Context: The maxillary sinus elevation procedure has become an important pre-prosthetic surgical procedure for the creation of bone volume in the edentulous posterior maxilla for the placement of dental implants. Research and clinical experience over the past 30 years has increased the predictability of this procedure as well as reduced patient morbidity.
Evidence Acquisition: Data on grafting materials and implant survival rates comes from 10 published evidence-based reviews that include all relevant published data from 1980 to 2012. Supporting clinical material comes from the experience of the authors.
Evidence Synthesis: The evidence-based reviews report and compare the implant survival rates utilizing various grafting materials, implant surfaces, and the use or non-use of barrier membranes over the lateral window. Clinical studies report on complication rates utilizing piezoelectric surgery and compare them to complication rates with rotary instrumentation.
Conclusions: The conclusions of all the evidence-based reviews indicate that the utilization of bone replacement grafts, rough-surfaced implants, and barrier membranes result in the most positive outcomes when considering implant survival. Further, the utilization of piezoelectric surgery, rather than rotary diamond burs, for lateral window preparation and membrane separation leads to a dramatic reduction in the occurrence of the intraoperative complications of bleeding and membrane perforation.
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http://dx.doi.org/10.1016/S1532-3382(12)70030-1 | DOI Listing |
Amyotroph Lateral Scler Frontotemporal Degener
January 2025
Department of Neuroscience, Sheffield Institute for Translational Neuroscience (SITraN), The University of Sheffield, Sheffield, UK and.
Mouse models of amyotrophic lateral sclerosis (ALS) enable testing of novel therapeutic interventions. However, treatments that have extended survival in mice have often failed to translate into human benefit in clinical trials. Compound muscle action potentials (CMAPs) are a simple neurophysiological test that measures the summation of muscle fiber depolarization in response to maximal stimulation of the innervating nerve.
View Article and Find Full Text PDFNeurorehabil Neural Repair
January 2025
Department of Cellular and Molecular Medicine, University of Ottawa, Ottawa, ON, Canada.
Background: There is a critical time window of post-stroke neuroplasticity when spontaneous behavioral recovery occurs. Potential factors responsible for this heightened plasticity are the reduction of parvalbumin-immunoreactive (PV+) interneuron inhibitory signaling and the disappearance of extracellular matrix synaptic stabilizers called perineuronal net(s; PNN/PNNs).
Objective: This study investigated whether behavioral recovery during this critical period following stroke is associated with changes in densities of PV+ interneurons and PNNs.
Int J Periodontics Restorative Dent
January 2025
Sinus membrane perforations are among the most commonly reported intraoperative complications encountered during maxillary sinus floor elevation procedures performed via the lateral window approach. Large perforations (> 10 mm) can pose a major clinical challenge, and often result in failed bone augmentation and poorer long-term implant survival. Owing to these challenges, even a highly skilled oral implant surgeon with advanced training in implantology faced with such perforations may abandon grafting procedures in favor of a reentry approach.
View Article and Find Full Text PDFJ Craniofac Surg
January 2025
Department of Oral, Plastic, and Aesthetic Surgery, Hospital of Stomatology, Jilin University, Changchun, Jilin, China.
Odontogenic keratocysts (OKCs) are an invasive type of odontogenic cyst that rarely occurs in the maxilla. This article presents a case of OKC complicated with ectopic teeth occurring in the maxillary sinus. This article collects a case of a 19-year-old female patient with an ectopic tooth in the maxillary sinus associated with an OKC.
View Article and Find Full Text PDFClin Spine Surg
November 2024
Department of Neurosurgery, University of California San Diego School of Medicine, San Diego, CA.
Study Design: A meta-analysis approach to a systematic review.
Objective: Perform a systematic review to identify all reports directly comparing outcomes of lateral lumbar interbody fusion (LLIF) using static versus expandable interbody cages. Specifically focusing on periprocedural complications, intraoperative morbidity, and fusion outcomes.
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