Journal of Periodontal and Implant Science

Korean Academy of Periodontology (대한치주과학회)
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Healing pattern of the mucous membrane after tooth extraction in the maxillary sinus

  • Yoo, Ji-Young (Department of Periodontology, Wonkwang University School of Dentistry) ;
  • Pi, Sung-Hee (Department of Periodontology, Wonkwang University School of Dentistry) ;
  • Kim, Yun-Sang (Department of Periodontology, Wonkwang University School of Dentistry) ;
  • Jeong, Seong-Nyum (Department of Periodontology, Wonkwang University School of Dentistry) ;
  • You, Hyung-Keun (Department of Periodontology, Wonkwang University School of Dentistry)
  • Received : 2010.10.13
  • Accepted : 2011.01.18
  • Published : 2011.03.07
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Abstract

Purpose: To investigate the healing pattern of the mucous membrane after tooth extraction necessitated by periodontal disease in the maxillary sinus. Methods: One hundred and three patients with 119 maxillary sinuses were investigated. Before implant placement, cone-beam computed tomography (CT) scanning was performed. The causes of extraction, the time elapsed since extraction, smoking, periodontal disease in adjacent teeth, and gender were recorded. In addition, the thickness of the mucous membrane of the maxillary sinus and the height of residual alveolar bone at the extracted area were calculated from CT images. Results: The thickness of the mucous membrane in the periodontal disease group ($3.05{\pm}2.71\;mm$) was greater than that of the pulp disease group ($1.92{\pm}1.78\;mm$) and the tooth fracture group ($1.35{\pm}0.55\;mm$; P<0.05). The causes of extraction, the time elapsed since extraction, and gender had relationships with a thickening of the mucous membrane of the maxillary sinus (P<0.05). In contrast, the height of the residual alveolar bone at the extracted area, periodontal disease in adjacent teeth, and smoking did not show any relation to the thickening of the mucous membrane of the maxillary sinus. Conclusions: The present study revealed distinct differences in healing patterns according to the causes of extraction in the maxillary sinus, especially periodontal disease, which resulted in more severe thickening of the mucous membrane.

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References

  1. Boyne PJ, James RA. Grafting of the maxillary sinus floor with autogenous marrow and bone. J Oral Surg 1980;38:613-6.
  2. Hirsch JM, Ericsson I. Maxillary sinus augmentation using mandibular bone grafts and simultaneous installation of implants. A surgical technique. Clin Oral Implants Res 1991;2:91-6. https://doi.org/10.1034/j.1600-0501.1991.020207.x
  3. Schwartz-Arad D, Herzberg R, Dolev E. The prevalence of surgical complications of the sinus graft procedure and their impact on implant survival. J Periodontol 2004;75:511-6. https://doi.org/10.1902/jop.2004.75.4.511
  4. Maksoud MA. Complications after maxillary sinus augmentation: a case report. Implant Dent 2001;10:168-71. https://doi.org/10.1097/00008505-200107000-00005
  5. Barone A, Santini S, Sbordone L, Crespi R, Covani U. A clinical study of the outcomes and complications associated with maxillary sinus augmentation. Int J Oral Maxillofac Implants 2006;21:81-5.
  6. van den Bergh JP, ten Bruggenkate CM, Disch FJ, Tuinzing DB. Anatomical aspects of sinus floor elevations. Clin Oral Implants Res 2000;11:256-65. https://doi.org/10.1034/j.1600-0501.2000.011003256.x
  7. Worth HM, Stoneman DW. Radiographic interpretation of antral mucosal changes due to localized dental infection. J Can Dent Assoc (Tor) 1972;38:111-6.
  8. Rak KM, Newell JD 2nd, Yakes WF, Damiano MA, Luethke JM. Paranasal sinuses on MR images of the brain: significance of mucosal thickening. AJR Am J Roentgenol 1991;156:381-4. https://doi.org/10.2214/ajr.156.2.1898819
  9. Abrahams JJ, Glassberg RM. Dental disease: a frequently unrecognized cause of maxillary sinus abnormalities? AJR Am J Roentgenol 1996;166:1219-23. https://doi.org/10.2214/ajr.166.5.8615273
  10. Vallo J, Suominen-Taipale L, Huumonen S, Soikkonen K, Norblad A. Prevalence of mucosal abnormalities of the maxillary sinus and their relationship to dental disease in panoramic radiography: results from the Health $_{2000}$ Health Examination Survey. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2010;109:e80-7. https://doi.org/10.1016/j.tripleo.2009.10.031
  11. Casamassimo PS, Lilly GE. Mucosal cysts of the maxillary sinus: a clinical and radiographic study. Oral Surg Oral Med Oral Pathol 1980;50:282-6. https://doi.org/10.1016/0030-4220(80)90385-0
  12. Falk H, Ericson S, Hugoson A. The effects of periodontal treatment on mucous membrane thickening in the maxillary sinus. J Clin Periodontol 1986;13:217-22. https://doi.org/10.1111/j.1600-051X.1986.tb01463.x
  13. Engstrom H, Chamberlain D, Kiger R, Egelberg J. Radiographic evaluation of the effect of initial periodontal therapy on thickness of the maxillary sinus mucosa. J Periodontol 1988;59:604-8. https://doi.org/10.1902/jop.1988.59.9.604
  14. Huang HM, Lee HP, Liu CM, Lin KN. Normalization of maxillary sinus mucosa after functional endoscopic sinus surgery in pediatric chronic sinusitis. Int J Pediatr Otorhinolaryngol 2005;69:1219-23. https://doi.org/10.1016/j.ijporl.2005.03.031
  15. Patel K, Chavda SV, Violaris N, Pahor AL. Incidental paranasal sinus inflammatory changes in a British population. J Laryngol Otol 1996;110:649-51.
  16. Tozum TF, Dursun E, Tulunoglu I. Sinus floor elevation from a maxillary molar tooth extraction socket in a patient with chronic inflammation. J Periodontol 2009;80:521-6. https://doi.org/10.1902/jop.2009.080406
  17. Moskow BS. A histomorphologic study of the effects of periodontal inflammation on the maxillary sinus mucosa. J Periodontol 1992;63:674-81. https://doi.org/10.1902/jop.1992.63.8.674
  18. Bomeli SR, Branstetter BF 4th, Ferguson BJ. Frequency of a dental source for acute maxillary sinusitis. Laryngoscope 2009;119:580-4. https://doi.org/10.1002/lary.20095
  19. Havas TE, Motbey JA, Gullane PJ. Prevalence of incidental abnormalities on computed tomographic scans of the paranasal sinuses. Arch Otolaryngol Head Neck Surg 1988;114:856-9. https://doi.org/10.1001/archotol.1988.01860200040012
  20. Nam EC, Lee BJ. Prevalence of sinus abnormality observed in the cranial computed tomograms taken to evaluate head injury patients. Korean J Otolaryngol-Head Neck Surg 1998;41:488-92.
  21. Cheong CS, Cho BH, Hwang DS, Jung YH, Naa KS. Evaluation of maxillary sinus using cone-beam CT in patients scheduled for dental implant in maxillary posterior area. J Korean Assoc Oral Maxillofac Surg 2009;35:21-5.
  22. Tarp B, Fiirgaard B, Christensen T, Jensen JJ, Black FT. The prevalence and significance of incidental paranasal sinus abnormalities on MRI. Rhinology 2000;38:33-8.
  23. Beaumont C, Zafiropoulos GG, Rohmann K, Tatakis DN. Prevalence of maxillary sinus disease and abnormalities in patients scheduled for sinus lift procedures. J Periodontol 2005;76:461-7. https://doi.org/10.1902/jop.2005.76.3.461

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