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Evaluation of volume changes following lateral window maxillary sinus floor elevation using Minics software.

Hanfei Zhang1, Huiting Hu1, Cong Li2

  • 1Department of Periodontology and Oral Implantology, Stomatological Hospital, Southern Medical University, Guangzhou, China.

Annals of Translational Medicine
|October 21, 2022
PubMed
Summary

Maxillary sinus floor elevation volume decreases significantly six months post-surgery. To prevent shrinkage, surgeons should maximize the elevation site volume during the lateral window procedure.

Keywords:
Bone graftlateral window maxillary sinus floor elevationmaxillary sinussoftwarethree-dimensional volume analysis software

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Area of Science:

  • Oral and Maxillofacial Surgery
  • Dental Implantology
  • Bone Grafting Techniques

Background:

  • Maxillary sinus floor elevation is a common procedure to augment bone height for dental implants.
  • Significant volume changes post-elevation are reported, but assessment standards are lacking.
  • This study investigates volume changes in the lateral window approach.

Purpose of the Study:

  • To analyze volume changes in the lateral window maxillary sinus floor elevation region.
  • To evaluate the efficacy of Minics software in assessing these volumetric alterations.
  • To provide insights into managing post-operative bone graft volume stability.

Main Methods:

  • Forty patients undergoing lateral window maxillary sinus floor elevation were analyzed.
  • Patients were divided into simultaneous (n=20) and delayed (n=20) implantation groups.
  • Minics software performed 3D analysis of the elevation site at 24 hours (T1) and 6 months (T2) post-surgery.

Main Results:

  • A statistically significant reduction in elevation site volume was observed at 6 months post-surgery.
  • Significant differences were noted in length, width, height, and overall volume between T1 and T2.
  • Volume reduction occurred regardless of simultaneous or delayed implantation timing.

Conclusions:

  • The lateral window maxillary sinus floor elevation site experiences significant volume reduction 6 months post-operation.
  • Minics software effectively quantifies these volumetric changes.
  • Enlarging the elevation site volume during surgery is recommended to counteract post-operative shrinkage.