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Published on: June 20, 2018
Septa within the sinus: effect on elevation of the sinus floor
Bruno Ella1, Reynald Da Costa Noble, Yves Lauverjat
1Department of Odontology and Buccal Health, 16-20, Cours de la Marne, 33082 Bordeaux cedex, France. tsir.ella@wanadoo.fr
Bony septa within the maxillary sinus can complicate sinus floor elevation procedures for dental implants. Understanding these anatomical variations is crucial for successful oral surgery outcomes.
Area of Science:
- Dentistry
- Oral and Maxillofacial Surgery
- Anatomy
Background:
- Sinus floor elevation is essential for placing dental implants of adequate length.
- The crestal approach for sinus membrane dissection can be complicated by internal maxillary sinus anatomy, specifically bony septa.
Purpose of the Study:
- To investigate the prevalence and characteristics of bony intramaxillary sinus septa.
- To identify potential complications these septa may cause during sinus floor elevation procedures.
Main Methods:
- Anatomical dissection and computed tomography were used to study 150 sinuses from 40 male cadavers.
- 35 randomized male patients were also included in the study.
Main Results:
- 61% of subjects had no bony septa or septa < 4mm.
- 39% had bony septa, including incomplete, complete, and symmetrical configurations.
Conclusions:
- Bony intramaxillary sinus septa are a significant anatomical variation.
- These septa can present challenges during sinus floor elevation, impacting oral implant placement.
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