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Clinical and biological analysis in graftless maxillary sinus lift

  • Parra, Marcelo;Olate, Sergio;Cantin, Mario
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.43 no.4
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    • pp.214-220
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    • 2017
  • Maxillary sinus lift for dental implant installation is a well-known and versatile technique; new techniques are presented based on the physiology of intrasinus bone repair. The aim of this review was to determine the status of graftless maxillary sinus lift and analyze its foundations and results. A search was conducted of the literature between 1995 and 2015 in the Medline, ScienceDirect, and SciELO databases using the keywords "maxillary sinus lift," "blood clot," "graftless maxillary sinus augmentation," and "dental implant placement." Ten articles were selected for our analysis of this technique and its results. Despite the limited information, cases that were followed for at least six months and up to four years had a 90% success rate. Published techniques included a lateral window, elevation of the sinus membrane, drilling and dental implant installation, descent of the membrane with variations in the installation of the lateral wall access and suturing. The physiology behind this new bone formation response and the results of the present research were also discussed. We concluded that this is a promising and viable technique under certain inclusion criteria.

Survival rate of Astra Tech implants with maxillary sinus lift

  • Yoon, Wook-Jae;Jeong, Kyung-In;You, Jae-Seek;Oh, Ji-Su;Kim, Su-Gwan
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.40 no.1
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    • pp.17-20
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    • 2014
  • Objectives: The aim of this study was to retrospectively evaluate the clinical survival rate of Astra Tech implants in the maxillary molar region performed with sinus lift and bone graft. Materials and Methods: Ninety-nine Astra Tech implants (Osseospeed) placed in the maxillary molar region using sinus lift from September 2009 to February 2012 were selected with a minimum follow-up period of 1 year. The height of alveolar bone, sinus approach technique, bone material and implant survival rate were evaluated. Results: Of the 99 implants, the survival rate was 90.9%; 8 implants failed within 1 year after implant placement, and 1 implant failed 1 year after implant loading. All failed implants were placed with sinus lift simultaneously. The average height of alveolar bone before implant placement was 6.9 mm, while the height of alveolar bone of failed implants was 2.1 mm, on average. Conclusion: Astra Tech implants placed in the maxillary molar region had generally good survival rates, but the relationship between reduced pre-implant alveolar bone height and implant failure requires further attention.

Sinus lifts in the presence of pseudoantral and mucous retention cysts

  • Choi, Moon Gi;Hong, Chang Hyun;Choi, Eun Joo;Park, Won Jong;Kim, Young Geun;Gil, Do Geon
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.48 no.2
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    • pp.101-110
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    • 2022
  • Objectives: Mucous retention cysts and pseudoantral cysts are mainly located within the floor of the maxillary sinus. Most of these maxillary cysts are asymptomatic and often only require observation. However, the presence of these benign maxillary cysts may create problems when maxillary sinus all types of implants are needed. Various treatment methods have been introduced. The selected treatment option depends on the type, size, and location of the cyst and its symptoms. Patients and Methods: The case reports of four patients with maxillary cysts were reviewed retrospectively. These patients received a sinus lift between January 2016 and October 2021 at the Wonkwang University Dental Hospital. Results: To reduce unnecessary operations and the duration of treatment, a conservative treatment method is required. A sinus lift in the presence of maxillary cyst will not typically cause sinus problems if the lifted sinus membrane does not interfere with ventilation of the maxillary sinus. Conclusion: When proper treatment is provided, sinus perforation during a sinus lift performed in the presence of maxillary cyst and contamination of bone graft materials by cystic fluid does not necessarily result in adverse outcomes.

A radiographic evaluation of graft height changes after maxillary sinus augmentation

  • Kim, Do-Hyung;Ko, Min-Jeong;Lee, Jae-Hong;Jeong, Seoung-Nyum
    • Journal of Periodontal and Implant Science
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    • v.48 no.3
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    • pp.174-181
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    • 2018
  • Purpose: The aims of the present study were to quantitatively assess graft height changes after sinus lift procedures and to analyze the factors that influenced graft height changes, including the residual bone height before surgery, surgical approach, and tooth type. Methods: A total of 39 maxillary posterior implants placed during a simultaneous sinus lift procedure were evaluated. Panoramic radiographs of all patients were taken immediately after implant installation and at 3 months, 6 months, 1 year, 2 years, and 3 years. To analyze graft height changes over time, we measured the distance between the implant platform and the base of the grafted sinus floor at 3 locations. The radiographs were analyzed by a single examiner. Results: Graft height tended to decrease over time, and a statistically significant difference was observed at 2 years compared to baseline (P<0.05). There was no statistically significant difference in graft height change according to the surgical approach or tooth type. For residual bone height, a statistically significant difference in graft height change was found between those with 4-7 mm of residual bone height and those with ${\geq}7mm$ (P<0.05). Conclusions: Graft height after sinus lift procedures significantly decreased at 2 years compared to baseline after sinus augmentation. Further studies should be done with controlled variables, and prospective studies with 3-dimensional images are needed to clarify the factors that influence graft height changes.

A CLINICAL STUDY OF MAXILLARY SINUS LIFT FOR DENTAL IMPLANT (임프란트 식립을 위한 상악동 거상술의 임상적 연구)

  • Lee, Seong-Jae;Jang, Hyon-Seok;Lee, Boo-Kyu;Kwon, Jong-Jin;Rim, Jae-Suk
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.21 no.4
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    • pp.376-381
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    • 1999
  • A variety of materials and procedures such as sinus floor elevation, sinus-lift graft, inlay bone graft using Le Fort I osteotomy, and onlay graft have been used to create adequate bone volume in the maxillary sinus for placement of endosseous implants in the posterior atrophic maxilla. Because of the frequent lack of bone in the posterior maxilla, sinus lift procedure has become a commonly practiced treatment modality. The 138 endosseous implants of 36 patients with sinus augmentation procedures performed in Korea University Hospital from January 1991 to December 1998 were summarized and analysed. The result of this study were as follows: 1. Age ranged from 39 to 57, with a mean of 50.7. 2. The mean survival rate for 138 implants with maxillary sinus lift procedure was 80.4%. 3. There was no corelationship between the fixture length, width and the survival rate. 4. The result showed that the healing period for 8-12 months was necessary if the residual alveolar bone height was less than 5mm. 5. Autogenous iliac corticocancellous block graft showed the most favorable survival rate(95%).

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A CLINICAL STUDY OF MAXILLARY SINUS GRAFT FOR IMPLANT PLACEMENT (임프란트 식립시 상악동점막거상술후 예후에 관한 임상적 연구)

  • Park, Lae-yeun;Lee, Jong-han;Kim, O-hwan
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.20 no.2
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    • pp.166-172
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    • 1998
  • Missing of the upper posterior dentition can cause alveolar bone resorption & pneumatization of Maxillary sinus wall, which makes traditional implant placement impossible, The solution includes various methods to the posterior maxilla to provide adequate bone support for implant installation and long-term survival. -- sinus floor elevation, sinus-lift graft, inlay graft using LeFort I osteotomy, onlay graft, This is a clinical Sr. retrospective study on implant surgery & prosthodontic restoration with upper edentulous posterior jaw from Jan. 1990. to Jun. 1997 at implant clinic of Chonbuk National University Hospital. The results obtained were as follows: 1. Six hundred ninety-nine implants were placed on upper posterior jaw of two hundred seventeen patients, among them one hundred sixty-five implants were placed in forty-four patients with sinus lift. 2. The height of the remained alveolar bone was classified on the base of Misch's concept. This included seventy-nine SA-1s, ninety-seven SA-2s, sixty-five SA-3s and sixty SA-4s. 3. Ninety percent of implants were successfully integrated in non-grafted area and eighty-seven percent of implants were successully integrated in sinus lift area.

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A Study for Antecedent Association Rules

  • Cho, Kwang-Hyun;Park, Hee-Chang
    • 한국데이터정보과학회:학술대회논문집
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    • 2006.11a
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    • pp.51-57
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    • 2006
  • Association rule mining searches for interesting relationships among Items in a given database. Association rules are frequently used by retail stores to assist in marketing, advertising, floor placement, and inventory control. There are three primary quality measures for association rule support and confidence and lift. In this paper we present association rule mining based antecedent variables. We call these rules to antecedent association rules. An antecedent variable is a variable that occurs before the independent variable and the dependent variable. For example, in politics, a special interest group may want to support a politician who backs their cause. The group would look for a candidate who supports their views and support his election. Once in office, the politician would then conduct policy that supports the interest group.

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Discovery of Association Rules Using Latent Variables

  • Park, Hee-Chang;Cho, Kwang-Hyun
    • 한국데이터정보과학회:학술대회논문집
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    • 2005.10a
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    • pp.177-188
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    • 2005
  • Association rule mining searches for interesting relationships among items in a given large data set. Association rules are frequently used by retail stores to assist in marketing, advertising, floor placement, and inventory control. There are three primary threshold measures in association rule; support and confidence and lift. In the case of appling real world to association rules, we have some difficulties in data interpretation because we obtain many rules. In this paper, we develop the model of association rules using latent variables for environmental survey data.

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Criteria of Association Rule based on Chi-Square for Nominal Database

  • Park, Hee-Chang;Lee, Ho-Soon
    • 한국데이터정보과학회:학술대회논문집
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    • 2004.04a
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    • pp.25-38
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    • 2004
  • Association rule mining searches for interesting relationships among items in a given database. Association rules are frequently used by retail stores to assist in marketing, advertising, floor placement, and inventory control. There are three primary quality measures for association rule, support and confidence and lift. In this paper we present the relation between the measure of association based on chi square statistic and the criteria of association rule for nominal database and propose the objective criteria for association.

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Discovery of Association Rules Using Latent Variables

  • Park, Hee-Chang;Cho, Kwang-Hyun
    • Journal of the Korean Data and Information Science Society
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    • v.17 no.1
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    • pp.149-160
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    • 2006
  • Association rule mining searches for interesting relationships among items in a given large data set. Association rules are frequently used by retail stores to assist in marketing, advertising, floor placement, and inventory control. There are three primary threshold measures in association rule; support and confidence and lift. In the case of appling real world to association rules, we have some difficulties in data interpretation because we obtain many rules. In this paper, we develop the model of association rules using latent variables for environmental survey data.

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