ТОМОГРАФІЧНЕ ДОСЛІДЖЕННЯ ЗМІН МУКОПЕРІОСТУ ВЕРХНЬОЩЕЛЕПНОЇ ПАЗУХИ ПІСЛЯ ПРОВЕДЕННЯ СИНУСЛІФТИНГУ
Ключові слова:
латеральна субантральна аугментація, синусліфтинг, конусно-променева комп’ютерна томографія, мукоперіост, синусит
Анотація
Відновлення жувальної ефективності у пацієнтів з дистаотно необмеженими дефектами зубного ряду верхньої щедепи, з опорою дентальних протезів на імплантах, часто є складним завданням через значну атрофію альвеолярного відростку та пневматизацію верхньощелепного синусу. Відновлення жувальної функції в таких ситуаціях можливе за якісної оцінки стану кісткової тканини, прилеглих анатомічних структур, стану мукоперіосту верхньощелепного синусу, на основі конусно-променевої комп’ютерної томографії (КПКТ) та проведення латеральної субантральної аугментації (ЛСАА).
Процедура (ЛСАА) проведена на базі Стоматологічного медичного центру НМУ імені О.О. Богомольця за згодою 87 пацієнтів, з 2016 по 2018 роки.
Всім пацієнтам проводилась КПКТ на доопераційному етапі, а також в період 1 та 6 місяців після проведення ЛСАА. Проведення та оцінка даних здійснювалась на апараті Planmeca ProMax 3D. Дані КПКТ демонструють падіння показників мукоперіосту типу A з 86,67 до 26,75%. Кількість випадків тип B незначно збільшились з 20,33% до 26,75 %. Показники мукоперіосту наступні, 7,5 проти 41,73%. Типи D та E в межах 13.91 та 2.14% Однак, ознаки гострого синуситу констатуються тільки в 2 випадках. В 3 випадках рентгенологічно фіксувався тип F. Підсумовуючи, незначні зміни мукоперіосту спостерігались у 17.12% пацієнтів, яким проведено ЛСАА. Оскільки оцінка та діагностика змін мукоперіосту на осноі клінічних та рентгенологічних даних є складними – це доводить необхідність мультидисциплвнарного підходу, участі ЛОР-лікарів та ендоскопічного контролю пацієнтів, яким проведиться процедура ЛСАА.
Посилання
Akram Mahmood Elias B. D. Supervised By Assistant Professor DR. Luqman Fawzi Omar B.D.S, M.Sc. (2009) Maxillary sinus membrane elevation and simultaneous implant placement without grafting materials.J. Clinical and Radiographical Study 16: 11-13.
Al-Dajani M. Recent Trends in Sinus Lift Surgery and Their Clinical Implications. Clin Implant Dent Relat Res. 2016 Feb;18(1):204-12.
Boyne, P. and James, R.A. Grafting of the maxillary sinus floor with autogenous marrow and bone. Journal of Oral and Maxillofacial Surgery, (1980) 17, 113-116.
Cavalcanti MC at al. Maxillary sinus floor pneumatization and alveolar ridge resorption after tooth loss: a cross-sectional study. Braz Oral Rez. 2018 Aug 6 (32): 64.
Chanavaz, M. Sinus graft procedures and implant denrisry: a review of 21 years of surgical experience (1979-2000). Implant Dent. 9(3), 197-200.
Choucroun G. at al. Sinus Floor Cortication: Classification and Prevalence. Clin impland Dent Relat. 2017 Feb;19(1):69-73.
Cruz RS at al. Short implants versus longer implants with maxillary sinus lift. A systematic review and meta-analysis. Braz Oral Rez. 2018;32:e86.
Daiane Balero Galindo at all. (2017). Main literary findings on autogenous and xenogenous grafting: A review. Dent Oral Craniofac Res, 4(3): 1-4.
Demircol M., Demircol N. (2019) The effects of posterior alveolar bone height on the height of maxillary sinus septa. Surg Radiol Anat. 2019 Sep;41(9):1003-1006.
Erhan Dursun at al. Maxillary sinus and surrounding bone anatomy with cone beam computed tomography after multiple teeth loss: a retrospective multicenter clinical study. Implant Dentistry. 2019 Jun;. 28, (3): 226-230.
Giovanni Felisati at al. Sinonasal complications resulting from dental treatment: Outcome-oriented proposal of classification and surgical protocol. Rhinol Allerg. 2013 Jul-Aug;27(4):e101-6.
Hoang JK at al. Multiplanar Sinus CT: A Systematic Approach to Imaging Before Functional Endoscopic Sinus Surgery. AJR Am J Roentgenol. 2010 Jun;194(6):W527-36.
Hoon Joo Yang, Soon Jung Hwang. Void space and long-term volumetric changes of maxillary sinus floor augmentation with comparison between hydroxyapatite soaked with bone morphogenetic protein 2 and anorganic bovine xenograft alone. CranioMaxillofac Surg. 2019 Oct; 47(10):1626-1632.
Horia Mihail Barbu at al. Management of Schneiderian Membrane Perforations during Sinus Augmentation Procedures: A Preliminary Comparison of Two Different Approaches. Clin Med. 2019 Sep 19;8(9).
Jensen OT at al. Report of the Sinus Consensus Conference of 1996. Oral Maxillofac Implants. 1998;13 Suppl:11-45.
Khalighi Sigaroudi A, Dalili Kajan Z, Rastgar S, Neshandar Asli H. Frequency of different maxillary sinus septal patterns found on cone-beam computed tomography and predicting the associated risk of sinus membrane perforation during sinus lifting. Imaging Sci Dent. 2017 Dec;47(4):261-7.
Kim H.J. at al. A retrospective study of implants placed following 1-stage or 2-stage maxillary sinus floor augmentation by the lateral window technique performed on residual bone of less than 4 mm: Results up to 10 years of follow-up. Periodontol. 2019 Aug 2.
Kim SM. Definition and management of odontogenic maxillary sinusitis. Maxillofac Plast Reconstr Surg. 2019 Mar 29;41(1):13.
Minhua Teng at al. Sinus Width Analysis and New Classification with Clinical Implications for Augmentation. Clin impland Dent Relat. 2016 Feb;18(1):89-96.
Niu L. at al. New classification of maxillary sinus contours and its relation to sinus floor elevation surgery. Clin impland Dent Relat. 2018 Aug;20(4):493-500.
Rapani M, Rapani C, Ricci L. Br. Schneider membrane thickness classification evaluated by cone-beam computed tomography and its importance in the predictability of perforation. Retrospective analysis of 200 patients. J Oral Maxillofac Surg. 2016 Dec. 54(10): 1106-1110.
Rapani M. at al. Schneider membrane thickness classification evaluated by cone-beam computed tomography and its importance in the predictability of perforation. Retrospective analysis of 200 patients. Oal Maxillofac Surg. 2016 Dec;54(10):1106-1110.
Ritter A at al. Preoperative Maxillary Sinus Imaging and the Outcome of Sinus Floor Augmentation and Dental Implants in Asymptomatic Patients. Otol Rhinol Laryngol. 2019 Oct 21:3489419883292.
Sanz-Sánchez I et al. Effects of lateral bone augmentation procedures on peri- implant health or disease: A systematic review and meta- analysis. Clin Oral Impl Res. 2018; 29(15):18–21.
Sbordone C, Toti P, Guidetti F, Califano L, Pannone G, Sbordone L: Volumetric changes after sinus augmentation using blocks of autogenous iliac bone or freeze-dried allogeneic bone. A non-randomized study. J CranioMaxillofacial Surg 2014, 42:113–118.
Silva L.D. at al. Maxillary sinus lift surgery-with or without graft material? A systematic review. Oral Maxillofac Surg. 2016 Dec;45(12):1570-1576.
Smiler, D.G. & Holmes, R.E. (1987) Sinus lift procedure usingporous hydroxyapatite: A preliminary clinical report.Journal of Oral Implantology13: 239–243.
Sonoda T. at al. Effect of Staged Crestal Maxillary Sinus Augmentation: A case series. Periodontol. 2019 Jul 31.
Stefano Corbella at al. Histomorphometric outcomes after lateral sinus floor elevation procedure: a systematic review of the literature and meta-analysis. 2016 Sep;27(9):1106-10.
Tatum, H. (1986) Maxillary and sinus implant reconstructions. Dental Clinics of North America 30: 207–210.
Torrade M., Marti C. Prevalence and management of Schneiderian membrane perforations during sinus-lift procedures. Clin. Oral Impl. Really. 19, 2008; 91–98 9
Yi-Wei Chen at al. A paradigm for evaluation and management of the maxillary sinus before dental implantation0 Laryngscope. 2018 Jun;128(6):1261-1265.
Zeng X. at al. Influence of Maxillary Sinus Width on Transcrestal Sinus Augmentation Outcomes: Radiographic Evaluation Based on Cone Beam CT. Clin impland Dent Relat. 2016 Apr;18(2):292-300.
Al-Dajani M. Recent Trends in Sinus Lift Surgery and Their Clinical Implications. Clin Implant Dent Relat Res. 2016 Feb;18(1):204-12.
Boyne, P. and James, R.A. Grafting of the maxillary sinus floor with autogenous marrow and bone. Journal of Oral and Maxillofacial Surgery, (1980) 17, 113-116.
Cavalcanti MC at al. Maxillary sinus floor pneumatization and alveolar ridge resorption after tooth loss: a cross-sectional study. Braz Oral Rez. 2018 Aug 6 (32): 64.
Chanavaz, M. Sinus graft procedures and implant denrisry: a review of 21 years of surgical experience (1979-2000). Implant Dent. 9(3), 197-200.
Choucroun G. at al. Sinus Floor Cortication: Classification and Prevalence. Clin impland Dent Relat. 2017 Feb;19(1):69-73.
Cruz RS at al. Short implants versus longer implants with maxillary sinus lift. A systematic review and meta-analysis. Braz Oral Rez. 2018;32:e86.
Daiane Balero Galindo at all. (2017). Main literary findings on autogenous and xenogenous grafting: A review. Dent Oral Craniofac Res, 4(3): 1-4.
Demircol M., Demircol N. (2019) The effects of posterior alveolar bone height on the height of maxillary sinus septa. Surg Radiol Anat. 2019 Sep;41(9):1003-1006.
Erhan Dursun at al. Maxillary sinus and surrounding bone anatomy with cone beam computed tomography after multiple teeth loss: a retrospective multicenter clinical study. Implant Dentistry. 2019 Jun;. 28, (3): 226-230.
Giovanni Felisati at al. Sinonasal complications resulting from dental treatment: Outcome-oriented proposal of classification and surgical protocol. Rhinol Allerg. 2013 Jul-Aug;27(4):e101-6.
Hoang JK at al. Multiplanar Sinus CT: A Systematic Approach to Imaging Before Functional Endoscopic Sinus Surgery. AJR Am J Roentgenol. 2010 Jun;194(6):W527-36.
Hoon Joo Yang, Soon Jung Hwang. Void space and long-term volumetric changes of maxillary sinus floor augmentation with comparison between hydroxyapatite soaked with bone morphogenetic protein 2 and anorganic bovine xenograft alone. CranioMaxillofac Surg. 2019 Oct; 47(10):1626-1632.
Horia Mihail Barbu at al. Management of Schneiderian Membrane Perforations during Sinus Augmentation Procedures: A Preliminary Comparison of Two Different Approaches. Clin Med. 2019 Sep 19;8(9).
Jensen OT at al. Report of the Sinus Consensus Conference of 1996. Oral Maxillofac Implants. 1998;13 Suppl:11-45.
Khalighi Sigaroudi A, Dalili Kajan Z, Rastgar S, Neshandar Asli H. Frequency of different maxillary sinus septal patterns found on cone-beam computed tomography and predicting the associated risk of sinus membrane perforation during sinus lifting. Imaging Sci Dent. 2017 Dec;47(4):261-7.
Kim H.J. at al. A retrospective study of implants placed following 1-stage or 2-stage maxillary sinus floor augmentation by the lateral window technique performed on residual bone of less than 4 mm: Results up to 10 years of follow-up. Periodontol. 2019 Aug 2.
Kim SM. Definition and management of odontogenic maxillary sinusitis. Maxillofac Plast Reconstr Surg. 2019 Mar 29;41(1):13.
Minhua Teng at al. Sinus Width Analysis and New Classification with Clinical Implications for Augmentation. Clin impland Dent Relat. 2016 Feb;18(1):89-96.
Niu L. at al. New classification of maxillary sinus contours and its relation to sinus floor elevation surgery. Clin impland Dent Relat. 2018 Aug;20(4):493-500.
Rapani M, Rapani C, Ricci L. Br. Schneider membrane thickness classification evaluated by cone-beam computed tomography and its importance in the predictability of perforation. Retrospective analysis of 200 patients. J Oral Maxillofac Surg. 2016 Dec. 54(10): 1106-1110.
Rapani M. at al. Schneider membrane thickness classification evaluated by cone-beam computed tomography and its importance in the predictability of perforation. Retrospective analysis of 200 patients. Oal Maxillofac Surg. 2016 Dec;54(10):1106-1110.
Ritter A at al. Preoperative Maxillary Sinus Imaging and the Outcome of Sinus Floor Augmentation and Dental Implants in Asymptomatic Patients. Otol Rhinol Laryngol. 2019 Oct 21:3489419883292.
Sanz-Sánchez I et al. Effects of lateral bone augmentation procedures on peri- implant health or disease: A systematic review and meta- analysis. Clin Oral Impl Res. 2018; 29(15):18–21.
Sbordone C, Toti P, Guidetti F, Califano L, Pannone G, Sbordone L: Volumetric changes after sinus augmentation using blocks of autogenous iliac bone or freeze-dried allogeneic bone. A non-randomized study. J CranioMaxillofacial Surg 2014, 42:113–118.
Silva L.D. at al. Maxillary sinus lift surgery-with or without graft material? A systematic review. Oral Maxillofac Surg. 2016 Dec;45(12):1570-1576.
Smiler, D.G. & Holmes, R.E. (1987) Sinus lift procedure usingporous hydroxyapatite: A preliminary clinical report.Journal of Oral Implantology13: 239–243.
Sonoda T. at al. Effect of Staged Crestal Maxillary Sinus Augmentation: A case series. Periodontol. 2019 Jul 31.
Stefano Corbella at al. Histomorphometric outcomes after lateral sinus floor elevation procedure: a systematic review of the literature and meta-analysis. 2016 Sep;27(9):1106-10.
Tatum, H. (1986) Maxillary and sinus implant reconstructions. Dental Clinics of North America 30: 207–210.
Torrade M., Marti C. Prevalence and management of Schneiderian membrane perforations during sinus-lift procedures. Clin. Oral Impl. Really. 19, 2008; 91–98 9
Yi-Wei Chen at al. A paradigm for evaluation and management of the maxillary sinus before dental implantation0 Laryngscope. 2018 Jun;128(6):1261-1265.
Zeng X. at al. Influence of Maxillary Sinus Width on Transcrestal Sinus Augmentation Outcomes: Radiographic Evaluation Based on Cone Beam CT. Clin impland Dent Relat. 2016 Apr;18(2):292-300.
Опубліковано
2019-12-27
Як цитувати
Шпачинський , О., Скібіцький , В., Філіппенкова , Л., Василевський , К., Дідковський , В., & Копчак , А. (2019). ТОМОГРАФІЧНЕ ДОСЛІДЖЕННЯ ЗМІН МУКОПЕРІОСТУ ВЕРХНЬОЩЕЛЕПНОЇ ПАЗУХИ ПІСЛЯ ПРОВЕДЕННЯ СИНУСЛІФТИНГУ. Український науково-медичний молодіжний журнал, 112(4), 54-63. https://doi.org/10.32345/USMYJ.4(112).2019.54-63
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