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Development of Sinusitis After Sinus Floor Elevation Surgery: A Systematic Review

Authors: Huda Moutaz Asmael --- Ali Riyadh Raouf --- Ali Khalid Saaed
Journal: Journal of baghdad college of dentistry مجلة كلية طب الاسنان بغداد ISSN: 16800087 Year: 2018 Volume: 30 Issue: 4 Pages: 20-23
Publisher: Baghdad University جامعة بغداد

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Abstract

Background: Maxillary sinusitis can arise after sinus floor elevation surgery and should be treated immediately to prevent further complications which included dental implants failure, graft lost, and oro-antral fistula. This is the first systematic review to assess the incidence, causes, and treatment of sinusitis after sinus lift surgery.Materials and methods: An electronic search included MEDLINE (PUBMED) data base site was carried out for articles involving development of sinusitis after sinus lift surgery from September 1997 up to April, 8, 2017. The search was done and reviewed by two independent authors.Results: The total results of electronic search were (182) abstracts and articles, the extracted articles which involved development of sinusitis after sinus lift surgery were (25) studies. Of the 25 articles only (8) articles fit the inclusion criteria. Maxillary sinusitis was calculated for all selected studies and it was ranged from 2.12% to 12.7% with average of 5.4 %.Conclusion: Maxillary sinusitis could be developed after sinus lift surgery with average of 5.4 % and the patients with previous maxillary sinus disease showed to be at increased risk of sinusitis after sinus lift surgery


Article
An Assessment of the Efficacy of Sinus Balloon Technique on Transcrestal Maxillary Sinus Floor Elevation Surgery

Authors: Huda Moutaz Asmael هدى معتز اسماعيل --- Thair Abdul Lateef ثائر عبد اللطيف
Journal: Journal of baghdad college of dentistry مجلة كلية طب الاسنان بغداد ISSN: 16800087 Year: 2016 Volume: 28 Issue: 1 Pages: 109-113
Publisher: Baghdad University جامعة بغداد

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Abstract

the invasiveness of modified Caldwell-Luc (lateral approach) and the drawbacks of the osteotome (summers'technique) in maxillary sinus floor elevation surgery.Materials and methods: A total of 13 adult Iraqi patients aged 28-55 years, 4 males and 9 females underwent sinusfloor elevation surgery via crestal approach by using sinus balloon technique. A panoramic radiograph and (Conebeam computed tomography (CBCT)/or medical CT scan) were obtained before and after surgery. Postoperativegained bone was assessed and the patient reactions including pain, nasal bleeding, and ecchymosis wererecorded. The whole follow up period was 1year following the sinus lift surgery.Results:The total performed sinus floor elevation cases were 17 with a total of 27 sinus floor elevation sites. Themaximum gained bone with sinus balloon technique was 10.6 mm. Twenty three dental implants placed inaugmented maxillary sinuses, two implants early failed 8.70 % and the survival rate of the dental implants was (91.30%). Schneider's membrane perforation didn’t occur in any case of this study 0%.Conclusion: Sinus floor elevation via crestal approach using the balloon technique solve the limitations for originalosteotome technique (summers' technique) for cases even when the subantral bone height is less than 3 mm. Theutilization of hydraulic pressure in combination with balloon technique also shows a great role in both sinusmembrane elevation and as a diagnostic aid of Schneider's membrane perforation

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