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Complications in sinus lifting procedures: Classification and management.

Ana Molina1,2, Ignacio Sanz-Sánchez1,2, Ignacio Sanz-Martín1

  • 1Section of Graduate Periodontology, School of Dentistry, University Complutense, Madrid, Spain.

Periodontology 2000
|February 1, 2022
PubMed
Summary

Sinus lifting procedures augment bone for dental implants but carry risks like membrane perforation. Careful patient evaluation and technique selection are crucial for successful outcomes in posterior maxilla augmentation.

Keywords:
complicationshemorrhagemembrane perforationrhinosinusitissinus lifting

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Area of Science:

  • Oral Surgery
  • Implant Dentistry
  • Maxillofacial Reconstruction

Background:

  • Sinus lifting procedures are vital for dental implant placement in the posterior maxilla with limited bone.
  • Both open and closed sinus lifts have associated complications, impacting graft and implant viability.
  • Common complications include Schneiderian membrane perforation, sinusitis, and vertigo.

Purpose of the Study:

  • To review the complications and comorbidities associated with open and closed sinus lifting procedures.
  • To discuss emerging technologies aimed at mitigating these risks.
  • To emphasize the importance of pre-operative assessment and surgical technique selection.

Main Methods:

  • Review of existing literature on sinus lifting complications.
  • Analysis of common and less frequent adverse events for both open and closed techniques.
  • Discussion of novel technologies and their current evidence base.

Main Results:

  • Open sinus lifts have a 20-25% rate of membrane perforation; specific complications include sinusitis and ostium blockage.
  • Closed sinus lifts, while less invasive, can lead to membrane perforation, vertigo, and implant displacement.
  • Evidence for new technologies like piezoelectric devices is still limited.

Conclusions:

  • Sinus lifting is predictable but requires careful management of potential complications.
  • Thorough pre-operative evaluation and tailored surgical technique selection are essential.
  • Further research is needed to validate the safety and efficacy of newer technologies.