Int J Stomatol

Int J Stomatol ›› 2023, Vol. 50 ›› Issue (3): 251-262.doi: 10.7518/gjkq.2023048

• Expert Forum •     Next Articles

Biologic bases of nature tooth-related maxillary sinus floor elevation

Huang Dingming1(),Zhang Lan1,Man Yi2()   

  1. 1.State Key Laboratory of Oral Diseases & National Clinical Research Center for Oral Diseases & Dept. of Cariology and Endodontics, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, China
    2.State Key Laboratory of Oral Diseases & National Clinical Research Center for Oral Diseases & Dept. of Implantology, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, China
  • Received:2022-12-07 Revised:2023-03-02 Online:2023-05-01 Published:2023-05-16
  • Contact: Yi Man E-mail:dingminghuang@163.com;manyi780203@126.com
  • Supported by:
    Key Research and Development Project of the Science and Technology Department of Si-chuan Province(2021YFS0030);Exploration and Research and Development Project of West China Hospital of Stomatology, Sichuan University(LCYJ2019-19);Chengdu Key Application Projects of Science and Technology(2021-YF09-00078-SN)

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Abstract:

When missing maxillary posterior teeth require implantation, adopting maxillary sinus floor elevation routinely provides bone augmentation to meet the initial stability of the implant due to insufficient bone volume. It is very difficult to eliminate the infection completely from the complex root canal system of maxillary posterior teeth by root canal treatment, which results in the chronic apical periodontitis after treatment. The close anatomy relationship among the maxillary posterior teeth, maxillary bone and sinus, termed as maxillary tooth-alveolar-process-sinus complex, makes it easy for the infection to spread into the maxillary sinus. When endodontic microsurgery is needed, the surgical access is often established through maxillary sinus floor elevation, which is named as tooth-related maxillary sinus floor elevation. It is necessary to put forward the tooth-related maxillary sinus floor elevation as it is different biologic basis from the traditional dental implantation-related maxillary sinus floor elevation in anatomy, etiology and pathology.

Key words: maxillary tooth-alveolar-process-sinus complex, maxillary sinus floor elevation, odontogenic maxillary sinusitis, infection, inflammation

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  • R 78

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Fig 1

Dental implant-related lateral window technique for sinus floor elevation"

Fig 2

Maxillary tooth-alveolar-process-sinus complex"

Fig 3

Vertical relationship among the maxillary tooth-alveolar-process-sinus complex"

Fig 4

Horizontal relationship among the maxillary tooth-alveolar-process-sinus complex"

Fig 5

Schneiderian membrane"

Fig 6

Odontogenic maxillary sinusitis originated from endodontic diseases"

Fig 7

Classification of the relationship between the periapical lesion and the maxillary sinus membrane"

Fig 8

Classification of the maxillary sinus thickening"

1 Zheng QH, Wang Y, Zhou XD, et al. A cone-beam computed tomography study of maxillary first permanent molar root and canal morphology in a Chinese population[J]. J Endod, 2010, 36(9): 1480-1484.
2 Meirinhos J, Martins JNR, Pereira B, et al. Prevalence of apical periodontitis and its association with previous root canal treatment, root canal filling length and type of coronal restoration-a cross-sectional study[J]. Int Endod J, 2020, 53(4): 573-584.
3 Huumonen S, Suominen AL, Vehkalahti MM. Pre-valence of apical periodontitis in root filled teeth: findings from a nationwide survey in Finland[J]. Int Endod J, 2017, 50(3): 229-236.
4 Zhou W, Zheng QH, Tan XL, et al. Comparison of mineral trioxide aggregate and iRoot BP plus root repair material as root-end filling materials in en-dodontic microsurgery: a prospective randomized controlled study[J]. J Endod, 2017, 43(1): 1-6.
5 Safi C, Kohli MR, Kratchman SI, et al. Outcome of endodontic microsurgery using mineral trioxide aggregate or root repair material as root-end filling material: a randomized controlled trial with cone-beam computed tomographic evaluation[J]. J Endod, 2019, 45(7): 831-839.
6 Tatum H Jr. Maxillary and sinus implant reconstructions[J]. Dent Clin North Am, 1986, 30(2): 207-229.
7 Summers RB. A new concept in maxillary implant surgery: the osteotome technique[J]. Compendium, 1994, 15(2): 152, 154-152, 156, 158, 162.
8 Chao YL, Chen HH, Mei CC, et al. Meta-regression analysis of the initial bone height for predicting implant survival rates of two sinus elevation procedures[J]. J Clin Periodontol, 2010, 37(5): 456-465.
9 Pjetursson BE, Tan WC, Zwahlen M, et al. A systematic review of the success of sinus floor elevation and survival of implants inserted in combination with sinus floor elevation[J]. J Clin Periodontol, 2008, 35(8 ): 216-240.
10 Albu S, Baciut M. Failures in endoscopic surgery of the maxillary sinus[J]. Otolaryngol Head Neck Surg, 2010, 142(2): 196-201.
11 Melén I, Lindahl L, Andréasson L, et al. Chronic maxillary sinusitis. Definition, diagnosis and relation to dental infections and nasal polyposis[J]. Acta Otolaryngol, 1986, 101(3/4): 320-327.
12 Kale TP, Urolagin S, Khurana V, et al. Treatment of oroantral fistula using palatal flap-a case report and technical note[J]. J Int Oral Health, 2010, 2(3): 77-82.
13 Cortes AR, Pinheiro LR, Cavalcanti MG, et al. Sinus floor bone failures in maxillary sinus floor augmentation: a case-control study[J]. Clin Implant Dent Relat Res, 2015, 17(2): 335-342.
14 Lavasani SA, Tyler C, Roach SH, et al. Cone-beam computed tomography: anatomic analysis of maxillary posterior teeth-impact on endodontic microsurgery[J]. J Endod, 2016, 42(6): 890-895.
15 Clark D, Levin L. In the dental implant era, why do we still bother saving teeth[J]. Dent Traumatol, 2019, 35(6): 368-375.
16 Oberli K, Bornstein MM, von Arx T. Periapical surgery and the maxillary sinus: radiographic parameters for clinical outcome[J]. Oral Surg Oral Med Oral Pathol Oral Radiol Endod, 2007, 103(6): 848-853.
17 von Arx T, Käch S, Suter VGA, et al. Perforation of the maxillary sinus floor during apical surgery of maxillary molars: a retrospective analysis using cone beam computed tomography[J]. Aust Endod J, 2020, 46(2): 176-183.
18 Silberman JJ, Moldauer BI, Torres J, et al. Palatal root surgery of a maxillary molar using a piezosurgery transantral approach with simultaneous sinus lift grafting: a case report[J]. Int Endod J, 2021, 54(3): 464-475.
19 Azim AA, Wang HH, Serebro M. Selective retreatment and sinus lift: an alternative approach to surgically manage the palatal roots of maxillary molars[J]. J Endod, 2021, 47(4): 648-657.
20 Kfir E, Goldstein M, Abramovitz I, et al. The effects of sinus membrane pathology on bone augmentation and procedural outcome using minimal invasive antral membrane balloon elevation[J]. J Oral Implantol, 2014, 40(3): 285-293.
21 Kwak HH, Park HD, Yoon HR, et al. Topographic anatomy of the inferior wall of the maxillary sinus in Koreans[J]. Int J Oral Maxillofac Surg, 2004, 33(4): 382-388.
22 Lu Y, Liu ZJ, Zhang L, et al. Associations between maxillary sinus mucosal thickening and apical pe-riodontitis using cone-beam computed tomography scanning: a retrospective study[J]. J Endod, 2012, 38(8): 1069-1074.
23 Watzek G, Bernhart T, Ulm C. Complications of sinus perforations and their management in endodontics[J]. Dent Clin North Am, 1997, 41(3): 563-583.
24 Freedman A, Horowitz I. Complications after apicoectomy in maxillary premolar and molar teeth[J]. Int J Oral Maxillofac Surg, 1999, 28(3): 192-194.
25 Lin L, Chance K, Shovlin F, et al. Oroantral communication in periapical surgery of maxillary posterior teeth[J]. J Endod, 1985, 11(1): 40-44.
26 Rud J, Rud V. Surgical endodontics of upper molars: relation to the maxillary sinus and operation in acute state of infection[J]. J Endod, 1998, 24(4): 260-261.
27 van den Bergh JP, ten Bruggenkate CM, Disch FJ, et al. Anatomical aspects of sinus floor elevations[J]. Clin Oral Implants Res, 2000, 11(3): 256-265.
28 Sharan A, Madjar D. Maxillary sinus pneumatization following extractions: a radiographic study[J]. Int J Oral Maxillofac Implants, 2008, 23(1): 48-56.
29 Zijderveld SA, van den Bergh JP, Schulten EA, et al. Anatomical and surgical findings and complications in 100 consecutive maxillary sinus floor elevation procedures[J]. J Oral Maxillofac Surg, 2008, 66(7): 1426-1438.
30 Shams N, Dabbaghi A, Shams B, et al. Anatomy of the posterior superior alveolar artery: a cone-beam computed tomographic study[J]. J Maxillofac Oral Surg, 2022, 21(1): 203-210.
31 Danesh-Sani SA, Movahed A, ElChaar ES, et al. Radiographic evaluation of maxillary sinus lateral wall and posterior superior alveolar artery anatomy: a cone-beam computed tomographic study[J]. Clin Implant Dent Relat Res, 2017, 19(1): 151-160.
32 Taleghani F, Tehranchi M, Shahab S, et al. Prevalence, location, and size of maxillary sinus septa: computed tomography scan analysis[J]. J Contemp Dent Pract, 2017, 18(1): 11-15.
33 Gandhi KR, Wabale RN, Siddiqui AU, et al. The incidence and morphology of maxillary sinus septa in dentate and edentulous maxillae: a cadaveric study with a brief review of the literature[J]. J Korean Assoc Oral Maxillofac Surg, 2015, 41(1): 30-36.
34 Alqahtani S, Alsheraimi A, Alshareef A, et al. Maxillary sinus pneumatization following extractions in Riyadh, Saudi Arabia: a cross-sectional study[J]. Cureus, 2020, 12(1): e6611.
35 Krennmair G, Ulm CW, Lugmayr H, et al. The incidence, location, and height of maxillary sinus septa in the edentulous and dentate maxilla[J]. J Oral Ma-xillofac Surg, 1999, 57(6): 667-672.
36 Çakur B, Sümbüllü MA, Durna D. Relationship among Schneiderian membrane, Underwood’s septa, and the maxillary sinus inferior border[J]. Clin Implant Dent Relat Res, 2013, 15(1): 83-87.
37 Siqueira JF Jr, Rôças IN. Diversity of endodontic microbiota revisited[J]. J Dent Res, 2009, 88(11): 969-981.
38 Ricucci D, Siqueira JF Jr, Lopes WS, et al. Extraradicular infection as the cause of persistent symptoms: a case series[J]. J Endod, 2015, 41(2): 265-273.
39 Signoretti FG, Endo MS, Gomes BP, et al. Persistent extraradicular infection in root-filled asymp-tomatic human tooth: scanning electron microscopic analysis and microbial investigation after apical microsurgery[J]. J Endod, 2011, 37(12): 1696-1700.
40 Ricucci D, Rôças IN, Hernández S, et al. “true” versus “bay” apical cysts: clinical, radiographic, histopathologic, and histobacteriologic features[J]. J Endod, 2020, 46(9): 1217-1227.
41 Curi FR, Pelegrine RA, Nascimento MDCC, et al. Odontogenic infection as a predisposing factor for pathologic disorder development in maxillary sinus[J]. Oral Dis, 2020, 26(8): 1727-1735.
42 Sakir M, Ercalik Yalcinkaya S. Associations between periapical health of maxillary molars and mucosal thickening of maxillary sinuses in cone-beam computed tomographic images: a retrospective study[J]. J Endod, 2020, 46(3): 397-403.
43 Maillet M, Bowles WR, McClanahan SL, et al. Cone-beam computed tomography evaluation of ma-xillary sinusitis[J]. J Endod, 2011, 37(6): 753-757.
44 Brook I. Microbiology of acute and chronic maxillary sinusitis associated with an odontogenic origin[J]. Laryngoscope, 2005, 115(5): 823-825.
45 Yassin-Kassab A, Bhargava P, Tibbetts RJ, et al. Comparison of bacterial maxillary sinus cultures between odontogenic sinusitis and chronic rhinosinu-sitis[J]. Int Forum Allergy Rhinol, 2021, 11(1): 40-47.
46 Lin YH, Yang YC, Wen SC, et al. The influence of sinus membrane thickness upon membrane perforation during lateral window sinus augmentation[J]. Clin Oral Implants Res, 2016, 27(5): 612-617.
47 Insua A, Monje A, Urban I, et al. The sinus membrane-maxillary lateral wall complex: histologic description and clinical implications for maxillary sinus floor elevation[J]. Int J Periodontics Restorative Dent, 2017, 37(6): e328-e336.
48 Munakata M, Yamaguchi K, Sato D, et al. Factors influencing the sinus membrane thickness in edentulous regions: a cone-beam computed tomography study[J]. Int J Implant Dent, 2021, 7(1): 16.
49 Block MS, Dastoury K. Prevalence of sinus membrane thickening and association with unhealthy teeth: a retrospective review of 831 consecutive patients with 1, 662 cone-beam scans[J]. J Oral Maxillofac Surg, 2014, 72(12): 2454-2460.
50 Yoo JY, Pi SH, Kim YS, et al. Healing pattern of the mucous membrane after tooth extraction in the ma-xillary sinus[J]. J Periodontal Implant Sci, 2011, 41(1): 23-29.
51 Yilmaz HG, Tözüm TF. Are gingival phenotype, residual ridge height, and membrane thickness critical for the perforation of maxillary sinus[J]. J Periodontol, 2012, 83(4): 420-425.
52 Dumitrescu A, Martu MA, Nemtoi A, et al. Association between cone-beam computed tomography and histological and immunohistochemical features in periapical lesions correlated with thickened maxillary sinus mucosa[J]. Medicina (Kaunas), 2021, 57(8): 840.
53 Tassoker M. What are the risk factors for maxillary sinus pathologies? A CBCT study[J]. Oral Radiol, 2020, 36(1): 80-84.
54 Testori T, Yu SH, Tavelli L, et al. Perforation risk assessment in maxillary sinus augmentation with late-ral wall technique[J]. Int J Periodontics Restorative Dent, 2020, 40(3): 373-380.
55 满毅, 袁珊珊, 赵磊, 等. 上颌窦提升术的历史、现状和发展[J]. 国际口腔医学杂志, 2014, 41(6): 621-627.
Man Y, Yuan SS, Zhao L, et al. The history, present situation and development of the maxillary sinus lifting[J]. Int J Stomatol, 2014, 41(6): 621-627.
56 Amid R, Kadkhodazadeh M, Moscowchi A, et al. Effect of schneiderian membrane thickening on the maxillary sinus augmentation and implantation outcomes: a systematic review[J]. J Maxillofac Oral Surg, 2021, 20(4): 534-544.
57 Pizzini A, Basma HS, Li P, et al. The impact of anatomic, patient and surgical factors on membrane perforation during lateral wall sinus floor elevation[J]. Clin Oral Implants Res, 2021, 32(3): 274-284.
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