Investigating Effective Factors in Maxillary Sinus Membrane Rupture and Its Treatment Methods: A Review
-
Nima Dehghani
,
Mohadeseh Azarsina
,
Xaniar Mahmoudi
,
Rahil Barani
,
Sahar Hassantash
,
Neshatafarin Manouchehri
Abstract
Introduction: Maxillary sinus floor augmentation (MSFA) surgery is a reliable treatment for patients with atrophic posterior maxilla, which can be performed concurrently with or after implant installation. This study aimed to estimate the rate of sinus membrane perforation (SMP) during MSFA surgeries and examine various risk factors associated with SMP. The efficacy of perforation treatments was also evaluated. Materials and Methods: A systematic search of Scopus, PubMed, and Web of Science databases was conducted using the search terms: Implant AND Sinus AND Membrane AND Risk factor. Statistical analyses and graph creation were performed using Comprehensive Meta-Analysis (CMA) version 3. A total of 635 publications were screened, and 11 studies met the inclusion criteria, involving 1362 patients who underwent 1603 MSFA surgeries through the lateral window technique (LWT). Results: The prevalence of maxillary sinus membrane perforation among patients who had implants placed was 40.8% (Event: 0.331, 95% CI: 0.26-0.4). Implants placed near repaired perforated membranes demonstrated an average survival rate of 97.68%, whereas implants placed on intact sinus membranes had an average survival rate of 98.88%. Infection was identified as the primary complication associated with the repair of perforated sinus membranes.Conclusion: Despite the high incidence of sinus membrane perforation during MSFA surgeries, the survival rates of implants near repaired membranes are comparable to those placed on intact membranes. Appropriate antibiotic prescriptions can prevent infections, contributing to favorable surgical outcomes. Keywords: Maxillary sinus; Membrane rupture; Antibiotics; Survival rate.
1. Díaz-Olivares LA, Cortés-Bretón Brinkmann J, Martínez-Rodríguez N, Martínez-González JM, López-Quiles J, Leco-Berrocal I, et al. Management of Schneiderian membrane perforations during maxillary sinus floor augmentation with lateral approach in relation to subsequent implant survival rates: A systematic review and meta-analysis. International journal of implant dentistry. 2021;7:1-13.
2. Lombardi T, Bernardello F, Berton F, Porrelli D, Rapani A, Camurri Piloni A, et al. Efficacy of alveolar ridge preservation after maxillary molar extraction in reducing crestal bone resorption and sinus pneumatization: a multicenter prospective case-control study. BioMed research international. 2018;2018.
3. Couso‐Queiruga E, Stuhr S, Tattan M, Chambrone L, Avila‐Ortiz G. Post‐extraction dimensional changes: A systematic review and meta‐analysis. Journal of Clinical Periodontology. 2021;48(1):127-45.
4. Avila‐Ortiz G, Vegh D, Mukaddam K, Galindo‐Moreno P, Pjetursson B, Payer M. Treatment alternatives for the rehabilitation of the posterior edentulous maxilla. Periodontology 2000. 2023;93(1):183-204.
5. Maddalone M, Mirabelli L, Venino PM, Karanxha L, Porcaro G, Del Fabbro M. Long‐term stability of autologous bone graft of intraoral origin after lateral sinus floor elevation with simultaneous implant placement. Clinical implant dentistry and related research. 2018;20(5):713-21.
6. Lundgren S, Cricchio G, Hallman M, Jungner M, Rasmusson L, Sennerby L. Sinus floor elevation procedures to enable implant placement and integration: techniques, biological aspects and clinical outcomes. Periodontology 2000. 2017;73(1):103-20.
7. Díaz-Olivares LA, Brinkmann JC-B, Martínez-Rodríguez N, Martínez-González JM, López-Quiles J, Leco-Berrocal I, et al. REVIEW Open Access. 2021.
8. Marin S, Kirnbauer B, Rugani P, Payer M, Jakse N. Potential risk factors for maxillary sinus membrane perforation and treatment outcome analysis. Clinical implant dentistry and related research. 2019;21(1):66-72.
9. Lee C-T, Choksi K, Shih M-C, Rosen PS, Ninneman S, Hsu Y-T. The Impact of Sinus Floor Elevation Techniques on Sinus Membrane Perforation: A Systematic Review and Network Meta-analysis. International Journal of Oral & Maxillofacial Implants. 2023;38(4).
10.Krennmair S, Gugenberger A, Weinländer M, Krennmair G, Malek M, Postl L. Prevalence, risk factors, and repair mechanism of different forms of sinus membrane perforations in lateral window sinus lift procedure: a retrospective cohort study. Clinical Implant Dentistry and Related Research. 2021;23(6):821-32.
11. Krennmair S, Malek M, Forstner T, Krennmair G, Weinländer M, Hunger S. Risk Factor Analysis Affecting Sinus Membrane Perforation During Lateral Window Maxillary Sinus Elevation Surgery. International Journal of Oral & Maxillofacial Implants. 2020;35(4).
12.Kormas I, Pedercini A, Alassy H, Wolff LF. The Use of biocompatible membranes in oral surgery: the past, present & future directions. A narrative review. Membranes. 2022;12(9):841.
13.de Almeida Malzoni CM, Nícoli LG, da Col dos Santos Pinto G, Pigossi SC, Zotesso VA, Verzola MHA, et al. The effectiveness of L-PRF in the treatment of Schneiderian membrane large perforations: long-term follow-up of a case series. Journal of Oral Implantology. 2021;47(1):31-5.
14.Vanderburg NJ, Kolhatkar S, Bhola M. Management of a Large Schneiderian Membrane Perforation and Repair of the Missing Maxillary Lateral Wall Using a Collagen Barrier Alone in a Patient With Human Immunodeficiency Virus/Acquired Immunodeficiency Syndrome. Clinical Advances in Periodontics. 2015;5(2):116-23.
15.Park WB, Han JY, Kang P, Momen‐Heravi F. The clinical and radiographic outcomes of Schneiderian membrane perforation without repair in sinus elevation surgery. Clinical implant dentistry and related research. 2019;21(5):931-7.
16. Raghoebar GM, Onclin P, Boven GC, Vissink A, Meijer HJ. Long‐term effectiveness of maxillary sinus floor augmentation: A systematic review and meta‐analysis. Journal of Clinical Periodontology. 2019;46:307-18.
17.arbu HM, Iancu SA, Jarjour Mirea I, Mignogna MD, Samet N, Calvo-Guirado JL. Management of Schneiderian membrane perforations during sinus augmentation procedures: a preliminary comparison of two different approaches. Journal of clinical medicine. 2019;8(9):1491.
18. Hernández‐Alfaro F, Torradeflot MM, Marti C. Prevalence and management of Schneiderian membrane perforations during sinus‐lift procedures. Clinical oral implants research. 2008;19(1):91-8.
19. Soldatos NK, Stylianou P, Koidou VP, Angelov N, Yukna R, Romanos GE. Limitations and options using resorbable versus nonresorbable membranes for successful guided bone regeneration. Quintessence International. 2017;48(2).
20. de Almeida Ferreira CE, Martinelli CB, Novaes Jr AB, Pignaton TB, Guignone CC, de Almeida ALG, et al. Effect of Maxillary Sinus Membrane Perforation on Implant Survival Rate: A Retrospective Study. International Journal of Oral & Maxillofacial Implants. 2017;32(2).
21. Testori T, Wallace SS, Del Fabbro M, Taschieri S, Trisi P, Capelli M, et al. Repair of large sinus membrane perforations using stabilized collagen barrier membranes: surgical techniques with histologic and radiographic evidence of success. The International journal of periodontics & restorative dentistry. 2008;28(1):9-17.
22.Boreak N, Maketone P, Mourlaas J, Wang W, Yu P. Decision tree to minimize intra-operative complications during maxillary sinus augmentation procedures. J Oral Biol. 2018;5(1):8.
23. Von Arx T, Broggini N, Jensen SS, Bornstein MM, Schenk RK, Buser D. Membrane durability and tissue response of different bioresorbable barrier membranes: a histologic study in the rabbit calvarium. International Journal of Oral & Maxillofacial Implants. 2005;20(6).
24. Bozkurt A, Apel C, Sellhaus B, van Neerven S, Wessing B, Hilgers RD, et al. Differences in degradation behavior of two non‐cross‐linked collagen barrier membranes: an in vitro and in vivo study. Clinical Oral Implants Research. 2014;25(12):1403-11.
25. Öncü E, Kaymaz E. Assessment of the effectiveness of platelet rich fibrin in the treatment of Schneiderian membrane perforation. Clinical implant dentistry and related research. 2017;19(6):1009-14.
26. Hassani A, Fazli salehi O. Complications of Sinus Grafting and the Atrophic Maxilla. Complex Dental Implant Complications. 2020:239-89.
27. Tufah HM. The Effectiveness of Different Surgical Techniques in the Management of Oro-Antral Communication and Fistula: University of Baghdad; 2022.
28. Ulm C, Bertl K, Strbac GD, Esfandeyari A, Stavropoulos A, Zechner W. Multiple perforations of the sinus floor during maxillary sinus floor augmentation to provide access to the bone marrow space: A technical report. Implant Dentistry. 2017;26(6):956-60.
29. Alves D. Hard and soft tissue augmentation for implant placement in the aesthetic zone. 2013.
30. Boyacıgil DU, Er N, Karaca Ç, Koç O. The effect of residual bone height and membrane thickness on sinus membrane perforation in crestal sinus grafting: A prospective clinical study. International Journal of Oral and Maxillofacial Surgery. 2021;50(2):251-7.
31. Garbacea A, Lozada JL, Church CA, Al-Ardah AJ, Seiberling KA, Naylor WP, et al. The incidence of maxillary sinus membrane perforation during endoscopically assessed crestal sinus floor elevation: a pilot study. Journal of Oral Implantology. 2012;38(4):345-59.
32. Beck-Broichsitter BE, Westhoff D, Behrens E, Wiltfang J, Becker ST. Impact of surgical management in cases of intraoperative membrane perforation during a sinus lift procedure: a follow-up on bone graft stability and implant success. International Journal of Implant Dentistry. 2018;4:1-8.
33. Froum SJ, Khouly I, Favero G, Cho SC. Effect of maxillary sinus membrane perforation on vital bone formation and implant survival: a retrospective study. Journal of periodontology. 2013;84(8):1094-9.
34. Oh E, Kraut RA. Effect of sinus membrane perforation on dental implant integration: a retrospective study on 128 patients. Implant dentistry. 2011;20(1):13-9.
2. Lombardi T, Bernardello F, Berton F, Porrelli D, Rapani A, Camurri Piloni A, et al. Efficacy of alveolar ridge preservation after maxillary molar extraction in reducing crestal bone resorption and sinus pneumatization: a multicenter prospective case-control study. BioMed research international. 2018;2018.
3. Couso‐Queiruga E, Stuhr S, Tattan M, Chambrone L, Avila‐Ortiz G. Post‐extraction dimensional changes: A systematic review and meta‐analysis. Journal of Clinical Periodontology. 2021;48(1):127-45.
4. Avila‐Ortiz G, Vegh D, Mukaddam K, Galindo‐Moreno P, Pjetursson B, Payer M. Treatment alternatives for the rehabilitation of the posterior edentulous maxilla. Periodontology 2000. 2023;93(1):183-204.
5. Maddalone M, Mirabelli L, Venino PM, Karanxha L, Porcaro G, Del Fabbro M. Long‐term stability of autologous bone graft of intraoral origin after lateral sinus floor elevation with simultaneous implant placement. Clinical implant dentistry and related research. 2018;20(5):713-21.
6. Lundgren S, Cricchio G, Hallman M, Jungner M, Rasmusson L, Sennerby L. Sinus floor elevation procedures to enable implant placement and integration: techniques, biological aspects and clinical outcomes. Periodontology 2000. 2017;73(1):103-20.
7. Díaz-Olivares LA, Brinkmann JC-B, Martínez-Rodríguez N, Martínez-González JM, López-Quiles J, Leco-Berrocal I, et al. REVIEW Open Access. 2021.
8. Marin S, Kirnbauer B, Rugani P, Payer M, Jakse N. Potential risk factors for maxillary sinus membrane perforation and treatment outcome analysis. Clinical implant dentistry and related research. 2019;21(1):66-72.
9. Lee C-T, Choksi K, Shih M-C, Rosen PS, Ninneman S, Hsu Y-T. The Impact of Sinus Floor Elevation Techniques on Sinus Membrane Perforation: A Systematic Review and Network Meta-analysis. International Journal of Oral & Maxillofacial Implants. 2023;38(4).
10.Krennmair S, Gugenberger A, Weinländer M, Krennmair G, Malek M, Postl L. Prevalence, risk factors, and repair mechanism of different forms of sinus membrane perforations in lateral window sinus lift procedure: a retrospective cohort study. Clinical Implant Dentistry and Related Research. 2021;23(6):821-32.
11. Krennmair S, Malek M, Forstner T, Krennmair G, Weinländer M, Hunger S. Risk Factor Analysis Affecting Sinus Membrane Perforation During Lateral Window Maxillary Sinus Elevation Surgery. International Journal of Oral & Maxillofacial Implants. 2020;35(4).
12.Kormas I, Pedercini A, Alassy H, Wolff LF. The Use of biocompatible membranes in oral surgery: the past, present & future directions. A narrative review. Membranes. 2022;12(9):841.
13.de Almeida Malzoni CM, Nícoli LG, da Col dos Santos Pinto G, Pigossi SC, Zotesso VA, Verzola MHA, et al. The effectiveness of L-PRF in the treatment of Schneiderian membrane large perforations: long-term follow-up of a case series. Journal of Oral Implantology. 2021;47(1):31-5.
14.Vanderburg NJ, Kolhatkar S, Bhola M. Management of a Large Schneiderian Membrane Perforation and Repair of the Missing Maxillary Lateral Wall Using a Collagen Barrier Alone in a Patient With Human Immunodeficiency Virus/Acquired Immunodeficiency Syndrome. Clinical Advances in Periodontics. 2015;5(2):116-23.
15.Park WB, Han JY, Kang P, Momen‐Heravi F. The clinical and radiographic outcomes of Schneiderian membrane perforation without repair in sinus elevation surgery. Clinical implant dentistry and related research. 2019;21(5):931-7.
16. Raghoebar GM, Onclin P, Boven GC, Vissink A, Meijer HJ. Long‐term effectiveness of maxillary sinus floor augmentation: A systematic review and meta‐analysis. Journal of Clinical Periodontology. 2019;46:307-18.
17.arbu HM, Iancu SA, Jarjour Mirea I, Mignogna MD, Samet N, Calvo-Guirado JL. Management of Schneiderian membrane perforations during sinus augmentation procedures: a preliminary comparison of two different approaches. Journal of clinical medicine. 2019;8(9):1491.
18. Hernández‐Alfaro F, Torradeflot MM, Marti C. Prevalence and management of Schneiderian membrane perforations during sinus‐lift procedures. Clinical oral implants research. 2008;19(1):91-8.
19. Soldatos NK, Stylianou P, Koidou VP, Angelov N, Yukna R, Romanos GE. Limitations and options using resorbable versus nonresorbable membranes for successful guided bone regeneration. Quintessence International. 2017;48(2).
20. de Almeida Ferreira CE, Martinelli CB, Novaes Jr AB, Pignaton TB, Guignone CC, de Almeida ALG, et al. Effect of Maxillary Sinus Membrane Perforation on Implant Survival Rate: A Retrospective Study. International Journal of Oral & Maxillofacial Implants. 2017;32(2).
21. Testori T, Wallace SS, Del Fabbro M, Taschieri S, Trisi P, Capelli M, et al. Repair of large sinus membrane perforations using stabilized collagen barrier membranes: surgical techniques with histologic and radiographic evidence of success. The International journal of periodontics & restorative dentistry. 2008;28(1):9-17.
22.Boreak N, Maketone P, Mourlaas J, Wang W, Yu P. Decision tree to minimize intra-operative complications during maxillary sinus augmentation procedures. J Oral Biol. 2018;5(1):8.
23. Von Arx T, Broggini N, Jensen SS, Bornstein MM, Schenk RK, Buser D. Membrane durability and tissue response of different bioresorbable barrier membranes: a histologic study in the rabbit calvarium. International Journal of Oral & Maxillofacial Implants. 2005;20(6).
24. Bozkurt A, Apel C, Sellhaus B, van Neerven S, Wessing B, Hilgers RD, et al. Differences in degradation behavior of two non‐cross‐linked collagen barrier membranes: an in vitro and in vivo study. Clinical Oral Implants Research. 2014;25(12):1403-11.
25. Öncü E, Kaymaz E. Assessment of the effectiveness of platelet rich fibrin in the treatment of Schneiderian membrane perforation. Clinical implant dentistry and related research. 2017;19(6):1009-14.
26. Hassani A, Fazli salehi O. Complications of Sinus Grafting and the Atrophic Maxilla. Complex Dental Implant Complications. 2020:239-89.
27. Tufah HM. The Effectiveness of Different Surgical Techniques in the Management of Oro-Antral Communication and Fistula: University of Baghdad; 2022.
28. Ulm C, Bertl K, Strbac GD, Esfandeyari A, Stavropoulos A, Zechner W. Multiple perforations of the sinus floor during maxillary sinus floor augmentation to provide access to the bone marrow space: A technical report. Implant Dentistry. 2017;26(6):956-60.
29. Alves D. Hard and soft tissue augmentation for implant placement in the aesthetic zone. 2013.
30. Boyacıgil DU, Er N, Karaca Ç, Koç O. The effect of residual bone height and membrane thickness on sinus membrane perforation in crestal sinus grafting: A prospective clinical study. International Journal of Oral and Maxillofacial Surgery. 2021;50(2):251-7.
31. Garbacea A, Lozada JL, Church CA, Al-Ardah AJ, Seiberling KA, Naylor WP, et al. The incidence of maxillary sinus membrane perforation during endoscopically assessed crestal sinus floor elevation: a pilot study. Journal of Oral Implantology. 2012;38(4):345-59.
32. Beck-Broichsitter BE, Westhoff D, Behrens E, Wiltfang J, Becker ST. Impact of surgical management in cases of intraoperative membrane perforation during a sinus lift procedure: a follow-up on bone graft stability and implant success. International Journal of Implant Dentistry. 2018;4:1-8.
33. Froum SJ, Khouly I, Favero G, Cho SC. Effect of maxillary sinus membrane perforation on vital bone formation and implant survival: a retrospective study. Journal of periodontology. 2013;84(8):1094-9.
34. Oh E, Kraut RA. Effect of sinus membrane perforation on dental implant integration: a retrospective study on 128 patients. Implant dentistry. 2011;20(1):13-9.
| Files | ||
| Issue | Vol 11, No 3 (Summer 2024) | |
| Section | Review Article(s) | |
| Keywords | ||
| Maxillary sinus; Membrane rupture; Antibiotics; Survival rate. | ||
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This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |
How to Cite
1.
Dehghani N, Azarsina M, Mahmoudi X, Barani R, Hassantash S, Manouchehri N. Investigating Effective Factors in Maxillary Sinus Membrane Rupture and Its Treatment Methods: A Review. J Craniomaxillofac Res. 2024;11(3):138-145.
