2026-04-17T20:12:33Zhttps://recercat.cat/oai/request

oai:recercat.cat:20.500.12328/45472025-05-16T12:50:35Zcom_2072_67741col_2072_484352

00925njm 22002777a 4500 dc Gargallo-Albiol, Jordi author Tattan, Mustafa author Sinjab, Khaled H. author Chan, Hsun-Liang author Wang, Hom-Lay author 2018 Objective: To endoscopically determine the incidence of Schneiderian membrane perforation during transcrestal maxillary sinus floor elevation (SFE), in relation to the bone preparation technique, amount of bone graft, membrane elevation height and different surgical steps. Materials and methods: Seven cadaver heads corresponding to 12 maxillary sinuses were used to perform three SFE via transcrestal approach per sinus (36 elevations). Each sinus was randomly assigned to either the Sinus Crestal Approach (SCA) drill kit technique (experimental group) or the conventional osteotome technique (control group). During all phases of the surgery, the integrity of the sinus membrane was monitored through endoscopic examination. Results: A significant difference was found in the incidence of perforation (p = 0.007) and vertical elevation height (p < 0.001) between the study groups, favoring the experimental group. A safety elevation threshold of 5 mm without bone graft and implant placement was estimated. A significant correlation was observed between the residual ridge height and the incidence of perforation (p < 0.001; OR = 0.51). Conclusion: The SCA drill kit may demonstrate superior osteotomy preparation and membrane elevation capabilities to the osteotome technique, and significantly when a 6-mm SFE is indicated. Residual ridge height and vertical elevation height are risk determinant factors. Gargallo-Albiol, Jordi; Tattan, Mustafa; Sinjab, Khaled H. [et al.]. Schneiderian membrane perforation via transcrestal sinus floor elevation: A randomized ex vivo study with endoscopic validation. Clinical Oral Implants Research, 2018, 30(1), p. 11-19. Disponible en: <https://onlinelibrary.wiley.com/doi/10.1111/clr.13388>. Fecha de acceso: 16 ene. 2025. DOI: 10.1111/clr.13388 0905-7161 http://hdl.handle.net/20.500.12328/4547 https://dx.doi.org/10.1111/clr.13388 Membrana de Schneideria Membrana de Schneideria Schneiderian membrane Schneiderian membrane perforation via transcrestal sinus floor elevation: A randomized ex vivo study with endoscopic validation