title: Effects of sinus membrane perforations on the success of dental implants placed in the augmented sinus.
abstract: BACKGROUND
  Maxillary sinus lifting procedure enables clinicians to place implant-supported prostheses even in cases with very limited vertical bone height of the maxillary sinus. The aim of this study was to evaluate the implant success with regard to effects of the sinus membrane perforations that occurred during sinus lifting surgery.
  
  
  METHODS
  The study group consisted of 91 patients (29 females and 54 males) with edentulous posterior maxilla. Implant placement combined with sinus lifting surgery was performed, and 259 implants were inserted. Sinus membrane perforations were detected in 12 sinus sites. After proper treatment of perforations, 26 implants were placed into perforated sinus areas. Baseline panaromic radiographs were taken before the beginning of prosthetic treatment. Panaromic radiographs taken at the last recall were used for evaluation and compared to the baseline panaromic radiographs using image analysis software to reveal the peri-implant resorption rate for the implants placed in perforated and non-perforated sinus area. The modified sulcus bleeding index and plaque index were used for the assessment of soft tissue conditions.
  
  
  RESULTS
  Eleven implants were lost during the follow-up period, resulting in an overall survival rate of 95.9%. Two failures occurred in the group with sinus perforations. There was no statistically significant difference regarding peri-implant bone resorption (P = 0.778) and soft tissue conditions for implants placed into perforated-augmented sinus areas and augmented sinus areas.
  
  
  CONCLUSIONS
  Within the limits of this study, perforation of the sinus membrane did not compromise the osseointegration process or the success of dental implants placed in the augmented maxillary sinus.
authors.affiliation: Department of Oral Implantology, Faculty of Dentistry, Istanbul University, Istanbul, Turkey. zcuneyt@istanbul.edu.tr
authors.forename: Cüneyt
authors.initials: C
authors.lastname: Karabuda
authors.forename: Volkan
authors.initials: V
authors.lastname: Arisan
authors.forename: Hakan
authors.initials: H
authors.lastname: Özyuvaci
mesh_terms: D000328:Adult; D000368:Aged; D016301:Alveolar Bone Loss / Q000601:surgery; D000540:Alveolar Ridge Augmentation / Q000009:adverse effects* / Q000379:methods; D003758:Dental Implantation, Endosseous / Q000009:adverse effects* / Q000379:methods; D015921:Dental Implants; D017268:Dental Prosthesis Retention; D005260:Female; D006801:Humans; D007576:Jaw, Edentulous, Partially / Q000000981:diagnostic imaging / Q000601:surgery; D008297:Male; D008437:Maxilla; D008443:Maxillary Sinus / Q000000981:diagnostic imaging / Q000293:injuries* / Q000601:surgery; D008875:Middle Aged; D009092:Mucous Membrane / Q000000981:diagnostic imaging / Q000293:injuries*; D016348:Osseointegration; D011859:Radiography; D018709:Statistics, Nonparametric; D016896:Treatment Outcome
chemical_list: D015921:Dental Implants