J Korean Assoc Oral Maxillofac Surg.  2017 Aug;43(4):276-281. 10.5125/jkaoms.2017.43.4.276.

Lateral approach for maxillary sinus membrane elevation without bone materials in maxillary mucous retention cyst with immediate or delayed implant rehabilitation: case reports

Affiliations
  • 1Department of Oral and Maxillofacial Surgery, College of Medicine, Dong-A University, Busan, Korea. bbp2000@hanmail.net
  • 2CS Dental Hospital, Busan, Korea.

Abstract

This case series study demonstrates the possibility of successful implant rehabilitation without bone augmentation in the atrophic posterior maxilla with cystic lesion in the sinus. Sinus lift without bone graft using the lateral approach was performed. In one patient, the cyst was aspirated and simultaneous implantation under local anesthesia was performed, whereas the other cyst was removed under general anesthesia, and the sinus membrane was elevated in a second process, followed by implantation. In both cases, tapered 11.5-mm-long implants were utilized. With all of the implants, good stability and appropriate bone height were achieved. The mean bone level gain was 5.73 mm; adequate bone augmentation around the implants was shown, the sinus floor was moved apically, and the cyst was no longer radiologically detected. Completion of all of the treatments required an average of 12.5 months. The present study showed that sufficient bone formation and stable implantation in a maxilla of insufficient bone volume are possible through sinus lift without bone materials. The results serve to demonstrate, moreover, that surgical treatment of mucous retention cyst can facilitate rehabilitation. These techniques can reduce the risk of complications related to bone grafts, save money, and successfully treat antral cyst.

Keyword

Sinus floor augmentation; Without bone graft; Dental implants; Cysts

MeSH Terms

Anesthesia, General
Anesthesia, Local
Dental Implants
Humans
Maxilla
Maxillary Sinus*
Membranes*
Osteogenesis
Rehabilitation*
Sinus Floor Augmentation
Transplants
Dental Implants

Figure

  • Fig. 1 Removed #27 gold crown. The maxillary sinus was pneumatized. Bone height of 6.1 mm (panorama, A), 6.6 mm (cone-beam computed tomography, B) was measured.

  • Fig. 2 Aspiration of yellowish exudate from cyst.

  • Fig. 3 Ten months postoperatively; bone height of 9.7 mm (panorama, A), 11.2 mm (cone-beam computed tomography, B) had been achieved.

  • Fig. 4 Identification of cystic lesion in left maxillary sinus. The #27 crown was in the edentulous state. Bone heights of 7.5 mm (#26) and 3.5 mm (#27) were measured.

  • Fig. 5 Immediate after surgery: enucleation of cyst & fixation of bended 8-hole plate and five screws; extraction of #26.

  • Fig. 6 Eight months postoperatively: extraction socket was filled with new bone, and bone levels were elevated to 9.0 mm (panorama, A), 10.4 mm (cone-beam computed tomography [CBCT], B) (#26) and 9.2 mm (panorama, A), 7.6 mm (CBCT, C) (#27).

  • Fig. 7 Seven months post-implantation: ridge bone heights of 12.0 mm (panorama, A), 11.9 mm (cone-beam computed tomography [CBCT], B) (#26) and 12.6 mm (panorama, A), 12.1 mm (CBCT, C) (#27) were achieved.


Cited by  1 articles

Sinus membrane elevation and implant placement
Young-Kyun Kim, Jeong-Kui Ku
J Korean Assoc Oral Maxillofac Surg. 2020;46(4):292-298.    doi: 10.5125/jkaoms.2020.46.4.292.


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