Long-term effects of sinus membrane perforation on dental implants placed with transcrestal sinus floor elevation: A case–control study
Won-Bae Park DMD
Private Practice in Periodontics and Implant Dentistry, Seoul, South Korea
Search for more papers by this authorYeek Herr DMD
Department of Periodontology, Periodontal-Implant Clinical Research Institute, School of Dentistry, Kyung Hee University, Seoul, South Korea
Search for more papers by this authorJong-Hyuk Chung DMD
Department of Periodontology, Periodontal-Implant Clinical Research Institute, School of Dentistry, Kyung Hee University, Seoul, South Korea
Search for more papers by this authorSeung-Il Shin DMD
Department of Periodontology, Periodontal-Implant Clinical Research Institute, School of Dentistry, Kyung Hee University, Seoul, South Korea
Search for more papers by this authorCorresponding Author
Ji-Young Han DMD
Division of Dentistry, Department of Periodontology, College of Medicine, Hanyang University, Seoul, South Korea
Correspondence
Ji-Young Han, Division of Dentistry, Department of Periodontology, College of Medicine, Hanyang University, 222-1 Wangsimni-ro, Seongdong-gu, Seoul 04763, South Korea.
Email: [email protected]
Hyun-Chang Lim, Department of Periodontology, Periodontal-Implant Clinical Research Institute, School of Dentistry, Kyungheedaero 23, Dongdaemoon-gu, Seoul 02447, South Korea.
Email: [email protected]
Search for more papers by this authorCorresponding Author
Hyun-Chang Lim DDS
Department of Periodontology, Periodontal-Implant Clinical Research Institute, School of Dentistry, Kyung Hee University, Seoul, South Korea
Correspondence
Ji-Young Han, Division of Dentistry, Department of Periodontology, College of Medicine, Hanyang University, 222-1 Wangsimni-ro, Seongdong-gu, Seoul 04763, South Korea.
Email: [email protected]
Hyun-Chang Lim, Department of Periodontology, Periodontal-Implant Clinical Research Institute, School of Dentistry, Kyungheedaero 23, Dongdaemoon-gu, Seoul 02447, South Korea.
Email: [email protected]
Search for more papers by this authorWon-Bae Park DMD
Private Practice in Periodontics and Implant Dentistry, Seoul, South Korea
Search for more papers by this authorYeek Herr DMD
Department of Periodontology, Periodontal-Implant Clinical Research Institute, School of Dentistry, Kyung Hee University, Seoul, South Korea
Search for more papers by this authorJong-Hyuk Chung DMD
Department of Periodontology, Periodontal-Implant Clinical Research Institute, School of Dentistry, Kyung Hee University, Seoul, South Korea
Search for more papers by this authorSeung-Il Shin DMD
Department of Periodontology, Periodontal-Implant Clinical Research Institute, School of Dentistry, Kyung Hee University, Seoul, South Korea
Search for more papers by this authorCorresponding Author
Ji-Young Han DMD
Division of Dentistry, Department of Periodontology, College of Medicine, Hanyang University, Seoul, South Korea
Correspondence
Ji-Young Han, Division of Dentistry, Department of Periodontology, College of Medicine, Hanyang University, 222-1 Wangsimni-ro, Seongdong-gu, Seoul 04763, South Korea.
Email: [email protected]
Hyun-Chang Lim, Department of Periodontology, Periodontal-Implant Clinical Research Institute, School of Dentistry, Kyungheedaero 23, Dongdaemoon-gu, Seoul 02447, South Korea.
Email: [email protected]
Search for more papers by this authorCorresponding Author
Hyun-Chang Lim DDS
Department of Periodontology, Periodontal-Implant Clinical Research Institute, School of Dentistry, Kyung Hee University, Seoul, South Korea
Correspondence
Ji-Young Han, Division of Dentistry, Department of Periodontology, College of Medicine, Hanyang University, 222-1 Wangsimni-ro, Seongdong-gu, Seoul 04763, South Korea.
Email: [email protected]
Hyun-Chang Lim, Department of Periodontology, Periodontal-Implant Clinical Research Institute, School of Dentistry, Kyungheedaero 23, Dongdaemoon-gu, Seoul 02447, South Korea.
Email: [email protected]
Search for more papers by this authorAbstract
Background
There is a little comparative data on implants placed transcrestally with/without sinus membrane (SM) perforation.
Purpose
To compare the clinical and radiological outcomes of implants with maxillary sinus perforation and those without SM perforation.
Materials and methods
Among 560 transcrestally placed implants in 324 patients, the patients who underwent cone-beam computed tomographic radiography (CBCT) were included. The following groups were established: implants with SM perforation (group P) and implants without SM perforation based on postoperative panoramic radiographs and patient records (group NP). Group NP was further divided into subgroups based on CBCT taken at the last patient visit: group NP1 consisting of implants with no protrusion or <1 mm of protrusion and group NP2 consisting of implants with ≥1 mm of protrusion. Mixed linear regression was performed for the factors affecting SM thickening and marginal bone loss. Mixed survival analysis was also performed.
Results
A total of 379 implants in 221 patients were eligible. The mean follow-up period was 112.03 ± 54.2 months. Twenty-six implants failed (2 and 24 implants in groups P and NP, respectively), mainly due to peri-implant bone loss. No statistically significant difference was noted between the groups in SM thickness (2.4 ± 2.8 mm, 2.1 ± 3.4 mm, and 2.5 ± 3.5 mm in groups P, NP1, and NP2, respectively, p > 0.05). Marginal bone loss in group NP1 was significantly greater than that in the other groups. In the mixed model, SM perforation was not a determinant of sinus membrane thickening and implant survival in the mixed models and the survival analysis, respectively.
Conclusions
SM perforation in transcrestal sinus augmentation did not affect implant survival and SM thickening.
CONFLICT OF INTEREST
The authors declare that there is no conflict of interest that could be perceived as prejudicing the impartiality of the research reported.
Open Research
DATA AVAILABILITY STATEMENT
The data that support the findings of this study are available from the corresponding author upon reasonable request.
Supporting Information
| Filename | Description |
|---|---|
| cid13038-sup-0001-supinfo.jpgJPEG image, 844.7 KB | Figure S1 Scatterplots and tables for sinus membrane thickness in each group. |
| cid13038-sup-0002-supinfo.docxWord 2007 document , 18.4 KB | Table S1 Simple and multiple mixed linear regression for marginal bone level at the mesial side of the implant. |
| cid13038-sup-0003-supinfo.docxWord 2007 document , 18.3 KB | Table S2 Simple and multiple mixed linear regression for marginal bone level at the distal side of the implant. |
Please note: The publisher is not responsible for the content or functionality of any supporting information supplied by the authors. Any queries (other than missing content) should be directed to the corresponding author for the article.
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