Int J Stomatol

Int J Stomatol ›› 2023, Vol. 50 ›› Issue (5): 552-557.doi: 10.7518/gjkq.2023089

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Research progress on mucoperiosteum perforation in maxillary sinus elevation

Huangphattarakul Vicha(),Man Yi.()   

  1. State Key Laboratory of Oral Diseases & National Center for Stomatology & National Clinical Research Center for Oral Diseases & Dept. of Implantology, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, China
  • Received:2022-12-05 Revised:2023-05-12 Online:2023-09-01 Published:2023-09-01
  • Contact: Yi. Man E-mail:vicha_h@qq.com;manyi780203@126.com
  • Supported by:
    National Natural Science Foundation of China(81970965)

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Abstract:

Maxillary sinus floor elevation is an effective method to resolve the insufficient bone height of implant sites in the maxillary posterior region. However, reports of related complications still arise due to the relatively high sensitivity of the technique. The mucoperiosteum of the maxillary sinus is relatively thin, and perforation is prone to occur during maxillary sinus floor elevation. At present, the clinical management of perforation includes repair through biomaterials, such as resorbable collagen membrane, collagen matrix, and platelet derivatives, or repair through suturing. However, guidelines for the management and repair of the perforation of the maxillary sinus mucoperiosteum are lacking. This article reviews the common complications, diagnosis, classification, and repair of perforation of the maxillary sinus mucoperiosteum based on relevant literature.

Key words: maxillary sinus augmentation, sinus membrane perforation, membrane perforation handling, complication

CLC Number: 

  • R 783

TrendMD: 

Fig 1

The classic classification (left) and simplified classification (right) of maxillary sinus mucoperiosteum perforation proposed by Vlassis and Fugazzotto"

1 Dursun E, Keceli HG, Dolgun A, et al. Maxillary sinus and surrounding bone anatomy with cone beam computed tomography after multiple teeth loss: a retrospective multicenter clinical study[J]. Implant Dent, 2019, 28(3): 226-236.
2 Al-Moraissi E, Elsharkawy A, Abotaleb B, et al. Does intraoperative perforation of Schneiderian membrane during sinus lift surgery causes an increased the risk of implants failure: a systematic review and meta regression analysis[J]. Clin Implant Dent Relat Res, 2018, 20(5): 882-889.
3 de Almeida Ferreira CE, Martinelli CB, Novaes AB Jr, et al. Effect of maxillary sinus membrane perforation on implant survival rate: a retrospective study[J]. Int J Oral Maxillofac Implants, 2017, 32(2): 401-407.
4 Hirota A, Lang NP, Ferri M, et al. Tomographic evaluation of the influence of the placement of a collagen membrane subjacent to the sinus mucosa du-ring maxillary sinus floor augmentation: a rando-mized clinical trial[J]. Int J Implant Dent, 2019, 5: 31.
5 Jo KH, Yoon KH, Cheong JK, et al. Postoperative perforation of the Schneiderian membrane in maxillary sinus augmentation: a case report[J]. J Oral Implantol, 2014, 40(Spec No): 375-379.
6 Nolan PJ, Freeman K, Kraut RA. Correlation between Schneiderian membrane perforation and sinus lift graft outcome: a retrospective evaluation of 359 augmented sinus[J]. J Oral Maxillofac Surg, 2014, 72(1): 47-52.
7 Proussaefs P, Lozada J, Kim J, et al. Repair of the perforated sinus membrane with a resorbable collagen membrane: a human study[J]. Int J Oral Maxillofac Implants, 2004, 19(3): 413-420.
8 Paik JW, Cha JK, Song YW, et al. Effect of Schneiderian membrane integrity on bone formation in sinus augmentation: an experimental study in rabbits[J]. J Clinic Periodontology, 2022, 49(1): 76-83.
9 Kim JS, Choi SM, Yoon JH, et al. What affects postoperative sinusitis and implant failure after dental implant: a meta-analysis[J]. Otolaryngol Head Neck Surg, 2019, 160(6): 974-984.
10 Chirilă L, Rotaru C, Filipov I, et al. Management of acute maxillary sinusitis after sinus bone grafting procedures with simultaneous dental implants placement-a retrospective study[J]. BMC Infect Dis, 2016, 16(): 94.
11 Timmenga NM, Raghoebar GM, van Weissenbruch R, et al. Maxillary sinusitis after augmentation of the maxillary sinus floor: a report of 2 cases[J]. J Oral Maxillofac Surg, 2001, 59(2): 200-204.
12 Nguyen TTH, Eo MY, Seo MH, et al. Analysis of acute sinusitis-related early failed implant surface: a combined histological, electron microscopy, and X-ray spectroscopy approach[J]. Maxillofac Plast Reconstr Surg, 2022, 44(1): 18.
13 邓磊, 黄海涛. 穿牙槽嵴上颌窦底提升中黏骨膜穿孔的研究进展[J]. 中国口腔种植学杂志, 2022, 27(1): 45.
Deng L, Huang HT. Research progress of mucope-riosteum perforation in implant placement with transalveolar technique for sinus floor elevation[J]. Chin J Oral Implant, 2022, 27(1): 45.
14 Boyacıgil DU, Er N, Karaca Ç, et al. The effect of residual bone height and membrane thickness on sinus membrane perforation in crestal sinus grafting: a prospective clinical study[J]. Int J Oral Maxillofac Surg, 2021, 50(2): 251-257.
15 牛力璇, 邱立新, 王兴, 等. 上颌窦底提升并发症的专家共识：黏骨膜穿孔（第一版）[J]. 中国口腔种植学杂志, 2021, 26(5): 277-281.
Niu LX, Qiu LX, Wang X, et al. Expert consensus on the management of sinus floor elevation mucoperiosteum perforation (first edition)[J]. Chin J Oral Implant, 2021, 26(5): 277-281.
16 Gargallo-Albiol J, Sinjab KH, Barootchi S, et al. Microscope and micro-camera assessment of Schneiderian membrane perforation via transcrestal sinus floor elevation: a randomized ex vivo study[J]. Clin Oral Implants Res, 2019, 30(7): 682-690.
17 Tavelli L, Borgonovo AE, Saleh MH, et al. Classification of sinus membrane perforations occurring during transcrestal sinus floor elevation and related treatment[J]. Int J Periodontics Restorative Dent, 2020, 40(1): 111-118.
18 Fugazzotto PA, Vlassis J. A simplified classification and repair system for sinus membrane perforations[J]. J Periodontol, 2003, 74(10): 1534-1541.
19 Hernández-Alfaro F, Torradeflot MM, Marti C. Prevalence and management of Schneiderian membrane perforations during sinus-lift procedures[J]. Clin Oral Implants Res, 2008, 19(1): 91-98.
20 Krennmair S, Gugenberger A, Weinländer M, et al. Prevalence, risk factors, and repair mechanism of different forms of sinus membrane perforations in lateral window sinus lift procedure: a retrospective cohort study[J]. Clin Implant Dent Relat Res, 2021, 23(6): 821-832.
21 Vlassis JM, Fugazzotto PA. A classification system for sinus membrane perforations during augmentation procedures with options for repair[J]. J Perio-dontol, 1999, 70(6): 692-699.
22 Janner SF, Caversaccio MD, Dubach P, et al. Cha-racteristics and dimensions of the Schneiderian membrane: a radiographic analysis using cone beam computed tomography in patients referred for dental implant surgery in the posterior maxilla[J]. Clin Oral Implants Res, 2011, 22(12): 1446-1453.
23 Wen SC, Lin YH, Yang YC, et al. The influence of sinus membrane thickness upon membrane perforation during transcrestal sinus lift procedure[J]. Clin Oral Implants Res, 2015, 26(10): 1158-1164.
24 Zhou Y, Shi Y, Si M, et al. The comparative evaluation of transcrestal and lateral sinus floor elevation in sites with residual bone height ≤6 mm: a two-year prospective randomized study[J]. Clin Oral Implants Res, 2021, 32(2): 180-191.
25 Lee B, Lee S, Kim Y. Crestal approach for the repair of the Schneiderian membrane perforated during transalveolar sinus elevation[J]. J Osseointegrat, 2021, 13(3): 150-5.
26 Kim S, Chung JH, Shin SY, et al. Collagenated synthetic bone substitute material for sinus floor elevation at sites with a perforated Schneiderian membrane[J]. J Clin Med, 2020, 9(11): 3764.
27 Barbu HM, Iancu SA, Hancu V, et al. PRF-solution in large sinus membrane perforation with simulta-neous implant placement-micro CT and histological analysis[J]. Membranes (Basel), 2021, 11(6): 438.
28 Xin LJ, Yuan S, Mu ZX, et al. Histological and histomorphometric evaluation of applying a bioactive advanced platelet-rich fibrin to a perforated Schneiderian membrane in a maxillary sinus elevation model[J]. Front Bioeng Biotechnol, 2020, 8: 600032.
29 Ragucci GM, Elnayef B, Suárez-López del Amo F, et al. Influence of exposing dental implants into the sinus cavity on survival and complications rate: a systematic review[J]. Int J Implant Dent, 2019, 5: 6.
30 Pohl V, Thoma DS, Sporniak-Tutak K, et al. Short dental implants (6 mm) versus long dental implants (11-15 mm) in combination with sinus floor elevation procedures: 3-year results from a multicentre, randomized, controlled clinical trial[J]. J Clin Pe-riodontol, 2017, 44(4): 438-445.
31 Urban IA, Nagursky H, Church C, et al. Incidence, diagnosis, and treatment of sinus graft infection after sinus floor elevation: a clinical study[J]. Int J Oral Maxillofac Implants, 2012, 27(2): 449-457.
32 Garbacea A, Lozada JL, Church CA, et al. The incidence of maxillary sinus membrane perforation du-ring endoscopically assessed crestal sinus floor elevation: a pilot study[J]. J Oral Implantol, 2012, 38(4): 345-359.
33 Fouad W, Osman A, Atef M, et al. Guided maxillary sinus floor elevation using deproteinized bovine bone versus graftless Schneiderian membrane elevation with simultaneous implant placement: rando-mized clinical trial[J]. Clin Implant Dent Relat Res, 2018, 20(3): 424-433.
34 Lee JY, Kwon JJ, Sándor GK, et al. Effectiveness of collagen membrane in the treatment of Schneiderian membrane perforation[J]. Appl Sci, 2019, 9(7): 1514.
35 Testori T, Weinstein T, Taschieri S, et al. Risk factors in lateral window sinus elevation surgery[J]. Periodontol 2000, 2019, 81(1): 91-123.
36 Testori T, Wallace SS, Del Fabbro M, et al. Repair of large sinus membrane perforations using stabilized collagen barrier membranes: surgical techniques with histologic and radiographic evidence of success[J]. Int J Periodontics Restorative Dent, 2008, 28(1): 9-17.
37 Froum SJ, Khouly I, Favero G, et al. Effect of ma-xillary sinus membrane perforation on vital bone formation and implant survival: a retrospective study[J]. J Periodontol, 2013, 84(8): 1094-1099.
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