 00:00:00

pages

612-7

issue

5

eissn

0905-7161

issn

1600-0501

journal_volume

27

pub_type

杂志文章

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