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Changes in Sinus Membrane Thickness After Lateral Sinus Floor Elevation: A Radiographic Study.

Christian Makary, Alberto Rebaudi, Abdallah Menhall

    The International Journal of Oral & Maxillofacial Implants
    |October 20, 2015
    PubMed
    Summary
    This summary is machine-generated.

    Sinus membrane swelling after lateral sinus floor elevation surgery peaks at 7 days and resolves within months. Larger graft volumes correlate with increased swelling, which is expected and temporary.

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    Area of Science:

    • Oral and Maxillofacial Surgery
    • Periodontology
    • Dental Implantology

    Background:

    • Lateral sinus floor elevation is a common procedure for maxillary implant reconstruction.
    • Monitoring sinus membrane response is crucial for successful outcomes.
    • Piezosurgery offers a minimally invasive approach for sinus augmentation.

    Purpose of the Study:

    • To radiographically assess sinus membrane swelling following lateral sinus floor elevation.
    • To evaluate short-term and long-term healing patterns of the sinus membrane.
    • To investigate the correlation between graft volume and membrane thickness.

    Main Methods:

    • 32 lateral sinus floor elevations were performed using Piezosurgery in 26 patients.
    • Cone beam computed tomography (CBCT) was used for pre-operative and post-operative imaging.
    • Sinus membrane thickness was measured at standardized points up to 12 months post-surgery.

    Main Results:

    • Membrane thickness increased significantly in the first week, peaking at 7 days (mean 7 mm).
    • Thickness gradually decreased to 0.39 mm at 12 months, indicating complete resolution.
    • A positive correlation was found between larger graft volumes and increased membrane thickness (r = 0.527, P < .001).

    Conclusions:

    • Transient sinus membrane swelling is a normal radiographic finding after lateral sinus floor elevation.
    • Swelling resolves completely over several months.
    • The extent of swelling is related to the volume of the bone graft used.