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;
  • 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)


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

CLC Number: 

  • R 78


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"

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