Int J Stomatol ›› 2024, Vol. 51 ›› Issue (4): 381-391.doi: 10.7518/gjkq.2024071

• Expert Forum •     Next Articles

Clinical applications of natural tooth-related maxillary sinus floor elevation

Xuelian Tan1(),Yi Man2,Dingming Huang1()   

  1. 1.State Key Laboratory of Oral Diseases & National Center for Stomatology & 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 Center for Stomatology & National Clinical Research Center for Oral Diseases & Dept. of Implantology, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, China
  • Received:2024-04-15 Revised:2024-04-30 Online:2024-07-01 Published:2024-06-24
  • Contact: Dingming Huang E-mail:tanxuelian@scu.edu.cn;dingminghuang@163.com
  • Supported by:
    Clinical Research Program of West China Hospital of Stomatology Sichuan University(LCYJ-MS-202304);Exploration and Research and Development Project of West China Hospital of Stomatology, Sichuan University(LCYJ2019-19);Key Research and Development Project of Science and Technology Plan of Sichuan Province(2021YFS0031)

Abstract:

The posterior maxillary teeth are common sites of endodontic periapical diseases and are connected to the maxillary sinus, facilitating the spread of infection and leading to odontogenic maxillary sinusitis. The maxillary tooth-bone-sinus complex exhibits a close anatomical relationship, necessitating procedures for refractory cases. For surgical access, microscopic apical surgery is often combined with maxillary sinus floor elevation, termed “natural tooth-related maxillary sinus floor elevation”, to ensure therapeutic efficacy and reduce complications. This paper provides a comprehensive discussion on the application scenarios, advantages, indications and contraindications, treatment planning, and selection of surgical procedures for tooth preservation-related maxillary sinus floor elevation. Drawing from a combination of literature review and clinical experience, this work explores the clinical applications of this technique and provide preliminary theoretical guidance on its clinical application and a solid foundation for further standardization of the clinical operation path and multidisciplinary joint management strategy.

Key words: maxillary tooth-bone-sinus complex, natural tooth-related maxillary sinus floor elevation, odontogenic maxillary sinusitis, clinical application

CLC Number: 

  • R78

TrendMD: 

Fig 1

Microscopic apical surgery of the right maxillary first molar combined with maxillary sinus elevation by lateral window approach"

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