Journal of Oral Implantology June 2014 - (Page 285)

CLINICAL The Effects of Sinus Membrane Pathology on Bone Augmentation and Procedural Outcome Using Minimal Invasive Antral Membrane Balloon Elevation Efraim Kfir, DMD1 Moshe Goldstein, DMD2 Itzhak Abramovitz, DMD3 Vered Kfir, DMD4 Ziv Mazor, DMD5 Edo Kaluski, MD6* Membrane pathology tends to complicate the postprocedural course of open sinus lift by ostio-meatal complex (OMC) obstruction and consequent acute sinusitis. The objective of this study was to evaluate the outcome of subjects with considerable sinus membrane pathology undergoing maxillary sinus floor augmentation and simultaneous implant placement using the minimal invasive antral membrane balloon elevation (MIAMBE) method. This study was a retrospective chart review of MIAMBE procedures performed in the presence of significant sinus membrane pathology. Sixteen patients with maxillary sinus membrane thickening in wellventilated OMC as determined by dental computerized tomography underwent sinus augmentation and simultaneous implant placement using the MIAMBE technique. All 16 procedures were successfully concluded without significant procedural or postprocedural complications or implant failure. Post MIAMBE membrane pathology regressed or disappeared in 8 patients (50%) or remained unchanged in 6 patients (37.5%), while in 2 patients the sinus membrane pathology was limited to evaluation by periapical X rays. Sinus augmentation using the MIAMBE technique can be performed safely in asymptomatic patients in the presence of sinus membrane pathology if the OMC is not obstructed. In a significant proportion of these cases, complete resolution of the membrane pathology after MIAMBE is observed. When compared to open sinus lift, OMC obstruction is less likely to occur when employing the MIAMBE method. Key Words: maxillary sinus, membrane pathology, polyps, ostio-meatal complex, maxillary sinus lift, bone augmentation, implants, sinusitis, MIAMBE INTRODUCTION 1 Dental clinic, Petah-Tikvah, Israel. Hadassah - Hebrew University Medical Center Jerusalem, and private practice limited to Periodontics, Tel-Aviv, Israel. 3 Hadassah - Hebrew University Medical Center Jerusalem, and private practice limited to Endodontics, Tel-Aviv, Israel. 4 Dental clinic, Kupat Holim Clalit (Remez), Rehovot, Israel. 5 Periodontic clinic, Ra'anana, Israel. 6 Department of Cardiology, University Hospital, University of Medicine and Dentistry, Newark, New Jersey. À Disclosure: All authors except Dr. Abramovitz have conflict of interest related to MIAMBE (major). * Corresponding author, e-mail: kalusked@uhnj.org DOI: 10.1563/AAID-JOI-D-11-00253 2 I ncidental sinus pathology is seen in up to half1 of the subjects undergoing cone-beam computerized tomography scan of the maxillary sinus. The predominant pathology is membrane thickening,2 polypoid masses or cysts, and acute sinusitis. Several etiologic factors contribute to the pathogenesis of sinus membrane pathology: environmental pollution,3 allergens,4,5 smoke, immune and inflammatory disorders (like sarcoidosis),6 rhinogenic (anatomic mechanical obJournal of Oral Implantology 285

Table of Contents for the Digital Edition of Journal of Oral Implantology June 2014

Controlled Early Inflammation and Bone Healing—Potential New Treatments
Zygomatic Implants: The Impact of Zygoma Bone Support on Biomechanics
A Comparative Study on Microgap of Premade Abutments and Abutments Cast in Base Metal Alloys
Topical Simvastatin Improves the Pro-Angiogenic and Pro-Osteogenic Properties of Bioglass Putty in the Rat Calvaria Critical-Size Model
Assessment of the Correlation Between Insertion Torque and Resonance Frequency Analysis of Implants Placed in Bone Tissue of Different Densities
Benefits of Rehabilitation With Implants in Masticatory Function: Is Patient Perception of Change in Accordance With the Real Improvement?
A Method for Fabrication of Implant-Supported Fixed Partial Dentures
Safe Sinus Lift: Use of Acrylic Stone Trimmer to Avoid Sinus Lining Perforation
The Effects of Sinus Membrane Pathology on Bone Augmentation and Procedural Outcome Using Minimal Invasive Antral Membrane Balloon Elevation
Cellular Responses to Metal Ions Released From Implants
A Two-Stage Surgical Approach to the Treatment of Severe Peri-Implant Defect: A 30-Month Clinical Follow-Up Report
Eight-Year Follow-Up of a Fixed-Detachable Maxillary Prosthesis Utilizing an Attachment System: Clinical Protocol for Individuals With Skeletal Class III Malocclusions
Active Implant Peri-Apical Lesion: A Case Report Treated Via Guided Bone Regeneration With a 5-year Clinical and Radiographic Follow-up
Flapless Implant Placement: A Case Report
Active Implant Periapical Lesions Leading to Implant Failure: Two Case Reports
A Review of Platelet Derived Growth Factor Playing Pivotal Role in Bone Regeneration
LETTER TO THE EDITOR
REVIEW OF CURRENT LITERATURE

Journal of Oral Implantology June 2014