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Journals / Anadolu Kliniği Tıp Bilimleri Dergisi / 2020 / Cilt: 25 - Sayı: 1

Evaluation of the Relationship Between Schneiderian Membrane Thickness and Sinus Floor Cortication Using Cone Beam Computed Tomography

Schneiderian Membran Kalınlığı ile Sinüs Taban Kortikasyonu Arasındaki İlişkinin Konik Işınlı Bilgisayarlı Tomografi ile Değerlendirilmesi

Seval BAYRAK
Gülbahar USTAOĞLU
Gözde SERİNDERE
Hüsniye DEMİRTÜRK KOCASARAÇ
Pages
1–6
Publication Date
2020-01-15
DOI
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Although type-1 SFC is favorable for implant placement, it may also be associated with an increased risk of membrane perforation.

📌 3 Key Takeaways

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Objective & Hypothesis:Aim: In this study, we aimed to investigate the relationship between sinus floor cortication (SFC) and Schneiderian membrane thickness (SMT) through cone-beam computed tomography (CBCT) images.
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Key Findings & Data:Materials and Methods: A total of 292 maxillary sinuses of 146 patients (61 males, 85 females) who underwent a CBCT scan for dental implant treatment were evaluated.
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Conclusion & Impact:Although type-1 SFC is favorable for implant placement, it may also be associated with an increased risk of membrane perforation.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Kortikasyon · Schneiderian Membran · Sinus Taban Ogmentasyonu

Abstract

Aim: In this study, we aimed to investigate the relationship between sinus floor cortication (SFC) and Schneiderian membrane thickness (SMT) through cone-beam computed tomography (CBCT) images. Materials and Methods: A total of 292 maxillary sinuses of 146 patients (61 males, 85 females) who underwent a CBCT scan for dental implant treatment were evaluated. SFC was classified as follows: type-1: sinus floor exhibiting similar or higher density than the surrounding cortical areas, type-2: sinus floor exhibiting lower density than the surrounding cortical areas, type-3: sinus floor exhibiting no cortical bone, and type-4: sinus floor exhibiting fusion of sinus floor bone and native crestal bone. We also investigated the relationship between the SFC types and SMTs measured from the highest border of the membrane to the sinus floor on cross-sectional images.Results: Type-1, type-2, type-3, and type-4 SFC were seen in 114, 102, 48, and 28 cases, respectively. The Schneiderian membrane was found to be thinner in type-1 SFC than in type-2 SFC. No significant difference was found between type-3 and type-4 SFC in terms of SMT. Discussion and Conclusion: Evaluation of SFC and SMT using CBCT can provide information about implant stability and survival in treatment after sinus grafting. Although type-1 SFC is favorable for implant placement, it may also be associated with an increased risk of membrane perforation.

Özet

Amaç: Bu çalışmada sinüs tabanı kortikasyonu (STK) ve Schneiderian membran kalınlığı (SMK) arasındaki ilişkiyi konik ışınlı bilgisayarlı tomografi (KIBT) görüntüleri üzerinden incelemek amaçlanmıştır. Gereç ve Yöntemler: Dental implant tedavisi için KIBT çektirmiş 146 hastaya ait (61 erkek, 85 kadın) toplam 292 maksiller sinüs değerlendirildi. STK şu şekilde sınıflandırıldı: tip 1: çevre kortikal alanla benzer ya da daha yüksek dansite gösteren sinüs tabanı, tip 2: çevre kortikal alandan daha düşük dansite gösteren sinüs tabanı, tip 3: kortikal kemik içermeyen sinüs tabanı, tip 4: krestal kemikle kaynaşmış sinüs tabanı. Kesitsel görüntülerde membranın en üst noktası ile tabanı arasında ölçülen SMK ile STK tipleri arasındaki ilişki de incelendi.Bulgular: Tip 1, tip 2, tip 3 ve tip 4 STK sırasıyla 114, 102, 48 ve 28 vakada görüldü. Schneiderian membran tip 1 STK’de tip 2 STK’ye kıyasla daha ince bulundu. Tip 3 STK ile tip 4 STK arasında SMK açısından anlamlı fark görülmedi. Tartışma ve Sonuç: STK ve SMK’nin KIBT ile değerlendirilmesi sinüs greftleme sonrası tedavide implant stabilitesi ve sağkalımı hakkında bilgi sağlayabilir. Tip 1 STK, implant yerleştirme için elverişli iken, daha yüksek bir membran perforasyonu riski ile ilişkili olabilir.

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Cite This Article

BAYRAK, S., USTAOĞLU, G., SERİNDERE, G., KOCASARAÇ, H. D. (2020). Evaluation of the Relationship Between Schneiderian Membrane Thickness and Sinus Floor Cortication Using Cone Beam Computed Tomography. Anadolu Kliniği Tıp Bilimleri Dergisi, Cilt: 25 - Sayı: 1, 1–6. https://ajindex.com/articles/459347

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