Preliminary analysis of minimally invasive extraction and ridge preservation in maxillary molar with bone defect corresponding to the sinus floor due to severe periodontal lesions：a case analysis

doi:10.12337/zgkqzzxzz.2021.04.004

Chinese Journal of Oral Implantology ›› 2021, Vol. 26 ›› Issue (2): 96-101.DOI: 10.12337/zgkqzzxzz.2021.04.004

• Original Articles·Typical Case Analysis • Previous Articles Next Articles

Preliminary analysis of minimally invasive extraction and ridge preservation in maxillary molar with bone defect corresponding to the sinus floor due to severe periodontal lesions：a case analysis

Wei Ning¹, Xu Tao^1,2, Hu Wenjie¹, Liu Yunsong³

¹Department of Periodontology, Peking University School and Hospital of Stomatology & National Center of Stomatology & National Clinical Research Center for Oral Diseases & National Engineering Laboratory for Digital and Material Technology of Stomatology & Beijing Key Laboratory of Digital Stomatology & Research Center of Engineering and Technology for Computerized Dentistry Ministry of Health & NMPA Key Laboratory for Dental Materials, Beijing 100081, China;
²Department of Emergency, Peking University School and Hospital of Stomatology & National Center of Stomatology & National Clinical Research Center for Oral Diseases & National Engineering Laboratory for Digital and Material Technology of Stomatology & Beijing Key Laboratory of Digital Stomatology & Research Center of Engineering and Technology for Computerized Dentistry Ministry of Health & NMPA Key Laboratory for Dental Materials, Beijing 100081;
³Department of Prosthodontics, Peking University School and Hospital of Stomatology & National Center of Stomatology & National Clinical Research Center for Oral Diseases & National Engineering Laboratory for Digital and Material Technology of Stomatology & Beijing Key Laboratory of Digital Stomatology & Research Center of Engineering and Technology for Computerized Dentistry Ministry of Health & NMPA Key Laboratory for Dental Materials, Beijing 100081, China

Received:2020-11-04 Online:2021-04-10 Published:2021-07-14
Contact: Hu Wenjie, Email: huwenjie@pkuss.bjmu.edu.cn, Tel:0086-10-62173402
Supported by:
Peking University Clinical Scientist Program (BMU2019LCKXJ010); Capital Foundation for Clinical Characteristics and Application Research (Z161100000516042); The Capital Medical Development and Research Fund, PRC (2011-4025-04)

Abstract

Abstract: Maxillary molars with severe periodontal lesions are often accompanied with bone defects even reaching the corresponding maxillary sinus floor. These bone defects will increase the difficulty and risk for implantation after the extraction of maxillary molars. The application of minimally invasive extraction with thorough debridement and site preservation of the maxillary molars can not only maintain the dimensions of alveolar ridge, but also reduce the requirement of sinus floor elevation.This paper illustrates the treatment procedures of implant replacement of a maxillary molar with severe periodontal lesions involving maxillary sinus floor using this technique.Changes of bone conditions were compared and analyzed in order to provide evidence and clinical experience for the management of similar cases.

Key words: Maxillary molar, Atraumatic extraction, Ridge preservation, Dental implant, Maxillary sinus floor

Wei Ning, Xu Tao, Hu Wenjie, Liu Yunsong. Preliminary analysis of minimally invasive extraction and ridge preservation in maxillary molar with bone defect corresponding to the sinus floor due to severe periodontal lesions：a case analysis[J]. Chinese Journal of Oral Implantology, 2021, 26(2): 96-101.

References

[1] Feng Z, Weinberg A.Role of bacteria in health and disease of periodontal tissues[J]. Periodontol 2000, 2006,40:50-76. DOI: 10.1111/j.1600-0757.2005.00148.x.
[2] Lin YH, Yang YC, Wen SC, et al.The influence of sinus membrane thickness upon membrane perforation during lateral window sinus augmentation[J]. Clin Oral Implants Res, 2016,27(5):612-617. DOI: 10.1111/clr.12646.
[3] Zhao L, Xu T, Hu W, et al.Preservation and augmentation of molar extraction sites affected by severe bone defect due to advanced periodontitis: A prospective clinical trial[J]. Clin Implant Dent Relat Res, 2018,20(3):333-344. DOI: 10.1111/cid.12585.
[4] Avila-Ortiz G, Chambrone L, Vignoletti F.Effect of alveolar ridge preservation interventions following tooth extraction: A systematic review and meta-analysis[J]. J Clin Periodontol, 2019,46 Suppl 21:195-223. DOI: 10.1111/jcpe.13057.
[5] MacBeth N, Trullenque-Eriksson A, Donos N, et al.Hard and soft tissue changes following alveolar ridge preservation: a systematic review[J]. Clin Oral Implants Res, 2017,28(8):982-1004. DOI: 10.1111/clr.12911.
[6] 徐涛, 胡文杰, 毕小成, 等.针对罹患重度牙周病变磨牙实施微创拔牙和位点保存术的初步探索(附1例报告)[J]. 中国实用口腔科杂志,2018,11(1):37-43. DOI: 10.19538/j.kq.2018.01.008.
[7] 赵丽萍, 胡文杰, 徐涛, 等.罹患重度牙周病变磨牙拔牙后两种牙槽嵴保存方法的比较[J]. 北京大学学报(医学版), 2019, 51(3): 579-585. DOI: 10.19723/j.issn.1671-167X.2019.03.030.
[8] 胡文杰, 贾鹏程.当前牙周病学临床发展趋势和方向的分析——基于近年来美国牙周病学会学术年会的观察和思考[J]. 中国实用口腔科杂志,2017,10(7):445-448. DOI: 10.19538/j.kq.2017.07.013.
[9] Zhang B, Wei Y, Cao J, et al.Association between the dimensions of the maxillary sinus membrane and molar periodontal status: A retrospective CBCT study[J]. J Periodontol, 2020,91(11):1429-1435. DOI: 10.1002/JPER.19-0391.
[10] 詹雅琳, 胡文杰, 甄敏, 等.去蛋白牛骨基质与可吸收胶原膜的磨牙拔牙位点保存效果影像学评价[J]. 北京大学学报(医学版),2015,(1):19-26. DOI: 10.3969/j.issn.1671-167X.2015.01.004.
[11] 张波, 曹洁, 胡文杰, 等.基于锥形束CT分析罹患重度牙周炎磨牙对应上颌窦黏膜厚度特点的初步研究[J]. 中国实用口腔科杂志,2018,11(11):664-668.
[12] Hämmerle CH, Araújo MG, Simion M.Evidence-based knowledge on the biology and treatment of extraction sockets[J]. Clin Oral Implants Res, 2012,23 Suppl 5:80-82. DOI: 10.1111/j.1600-0501.2011.02370.x.

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Preliminary analysis of minimally invasive extraction and ridge preservation in maxillary molar with bone defect corresponding to the sinus floor due to severe periodontal lesions：a case analysis

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