Journal of Periodontal and Implant Science

Korean Academy of Periodontology (대한치주과학회)
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Factors affecting maxillary sinus pneumatization following posterior maxillary tooth extraction

  • Lim, Hyun-Chang (Department of Periodontology, Periodontal-Implant Clinical Research Institute, School of Dentistry, Kyung Hee University) ;
  • Kim, Sangyup (Department of Dentistry, Graduate School, Kyung Hee University) ;
  • Kim, Do-Hyup (Department of Periodontology, Periodontal-Implant Clinical Research Institute, School of Dentistry, Kyung Hee University) ;
  • Herr, Yeek (Department of Periodontology, Periodontal-Implant Clinical Research Institute, School of Dentistry, Kyung Hee University) ;
  • Chung, Jong-Hyuk (Department of Periodontology, Periodontal-Implant Clinical Research Institute, School of Dentistry, Kyung Hee University) ;
  • Shin, Seung-Il (Department of Periodontology, Periodontal-Implant Clinical Research Institute, School of Dentistry, Kyung Hee University)
  • Received : 2020.12.03
  • Accepted : 2021.03.10
  • Published : 2021.08.30
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Abstract

Purpose: The aims of the present study were 1) to quantitatively evaluate the extent of sinus pneumatization and 2) to determine the factors affecting sinus pneumatization. Methods: Based on implant treatment records, a list of patients who underwent implant placement on the posterior maxilla was obtained. Among them, patients with pre-extraction and post-extraction (before implant placement) panoramic radiographs were selected. After excluding radiographs with low resolution and image distortion, the radiographs before and after extraction were superimposed using computer software. Subsequently, the extent of sinus pneumatization (the vertical change of the sinus floor) was measured. Simple and multiple mixed models were used to determine the factors affecting sinus pneumatization. Results: A total of 145 patients were eligible for the present investigation. The average extent of sinus pneumatization was 1.56±3.93 mm at 176 tooth sites. Male sex, single tooth extraction, extraction of an endodontically compromised tooth, a class I root-sinus relationship, and sinus membrane thickening >10 mm favored pneumatization, but without statistical significance. The maxillary second molar presented the greatest pneumatization (2.25±4.39 mm) compared with other tooth types. This finding was confirmed in the multiple mixed model, which demonstrated a statistically significant impact of the extraction of a second molar compared with the extraction of a first premolar. Conclusions: Maxillary sinus pneumatization was 1.56±3.93 mm on average. The extraction of a second molar led to the greatest extent of pneumatization, which should be considered in the treatment plan for this tooth site.

Keywords

Acknowledgement

The authors appreciate the staunch support from the research team in the Department of Periodontology, Kyung Hee University.

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