Yıl: 2020 Cilt: 25 Sayı: 1 Sayfa Aralığı: 1 - 6 Metin Dili: İngilizce DOI: 10.21673/anadoluklin.466703 İndeks Tarihi: 27-10-2020

An Investigation of the Relationship Between Schneiderian Membrane Thickness and Sinus Floor Cortication through Cone-beam Computed Tomography

Öz:
Aim: In this study, we aimed to investigate the relationship between sinus floor cortication (SFC)and Schneiderian membrane thickness (SMT) through cone-beam computed tomography (CBCT)images.Materials and Methods: A total of 292 maxillary sinuses of 146 patients (61 males, 85 females)who underwent a CBCT scan for dental implant treatment were evaluated. SFC was classifiedas follows: type-1: sinus floor exhibiting similar or higher density than the surrounding corticalareas, type-2: sinus floor exhibiting lower density than the surrounding cortical areas, type-3:sinus floor exhibiting no cortical bone, and type-4: sinus floor exhibiting fusion of sinus floor boneand native crestal bone. We also investigated the relationship between the SFC types and SMTsmeasured from the highest border of the membrane to the sinus floor on cross-sectional images.Results: Type-1, type-2, type-3, and type-4 SFC were seen in 114, 102, 48, and 28 cases, respectively. The Schneiderian membrane was found to be thinner in type-1 SFC than in type-2 SFC. Nosignificant difference was found between type-3 and type-4 SFC in terms of SMT.Discussion and Conclusion: Evaluation of SFC and SMT using CBCT can provide informationabout implant stability and survival in treatment after sinus grafting. Although type-1 SFC is favorable for implant placement, it may also be associated with an increased risk of membraneperforation.
Anahtar Kelime:

Schneiderian Membran Kalınlığı ile Sinüs Taban Kortikasyonu Arasındaki İlişkinin Konik Işınlı Bilgisayarlı Tomografi ile İncelenmesi

Öz:
Amaç: Bu çalışmada sinüs tabanı kortikasyonu (STK) ve Schneiderian membran kalınlığı (SMK) arasındaki ilişkiyi konik ışınlı bilgisayarlı tomografi (KIBT) görüntüleri üzerinden incelemek amaçlanmıştır. Gereç ve Yöntemler: Dental implant tedavisi için KIBT çektirmiş 146 hastaya ait (61 erkek, 85 kadın) toplam 292 maksiller sinüs değerlendirildi. STK şu şekilde sınıflandırıldı: tip 1: çevre kortikal alanla benzer ya da daha yüksek dansite gösteren sinüs tabanı, tip 2: çevre kortikal alandan daha düşük dansite gösteren sinüs tabanı, tip 3: kortikal kemik içermeyen sinüs tabanı, tip 4: krestal kemikle kaynaşmış sinüs tabanı. Kesitsel görüntülerde membranın en üst noktası ile tabanı arasında ölçülen SMK ile STK tipleri arasındaki ilişki de incelendi. Bulgular: Tip 1, tip 2, tip 3 ve tip 4 STK sırasıyla 114, 102, 48 ve 28 vakada görüldü. Schneiderian membran tip 1 STK’de tip 2 STK’ye kıyasla daha ince bulundu. Tip 3 STK ile tip 4 STK arasında SMK açısından anlamlı fark görülmedi. Tartışma ve Sonuç: STK ve SMK’nin KIBT ile değerlendirilmesi sinüs greftleme sonrası tedavide implant stabilitesi ve sağkalımı hakkında bilgi sağlayabilir. Tip 1 STK, implant yerleştirme için elverişli iken, daha yüksek bir membran perforasyonu riski ile ilişkili olabilir.
Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
  • 1. Arman C, Ergur I, Atabey A, Guvencer M, Kiray A, Korman E, et al. The thickness and the lengths of the anterior wall of adult maxilla of the West Anatolian Turkish people. Surg Radiol Anat. 2006;28(6):553–8.
  • 2. Sharan A, Madjar D. Maxillary sinus pneumatization following extractions: a radiographic study. Int J Oral Maxillofac Implants. 2008;23(1):48–55.
  • 3. Tan WL, Wong TL, Wong M, Lang NP. A systematic review of postextractional alveolar hard and soft tissue dimensional changes in humans. Clin Oral Implants Res. 2012;23(s5):1–21.
  • 4. Aghaloo TL, Moy PK. Which hard tissue augmentation techniques are the most successful in furnishing bony support for implant placement? Int J Oral Maxillofac Implants. 2007;22(Suppl.):49–70.
  • 5. Del Fabbro M, Testori T, Francetti L, Weinstein R. Systematic review of survival rates for implants placed in the grafted maxillary sinus. Int J Periodontics Restorative Dent. 2004;24(6):565–77.
  • 6. Wallace SS FS. Effect of maxillary sinus augmentationon the survival of endosseous dental implants. A systematic review. Ann Periodontol. 2003;8:328–43.
  • 7. Choucroun G, Mourlaas J, Kamar Affendi NH, Froum SJ, Cho SC. Sinus floor cortication: classification and prevalence. Clin Implant Dent Relat Res. 2017;19(1):69–73.
  • 8. Cakur B, Sumbullu MA, Durna D. Relationship among Schneiderian membrane, Underwood’s septa, and the maxillary sinus inferior border. Clin Implant Dent Relat Res. 2013;15(1):83–7.
  • 9. Hernandez-Alfaro F, Torradeflot MM, Marti C. Prevalence and management of Schneiderian membrane perforations during sinus-lift procedures. Clin Oral Implants Res. 2008;19(1):91–8.
  • 10. Pommer B, Unger E, Suto D, Hack N, Watzek G. Mechanical properties of the Schneiderian membrane in vitro. Clin Oral Implants Res. 2009;20(6):633–7.
  • 11. Oh E, Kraut RA. Effect of sinus membrane perforation on dental implant integration: a retrospective study on 128 patients. Implant Dent. 2011;20(1):13–9.
  • 12. Wen SC, Lin YH, Yang YC, Wang HL. The influence of sinus membrane thickness upon membrane perforation during transcrestal sinus lift procedure. Clin Oral Implants Res. 2015;26(10):1158–64.
  • 13. Schatzker J, Horne JG, Sumner-Smith G. The effect of movement on the holding power of screws in bone. Clin Orthop Relat Res. 1975(111):257–62.
  • 14. Bidez MW, Misch CE. Force transfer in implant dentistry: basic concepts and principles. J Oral Implantol. 1992;18(3):264–74.
  • 15. White SC, Pharoah MJ. The evolution and application of dental maxillofacial imaging modalities. Dent Clin North Am. 2008;52(4):689–705.
  • 16. Guo ZZ, Liu Y, Qin L, Song YL, Xie C, Li DH. Longitudinal response of membrane thickness and ostium patency following sinus floor elevation: a prospective cohort study. Clin Oral Implants Res. 2016;27(6):724–9.
  • 17. Ren S, Zhao H, Liu J, Wang Q, Pan Y. Significance of maxillary sinus mucosal thickening in patients with periodontal disease. Int Dent J. 2015;65(6):303–10.
  • 18. Insua A, Monje A, Chan HL, Zimmo N, Shaikh L, Wang HL. Accuracy of Schneiderian membrane thickness: a cone-beam computed tomography analysis with histological validation. Clin Oral Implants Res. 2016;28(6), 654–61.
  • 19. Janner SF, Caversaccio MD, Dubach P, Sendi P, Buser D, Bornstein MM. Characteristics and dimensions of the Schneiderian membrane: a radiographic analysis using cone beam computed tomography in patients referred for dental implant surgery in the posterior maxilla. Clin Oral Implants Res. 2011;22(12):1446–53.
  • 20. Rapani M, Rapani C, Ricci L. Schneider membrane thickness classification evaluated by cone-beam computed tomography and its importance in the predictability of perforation. Retrospective analysis of 200 patients. Br J Oral Maxillofac Surg. 2016;54(10):1106–10.
  • 21. Bornstein MM, Wasmer J, Sendi P, Janner SF, Buser D, von Arx T. Characteristics and dimensions of the Schneiderian membrane and apical bone in maxillary molars referred for apical surgery: a comparative radiographic analysis using limited cone beam computed tomography. J Endod. 2012;38(1):51–7.
  • 22. Shahidi S, Zamiri B, Momeni Danaei S, Salehi S, Hamedani S. Evaluation of anatomic variations in maxillary sinus with the aid of cone beam computed tomography (CBCT) in a population in south of Iran. J Dent (Shiraz). 2016;17(1):7–15.
  • 23. Yoo JY, Pi SH, Kim YS, Jeong SN, You HK. Healing pattern of the mucous membrane after tooth extraction in the maxillary sinus. J Periodontal Implant Sci. 2011;41(1):23–9.
  • 24. Shanbhag S, Karnik P, Shirke P, Shanbhag V. Cone-beam computed tomographic analysis of sinus membrane thickness, ostium patency, and residual ridge heights in the posterior maxilla: implications for sinus floor elevation. Clin Oral Implants Res. 2014;25(6):755–60.
  • 25. Engström H, Chamberlain D, Kiger R, Egelberg J. Radiographic evaluation of the effect of initial periodontal therapy on thickness of the maxillary sinus mucosa. J Periodontol. 1988;59(9):604–8.
  • 26. Phothikhun S, Suphanantachat S, Chuenchompoonut V, Nisapakultorn K. Cone-beam computed tomographic evidence of the association between periodontal bone loss and mucosal thickening of the maxillary sinus. J Periodontol. 2012;83(5):557–64.
APA bayrak s, Ustaoğlu G, SERINDERE G, Demirturk Kocasarac H (2020). An Investigation of the Relationship Between Schneiderian Membrane Thickness and Sinus Floor Cortication through Cone-beam Computed Tomography. , 1 - 6. 10.21673/anadoluklin.466703
Chicago bayrak seval,Ustaoğlu Gülbahar,SERINDERE Gözde,Demirturk Kocasarac Husniye An Investigation of the Relationship Between Schneiderian Membrane Thickness and Sinus Floor Cortication through Cone-beam Computed Tomography. (2020): 1 - 6. 10.21673/anadoluklin.466703
MLA bayrak seval,Ustaoğlu Gülbahar,SERINDERE Gözde,Demirturk Kocasarac Husniye An Investigation of the Relationship Between Schneiderian Membrane Thickness and Sinus Floor Cortication through Cone-beam Computed Tomography. , 2020, ss.1 - 6. 10.21673/anadoluklin.466703
AMA bayrak s,Ustaoğlu G,SERINDERE G,Demirturk Kocasarac H An Investigation of the Relationship Between Schneiderian Membrane Thickness and Sinus Floor Cortication through Cone-beam Computed Tomography. . 2020; 1 - 6. 10.21673/anadoluklin.466703
Vancouver bayrak s,Ustaoğlu G,SERINDERE G,Demirturk Kocasarac H An Investigation of the Relationship Between Schneiderian Membrane Thickness and Sinus Floor Cortication through Cone-beam Computed Tomography. . 2020; 1 - 6. 10.21673/anadoluklin.466703
IEEE bayrak s,Ustaoğlu G,SERINDERE G,Demirturk Kocasarac H "An Investigation of the Relationship Between Schneiderian Membrane Thickness and Sinus Floor Cortication through Cone-beam Computed Tomography." , ss.1 - 6, 2020. 10.21673/anadoluklin.466703
ISNAD bayrak, seval vd. "An Investigation of the Relationship Between Schneiderian Membrane Thickness and Sinus Floor Cortication through Cone-beam Computed Tomography". (2020), 1-6. https://doi.org/10.21673/anadoluklin.466703
APA bayrak s, Ustaoğlu G, SERINDERE G, Demirturk Kocasarac H (2020). An Investigation of the Relationship Between Schneiderian Membrane Thickness and Sinus Floor Cortication through Cone-beam Computed Tomography. ANADOLU KLİNİĞİ TIP BİLİMLERİ DERGİSİ, 25(1), 1 - 6. 10.21673/anadoluklin.466703
Chicago bayrak seval,Ustaoğlu Gülbahar,SERINDERE Gözde,Demirturk Kocasarac Husniye An Investigation of the Relationship Between Schneiderian Membrane Thickness and Sinus Floor Cortication through Cone-beam Computed Tomography. ANADOLU KLİNİĞİ TIP BİLİMLERİ DERGİSİ 25, no.1 (2020): 1 - 6. 10.21673/anadoluklin.466703
MLA bayrak seval,Ustaoğlu Gülbahar,SERINDERE Gözde,Demirturk Kocasarac Husniye An Investigation of the Relationship Between Schneiderian Membrane Thickness and Sinus Floor Cortication through Cone-beam Computed Tomography. ANADOLU KLİNİĞİ TIP BİLİMLERİ DERGİSİ, vol.25, no.1, 2020, ss.1 - 6. 10.21673/anadoluklin.466703
AMA bayrak s,Ustaoğlu G,SERINDERE G,Demirturk Kocasarac H An Investigation of the Relationship Between Schneiderian Membrane Thickness and Sinus Floor Cortication through Cone-beam Computed Tomography. ANADOLU KLİNİĞİ TIP BİLİMLERİ DERGİSİ. 2020; 25(1): 1 - 6. 10.21673/anadoluklin.466703
Vancouver bayrak s,Ustaoğlu G,SERINDERE G,Demirturk Kocasarac H An Investigation of the Relationship Between Schneiderian Membrane Thickness and Sinus Floor Cortication through Cone-beam Computed Tomography. ANADOLU KLİNİĞİ TIP BİLİMLERİ DERGİSİ. 2020; 25(1): 1 - 6. 10.21673/anadoluklin.466703
IEEE bayrak s,Ustaoğlu G,SERINDERE G,Demirturk Kocasarac H "An Investigation of the Relationship Between Schneiderian Membrane Thickness and Sinus Floor Cortication through Cone-beam Computed Tomography." ANADOLU KLİNİĞİ TIP BİLİMLERİ DERGİSİ, 25, ss.1 - 6, 2020. 10.21673/anadoluklin.466703
ISNAD bayrak, seval vd. "An Investigation of the Relationship Between Schneiderian Membrane Thickness and Sinus Floor Cortication through Cone-beam Computed Tomography". ANADOLU KLİNİĞİ TIP BİLİMLERİ DERGİSİ 25/1 (2020), 1-6. https://doi.org/10.21673/anadoluklin.466703