Lateral approach for maxillary sinus membrane elevation without bone materials in maxillary mucous retention cyst with immediate or delayed implant rehabilitation: case reports
Han Ji-Deuk, 조성호, 장국원, Kim Seong-Gwang, 김정한, 김복주, 김철훈,
소속 상세정보
( Han Ji-Deuk ) - Dong-A University College of Medicine Department of Oral and Maxillofacial Surgery
조성호 ( Cho Seong-Ho ) - Dong-A University College of Medicine Department of Oral and Maxillofacial Surgery
장국원 ( Jang Kuk-Won ) - Dong-A University College of Medicine Department of Oral and Maxillofacial Surgery
( Kim Seong-Gwang ) - CS Dental Hospital
김정한 ( Kim Jung-Han ) - Dong-A University College of Medicine Department of Oral and Maxillofacial Surgery
김복주 ( Kim Bok-Joo ) - Dong-A University College of Medicine Department of Oral and Maxillofacial Surgery
김철훈 ( Kim Chul-Hun ) - Dong-A University College of Medicine Department of Oral and Maxillofacial Surgery
Abstract
This case series study demonstrates the possibility of successful implant rehabilitation without bone augmentation in the atrophic posterior maxilla with cystic lesion in the sinus. Sinus lift without bone graft using the lateral approach was performed. In one patient, the cyst was aspirated and simultaneous implantation under local anesthesia was performed, whereas the other cyst was removed under general anesthesia, and the sinus membrane was elevated in a second process, followed by implantation. In both cases, tapered 11.5-mm-long implants were utilized. With all of the implants, good stability and appropriate bone height were achieved. The mean bone level gain was 5.73 mm; adequate bone augmentation around the implants was shown, the sinus floor was moved apically, and the cyst was no longer radiologically detected. Completion of all of the treatments required an average of 12.5 months. The present study showed that sufficient bone formation and stable implantation in a maxilla of insufficient bone volume are possible through sinus lift without bone materials. The results serve to demonstrate, moreover, that surgical treatment of mucous retention cyst can facilitate rehabilitation. These techniques can reduce the risk of complications related to bone grafts, save money, and successfully treat antral cyst.
키워드
Sinus floor augmentation; Without bone graft; Dental implants; Cysts
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