Use of Plasma Rich in Growth Factor for Schneiderian Membrane Management During Maxillary Sinus Augmentation Procedure

The aim of this pilot study was to present a novel technique for the management of the Schneiderian membrane during maxillary sinus lift surgery using plasma rich in growth factors (PRGF). Eight maxillary sinuses were augmented in 8 patients. Two small perforations of the Schneiderian membrane occurred during the lifting procedure, which were solved using the PRGF clot before grafting the site with PRGF and anorganic bovine bone. With the exception of 1 patient who experienced pain following an acute sinus infection after 3 days of uneventful healing, the patients' postoperative quality of life was generally good. The most common complication (50% of cases) was hematoma, which disappeared after 1 week. Despite the limitations of this study concerning the sample size and the study design, the use of PRGF may be helpful in reducing complications following sinus lift surgery. More well-designed studies, with larger sample size, are needed to validate this protocol.

Download Full-text

Evaluation of the Success of β-Tricalciumphosphate and Deproteinized Bovine Bone in Maxillary Sinus Augmentation Using Histomorphometry: A Review

Acta Medica (Hradec Kralove Czech Republic) ◽

10.14712/18059694.2017.116 ◽

2006 ◽

Vol 49 (2) ◽

pp. 87-89 ◽

Cited By ~ 13

Author(s):

Rakesh V. Somanathan ◽

Antonín Šimůnek

Keyword(s):

Maxillary Sinus ◽

Success Rate ◽

Bovine Bone ◽

Sinus Lift ◽

Sinus Augmentation ◽

Recent Innovation ◽

Posterior Maxilla ◽

The World ◽

Grafting Materials ◽

Deproteinized Bovine Bone

Sinus lift operations have become a prerequisite for implantologists in the rehabilitation of atrophic posterior maxilla. Alloplasts and xenografts are the recent innovation in the world of grafting materials and have evolved in such a way as to compensate the need for autografts to be used in conjunction. In order to perfect the grafting materials, histomorphometry is the most often tool used to study the success of the augmentation. This article has tried to commemorate the importance of histomorphometry in maxillary antroplasty and also the success rate of β-tricalciumphosphate and deproteinized bovine bone as an augmentation material in maxillary augmentation.

Download Full-text

Floating septum technique: easy and safe method maxillary sinus septa in sinus lifting procedure

Maxillofacial Plastic and Reconstructive Surgery ◽

10.1186/s40902-019-0233-1 ◽

2019 ◽

Vol 41 (1) ◽

Cited By ~ 1

Author(s):

Junho Jung ◽

Bo-Yeon Hwang ◽

Byung-Soo Kim ◽

Jung-Woo Lee

Keyword(s):

Maxillary Sinus ◽

Maxillary Sinusitis ◽

Sinus Lift ◽

Sinus Floor Elevation ◽

Schneiderian Membrane ◽

Safe Method ◽

Membrane Perforation ◽

Sinus Lifting ◽

Maxillary Sinus Septa ◽

Sinus Floor

Abstract Background The presence of septa increases the risk of Schneiderian membrane perforation during sinus lift procedure, and therefore, the chance of graft failure increases. We present a safe method of managing septa and, in particular, overcoming small and palatally located septa. Methods After the elevation of the flap and the creation of a small bony window positioned anterior to the septum, the Schneiderian membrane is lifted carefully. A thin and narrow osteotome is then placed at the indentation created at the base of the septum, and mobilization of the septum is achieved by gentle malleting. The membrane is again carefully lifted up behind the septum. Results There was one small membrane perforation case in all 16 cases, and none of these patients showed postoperative complications such as implant failure, infection, or maxillary sinusitis. Conclusions This technique is useful for overcoming the problem of maxillary sinus septa hindering the sinus floor elevation procedure, leading to fewer complications.

Download Full-text