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Prediction of the bone volume for sinus augmentation through 3-dimensional analysis.

Su-Yun Park1, Kwang-Min Kim1, Yu-Jin Kim2

  • 1Department of Oral and Maxillofacial Surgery, Seoul Metropolitan Government - Seoul National University Boramae Medical Center, Seoul, South Korea.

Journal of Dental Sciences
|July 22, 2024
PubMed
Summary

Predicting bone volume for maxillary sinus augmentation is now possible. Augmentation height and angle are key factors influencing the final bone volume, aiding in surgical planning.

Keywords:
ImplantMaxillary sinus morphologySinus augmentationSinus widthThree-dimensional analysis

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Area of Science:

  • Dental implantology
  • Oral and maxillofacial surgery
  • Biomaterials science

Background:

  • Maxillary sinus augmentation is a common procedure in dental implantology.
  • There is currently no established consensus on the precise bone grafting volume required.
  • Accurate volume estimation is crucial for successful outcomes.

Purpose of the Study:

  • To estimate the minimum bone volume needed for maxillary sinus augmentation.
  • To identify factors influencing the final augmentation volume (AV).

Main Methods:

  • Virtual dome-shaped sinus augmentation was performed on 30 patients using cone-beam computed tomography (CBCT).
  • Augmentation was simulated at various vertical heights (VH) with and without simulated implantation.
  • Augmentation angle (AA), sinus width (SW), and AV were measured using 3D Slicer software.

Main Results:

  • Mean AV varied significantly with VH, ranging from 0.037 to 1.287 cc across groups and heights.
  • Univariable and multivariable analyses confirmed that SW, AA, and VH are significant predictors of AV (P < 0.001).
  • AA and VH were identified as the most significant factors in multivariable analysis (P < 0.01).

Conclusions:

  • Clinicians can reliably predict the required bone volume for sinus augmentation.
  • Measuring augmentation height and angle provides a predictable method for estimating bone volume.
  • This facilitates more precise surgical planning in maxillary sinus augmentation procedures.