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Association Between Bone Graft Volume and Maxillary Sinus Membrane Elevation Height.

Tetsuya Sonoda, Takehiro Harada, Nobuyuki Yamamichi

    The International Journal of Oral & Maxillofacial Implants
    |February 24, 2017
    PubMed
    Summary
    This summary is machine-generated.

    Placing 0.1 mL of bone graft material elevates the sinus membrane by 3.5 mm. To prevent sinus membrane perforation during crestal sinus elevation, maintain a vertical elevation height to buccopalatal/mesiodistal elevation ratio of 0.8 or less.

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    Area of Science:

    • Oral and Maxillofacial Surgery
    • Dental Implantology
    • Regenerative Dentistry

    Background:

    • Crestal approach for maxillary sinus augmentation allows sinus membrane elevation.
    • The relationship between bone graft volume and membrane elevation height is not well-established.
    • Assessing perforation risk during sinus membrane elevation is crucial.

    Purpose of the Study:

    • To investigate the correlation between bone grafting material volume and sinus membrane elevation height.
    • To three-dimensionally assess the risk of sinus membrane perforation during crestal approach augmentation.

    Main Methods:

    • 34 subjects (61 sites) underwent crestal sinus elevation.
    • Cone beam computed tomography (CBCT) measured vertical elevation height (VEH), buccopalatal elevation (BPE), and mesiodistal elevation (MDE).
    • VEH:BPE and VEH:MDE ratios were calculated to assess perforation risk.

    Main Results:

    • 0.1 mL graft volume yielded 3.5 mm VEH; 0.2 mL yielded 5 mm; 0.3 mL yielded 6 mm.
    • VEH:BPE and VEH:MDE ratios are critical for membrane integrity.
    • Ratios >1.0 increase perforation risk; ratios ≤0.8 indicate lower risk.

    Conclusions:

    • 0.1 mL bone graft material can achieve 3.5 mm vertical sinus membrane elevation.
    • A VEH:BPE or VEH:MDE ratio of ≤0.8 is recommended to minimize perforation risk.