Research progress of bone window design for maxillary sinus floor elevation through lateral window approach

doi:10.12337/zgkqzzxzz.2021.10.012

Abstract

Abstract: The key of maxillary sinus floor elevation through lateral window approach is to expose and lift the sinus membrane, and the design of bone window is the primary factor to expose the sinus membrane. The traditional bone window is designed as a single and large window. If there is a sinus septum, 2 or 3 bone windows will be designed to avoid sinus septum. The lower boundary of the bone window is generally 3-5 mm at the bottom of the maxillary sinus. In recent years, many scholars have continuously studied the size, height, and distance from the alveolar ridge border, which has reduced intraoperative and postoperative discomfort and increased patient satisfaction. This article reviews the size, position, and shape of the bone window and digitally assisted lateral window osteotomy by consulting the recent literature.

Key words: Maxillary sinus floor elevation, Bone window, Digital technology, CAD/CAM

Zhang wen, Gu Xinhua. Research progress of bone window design for maxillary sinus floor elevation through lateral window approach[J]. Chinese Journal of Oral Implantology, 2021, 26(5): 334-338.

References

[1] 赖红昌, 史俊宇. 上颌窦提升术[J].口腔疾病防治, 2017, 25(1): 8-12.
[2] 陆薇, 林梦娜, 赵士芳, 等. 改良侧壁开窗式上颌窦底提升术治疗上颌后牙区缺牙伴重度骨萎缩患者临床观察[J].浙江大学学报(医学版),2017,46(6):630-636. DOI: 10.3785/j.issn.1008-9292.2017.12.0.
[3] Stacchi C, Spinato S, Lombardi T, et al.Minimally invasive management of implant-supported rehabilitation in the posterior maxilla, part I. sinus floor elevation: biologic principles and materials[J].The International journal of periodontics & restorative dentistry,2020,40(3):e85-e93.DOI:10.11607/prd.4497.
[4] Testori T,Walace S, et al.Maxillary sinus surgery and alternatives in treatment[M].Chicago:Quintessence, 2009:194.
[5] Simonpieri A, Choukroun J, Del Corso M, et al.Simultaneous sinus-lift and implantation using microthreaded implants and leukocyte- and platelet-rich fibrin as sole grafting material: a six-year experience[J].Implant Dent, 2011,20(1):2-12. DOI: 10.1097/ID.0b013e3181faa8af.
[6] Caneva M, Lang NP, Garcia Rangel IJ, et al.Sinus mucosa elevation using Bio-Oss(®) or Gingistat(®) collagen sponge: an experimental study in rabbits[J].Clin Oral Implants Res, 2017,28(7):e21-e30. DOI: 10.1111/clr.12850.
[7] Iida T, Carneiro Martins Neto E, Botticelli D, et al. Influence of a collagen membrane positioned subjacent the sinus mucosa following the elevation of the maxillary sinus. a histomorphometric study in rabbits[J].Clin Oral Implants Res, 2017,28(12):1567-1576. DOI: 10.1111/clr.13027.
[8] Adawi H, Hengjeerajaras P, Froum SJ, et al.A less-invasive window design for lateral wall maxillary sinus augmentations[J].Int J Periodontics Restorative Dent, 2019,39(6):855-861. DOI: 10.11607/prd.4206.
[9] Vercellotti T, De Paoli S, Nevins M.The piezoelectric bony window osteotomy and sinus membrane elevation: introduction of a new technique for simplification of the sinus augmentation procedure[J].Int J Periodontics Restorative Dent, 2001,21(6):561-567.
[10] Testori T,Walace S,et al.Maxillary sinus surgery and alternatives in treatment[M].Chicago:Quintessence,2009:191-215.
[11] Baldini N, D'elia C, Bianco A, et al. Lateral approach for sinus floor elevation: large versus small bone window - a split-mouth randomized clinical trial[J].Clin Oral Implants Res, 2017,28(8):974-981. DOI: 10.1111/clr.12908.
[12] Avila-Ortiz G, Wang HL, Galindo-Moreno P, et al.Influence of lateral window dimensions on vital bone formation following maxillary sinus augmentation[J]. Int J Oral Maxillofac Implants, 2012,27(5):1230-1238.
[13] Aldahouk A, Elbeialy RR, Gibaly A, et al.The assessment of the effect of the size of lateral-antrostomy in graftless balloon elevation of the maxillary sinus membrane with simultaneous implant placement (a randomized controlled clinical trial)[J]. Clin Implant Dent Relat Res, 2021,23(1):31-42. DOI: 10.1111/cid.12983.
[14] Lu W, Xu J, Wang HM, et al.Influence of lateral windows with decreased vertical height following maxillary sinus floor augmentation: a 1-year clinical and radiographic study[J]. Int J Oral Maxillofac Implants, 2018,33(3):661-670. DOI: 10.11607/jomi.6213.
[15] Pariente L, Dada K, Daas M.Mini-lateral windows for minimally invasive maxillary sinus augmentation: case series of a new technique[J]. Implant Dent, 2014,23(4):371-377. DOI: 10.1097/ID.0000000000000119.
[16] Yu H, Qiu L.A prospective randomized controlled trial of two-window versus solo-window technique by lateral sinus floor elevation in atrophic posterior maxilla: results from a 1-year observational phase[J]. Clin Implant Dent Relat Res, 2017,19(5):783-792. DOI: 10.1111/cid.12505.
[17] Yu H, He D, Qiu L.A prospective randomized controlled trial of the two-window technique without membrane versus the solo-window technique with membrane over the osteotomy window for maxillary sinus augmentation[J]. Clin Implant Dent Relat Res, 2017,19(6):1099-1105. DOI: 10.1111/cid.12547.
[18] Wang J, Sun X, Lv H, et al.Endoscope-assisted maxillary sinus floor elevation with platelet-rich fibrin grafting and simultaneous implant placement: a prospective clinical trial[J]. Int J Oral Maxillofac Implants, 2021,36(1):137-145. DOI: 10.11607/jomi.8723.
[19] Danesh-Sani SA, Loomer PM, Wallace SS.A comprehensive clinical review of maxillary sinus floor elevation: anatomy, techniques, biomaterials and complications[J]. Br J Oral Maxillofac Surg, 2016,54(7):724-730. DOI: 10.1016/j.bjoms.2016.05.008.
[20] Cheon KJ, Yang BE, Cho SW, et al.Lateral window design for maxillary sinus graft based on the implant position[J]. Int J Environ Res Public Health, 2020,17(17).DOI: 10.3390/ijerph17176335.
[21] Zaniol T, Zaniol A.A rational approach to sinus augmentation: the low window sinus Lift[J]. Case Rep Dent, 2017,2017:7610607. DOI: 10.1155/2017/7610607.
[22] Zaniol T, Zaniol A, Tedesco A, et al.The low window sinus lift: a CAD-CAM-guided surgical technique for lateral sinus augmentation:a retrospective case series[J]. Implant Dent, 2018,27(4):512-520.DOI: 10.1097/ID.0000000000000776.
[23] Guerrero JS, Al-Jandan BA. Lateral wall sinus floor elevation for implant placement: revisiting fundamentals and the surgical technique[J]. J Calif Dent Assoc, 2013,41(3):185-187, 190-195.
[24] Hong JY, Baek WS, Cha JK, et al.Long-term evaluation of sinus floor elevation using a modified lateral approach in the posterior maxilla[J]. Clin Oral Implants Res, 2017,28(8):946-953. DOI: 10.1111/clr.12901.
[25] Boyacıgil DU, Er N, Karaca Ç, et al.The effect of residual bone height and membrane thickness on sinus membrane perforation in crestal sinus grafting: a prospective clinical study[J]. Int J Oral Maxillofac Surg, 2021,50(2):251-257. DOI: 10.1016/j.ijom.2020.05.018.
[26] Krennmair S, Malek M, Forstner T, et al.Risk factor analysis affecting sinus membrane perforation during lateral window maxillary sinus elevation surgery[J]. Int J Oral Maxillofac Implants, 2020,35(4):789-798. DOI: 10.11607/jomi.7916.
[27] 武旭. 关于上颌窦解剖结构对种植影响的研究进展[J].中国口腔种植学杂志,2019,24(3):148-150. DOI: 10.3969/j.issn.1007-3957.2019.03.014.
[28] Pizzini A, Basma HS, Li P, et al.The impact of anatomic, patient and surgical factors on membrane perforation during lateral wall sinus floor elevation[J]. Clin Oral Implants Res, 2021,32(3):274-284. DOI: 10.1111/clr.13698.
[29] Mandelaris GA, Rosenfeld AL.A novel approach to the antral sinus bone graft technique: the use of a prototype cutting guide for precise outlining of the lateral wall. a case report[J]. Int J Periodontics Restorative Dent, 2008,28(6):569-575.
[30] Mandelaris GA, Rosenfeld AL.Alternative applications of guided surgery: precise outlining of the lateral window in antral sinus bone grafting[J]. J Oral Maxillofac Surg, 2009,67(11 Suppl):23-30. DOI: 10.1016/j.joms.2009.07.006.
[31] Osman AH, Mansour H, Atef M, et al.Computer guided sinus floor elevation through lateral window approach with simultaneous implant placement[J]. Clin Implant Dent Relat Res, 2018,20(2):137-143. DOI: 10.1111/cid.12559.
[32] Strbac GD, Giannis K, Schnappauf A, et al.Guided lateral sinus lift procedure using 3-dimensionally printed templates for a safe surgical approach: a proof-of-concept case report[J]. J Oral Maxillofac Surg, 2020,78(9):1529-1537. DOI: 10.1016/j.joms.2020.04.042.
[33] Cecchetti F, Spuntarelli M, Mazza D, et al.Guided sinus lift: virtual planning of surgical templates for lateral access[J]. J Biol Regul Homeost Agents, 2021,35(3 Suppl. 1):139-145. DOI: 10.23812/21-3supp1-16.
[34] Goodacre BJ, Swamidass RS, Lozada J, et al.A 3D-printed guide for lateral approach sinus grafting: a dental technique[J]. J Prosthet Dent, 2018,119(6):897-901. DOI: 10.1016/j.prosdent.2017.07.014.
[35] 王晓华, 刘艾芃, 邓文正. 数字化导板在口腔种植中的研究进展[J].华西口腔医学杂志,2020,38(1):95-100. DOI: 10.7518/hxkq.2020.01.017.
[36] Cho SW, Yang BE, Cheon KJ, et al.A simple and safe approach for maxillary sinus augmentation with the advanced surgical guide[J]. Int J Environ Res Public Health, 2020,17(11).DOI: 10.3390/ijerph17113785.
[37] Stefanelli LV, Pranno N, De Angelis F, et al.Navigated antral bone expansion (NABE): a prospective study on 35 patients with 4 months of follow-up post implant loading[J]. BMC Oral Health, 2020,20(1):273. DOI: 10.1186/s12903-020-01268-3.
[38] Block MS, Emery RW, Cullum DR, et al.Implant placement is More accurate using dynamic navigation[J]. J Oral Maxillofac Surg, 2017,75(7):1377-1386. DOI: 10.1016/j.joms.2017.02.026.