Implant Survival After Minimally Invasive Anterior or Anterolateral Vs. Conventional Posterior or Direct Lateral Approach

2017 ◽  
Vol 99 (10) ◽  
pp. 840-847 ◽  
Author(s):  
Knut Erik Mjaaland ◽  
Svein Svenningsen ◽  
Anne Marie Fenstad ◽  
Leif I. Havelin ◽  
Ove Furnes ◽  
...  
Keyword(s):  
Minimally Invasive ◽  
Lateral Approach ◽  
Implant Survival ◽  
Direct Lateral Approach

scholarly journals Management of Schneiderian membrane perforations during maxillary sinus floor augmentation with lateral approach in relation to subsequent implant survival rates: a systematic review and meta-analysis

2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Luis Alfredo Díaz-Olivares ◽  
Jorge Cortés-Bretón Brinkmann ◽  
Natalia Martínez-Rodríguez ◽  
José María Martínez-González ◽  
Juan López-Quiles ◽  
...  
Keyword(s):  
Systematic Review ◽  
Survival Rates ◽  
Lateral Approach ◽  
Implant Survival ◽  
Schneiderian Membrane ◽  
Membrane Perforation ◽  
Sinus Floor Augmentation ◽  
Maxillary Sinus Floor ◽  
Sinus Floor ◽  
Maxillary Sinus Floor Augmentation

Abstract Background This systematic review aimed to propose a treatment protocol for repairing intraoperative perforation of the Schneiderian membrane during maxillary sinus floor augmentation (MSFA) procedures with lateral window technique. In turn, to assess subsequent implant survival rates placed below repaired membranes compared with intact membranes and therefore determine whether membrane perforation constitutes a risk factor for implant survival. Material and methods This review was conducted according to PRISMA guidelines. Two independent reviewers conducted an electronic search for articles published between 2008 and April 30, 2020, in four databases: (1) The National Library of Medicine (MEDLINE/PubMed) via Ovid; (2) Web of Science (WOS); (3) SCOPUS; and (4) Cochrane Central Register of Controlled Trials (CENTRAL); also, a complementary handsearch was carried out. The Newcastle-Ottawa Quality Assessment Scale was used to assess the quality of evidence in the studies reviewed. Results Seven articles fulfilled the inclusion criteria and were analyzed. A total of 1598 sinus lift surgeries were included, allowing the placement of 3604 implants. A total of 1115 implants were placed under previously perforated and repaired membranes, obtaining a survival rate of 97.68%, while 2495 implants were placed below sinus membranes that were not damaged during surgery, obtaining a survival rate of 98.88%. The rate of Schneiderian membrane perforation shown in the systematic review was 30.6%. In the articles reviewed, the most widely used technique for repairing perforated membranes was collagen membrane repair. Conclusions Schneiderian membrane perforation during MFSA procedures with lateral approach is not a risk factor for dental implant survival (p=0.229; RR 0.977; 95% CI 0.941-1.015). The knowledge of the exact size of the membrane perforation is essential for deciding on the right treatment plan.

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