The maxillary sinus floor in the oral implantology.

Rom J Morphol Embryol

Clinical and Topographical Anatomy Department, Faculty of Dental Medicine, "Carol Davila" University of Medicine and Pharmacy, Bucharest, Romania.

Published: September 2009

Unlabelled: The aim of this study was to establish the mean distances between the maxillary sinus floor and the roots of the lateral maxillary teeth in dentate subjects, respectively the mean height of the available bone for oral implant placement in the corresponding area, in edentulous ones.

Material And Methods: We determined the maxillary sinus floor position in relation to morphoclinical alveolodental benchmarks on 50 dry skulls, dentate 30 and edentulous 20, and correlations were performed by use of 40 CT-scans of the targeted area. In addition, 20 human adult cadavers were bilaterally dissected in order to bring topographical evidence at that level.

Results: The data we obtained lead us to define three dentosinusal relations: tangent (close) relation 60.8%; distanced relation 25.6%; penetrating relation: 13.6%; three subantral classes in edentulous patients, emphasizing the direct relation of the age of the edentulism and the degree of bone resorption. We discuss the results we obtained from the viewpoint of their application in the field of oral implantology.

Conclusions: The maxillary sinus floor represents the danger zone for the oral implantology.

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