Essam Al-Moraissi1, Ahmed Elsharkawy2, Bassam Abotaleb3, Khaled Alkebsi3, Hamza Al-Motwakel4. 1. Department of Oral and Maxillofacial Surgery, Thamar University, Thamar, Yemen. 2. Department of Oral and Maxillofacial Surgery, Cairo University, Cairo, Egypt. 3. Department of Oral and Maxillofacial Surgery, Ibb University, Ibb, Yemen. 4. Department of Oral Implantology, Lanzhou University, China.
Abstract
PURPOSE: There is still debate whether intraoperative Schneiderian membrane (SM) perforation in the maxillary sinus lift causes an increase the risk of implants failure. The aim of this study was to assess an association between SM perforation and implants loss following the maxillary sinus lift. MATERIALS AND METHODS: A systematic review and meta-analysis of clinical studies assessing association between SM perforation and implants failure based on PRISMA was conducted. Three major databases were used to gather research dating from their respective inception up until March 2018. All clinical studies expressly reported the number of the SM perforation and implants loss that installed in the perforated and nonperforated sinuses were included. The statistical analyses used were Pearson's correlation, simple linear regression, and meta regression. The risk ratio (RR) of implant loss between perforated and nonperforated sites was estimated. RESULTS: A total of 2947 patients with 3884 maxillary sinuses augmentations who received 7358 implants, enrolled in 58 studies were included in this study. There was a significant relationship between the implants' failure and SM perforation according to simple linear regression (P < .001) and meta regression analysis (P = .06). There was a significant decrease (moderate quality evidence) in implant loss in the nonperforated sinuses compared to perforated sunrises (RR = 2.17, CI: 1.52-3.10, P = .001). There was also no significant association between implant loss in the perforated sinuses and the surgical devices used (piezosurgical or rotary), surgical approach applied (lateral or crestal sinus lift), barrier membrane used and type of bone grafting materials. CONCLUSION: The results of this study showed that an intraoperative SM perforation could increase the risk of implant failure after the sinus lift surgery.
PURPOSE: There is still debate whether intraoperative Schneiderian membrane (SM) perforation in the maxillary sinus lift causes an increase the risk of implants failure. The aim of this study was to assess an association between SM perforation and implants loss following the maxillary sinus lift. MATERIALS AND METHODS: A systematic review and meta-analysis of clinical studies assessing association between SM perforation and implants failure based on PRISMA was conducted. Three major databases were used to gather research dating from their respective inception up until March 2018. All clinical studies expressly reported the number of the SM perforation and implants loss that installed in the perforated and nonperforated sinuses were included. The statistical analyses used were Pearson's correlation, simple linear regression, and meta regression. The risk ratio (RR) of implant loss between perforated and nonperforated sites was estimated. RESULTS: A total of 2947 patients with 3884 maxillary sinuses augmentations who received 7358 implants, enrolled in 58 studies were included in this study. There was a significant relationship between the implants' failure and SM perforation according to simple linear regression (P < .001) and meta regression analysis (P = .06). There was a significant decrease (moderate quality evidence) in implant loss in the nonperforated sinuses compared to perforated sunrises (RR = 2.17, CI: 1.52-3.10, P = .001). There was also no significant association between implant loss in the perforated sinuses and the surgical devices used (piezosurgical or rotary), surgical approach applied (lateral or crestal sinus lift), barrier membrane used and type of bone grafting materials. CONCLUSION: The results of this study showed that an intraoperative SM perforation could increase the risk of implant failure after the sinus lift surgery.
Authors: Luis Alfredo Díaz-Olivares; Jorge Cortés-Bretón Brinkmann; Natalia Martínez-Rodríguez; José María Martínez-González; Juan López-Quiles; Isabel Leco-Berrocal; Cristina Meniz-García Journal: Int J Implant Dent Date: 2021-07-12
Authors: Luigi V Stefanelli; Nicola Pranno; Francesca De Angelis; Silvia La Rosa; Antonella Polimeni; Stefano Di Carlo Journal: BMC Oral Health Date: 2020-10-07 Impact factor: 2.757