Management of Perforation of Schneider’s Membrane in Maxillary Sinus Lift with L-PRF - Case Report

Authors

DOI:

https://doi.org/10.33448/rsd-v10i10.19180

Keywords:

Maxillary sinus; Maxillary sinus floor elevation; Leukocyte and platelet rich fibrin; Bone substitutes; Dental implants.

Abstract

Hyperpneumatization of the maxillary sinus is a factor that complicates the insertion of implants in the posterior region of the maxilla. Prior maxillary sinus floor elevation is an alternative that will enable implant placement in these cases. However, intraoperative complications may occur, with the perforation of the Schneider membrane being the most common. Several maneuvers for the management of sinus membrane perforations are described in the literature, making it possible to repair and perform the grafting procedure during the same surgical time. Among the forms of repair, the use of leukocyte and platelet rich fibrin (L-PRF) membranes has been shown to be a treatment option with interesting and promising results to achieve repair. This article describes a clinical case in which the perforation of Schneider’s membrane was repaired with L-PRF membranes and the procedure was performed without postoperative complications, enabling the subsequent insertion of implants and successful rehabilitation of the patient.

Author Biography

Ricardo Seixas de Paiva, Universidade Santo Amaro

Estudante de Doutorado em implantodontia pela Universidade Santo Amaro

References

Al-Moraissi, E., Elsharkawy, A., Abotaleb, B., Alkebsi, K., & Al-Motwakel, H. (2018). Does intraoperative perforation of Schneiderian membrane during sinus lift surgery causes an increased the risk of implants failure? A systematic review and meta regression analysis. Clinical Implant Dentistry and Related Research, 20(5), 882–889. https://doi.org/10.1111/cid.12660

Aricioglu, C., Dolanmaz, D., Esen, A., Isik, K., & Avunduk, M. C. (2017). Histological evaluation of effectiveness of platelet-rich fibrin on healing of sinus membrane perforations: A preclinical animal study. Journal of Cranio-Maxillofacial Surgery, 45(8), 1150–1157. https://doi.org/10.1016/j.jcms.2017.05.005

Barbu, H. M., Andreescu, Ã. C. F., Lorean, A., Kolerman, R., Moraru, L., Mortellaro, C., & Mijiritsky, E. (2016). Comparison of Two Techniques for Lateral Ridge Augmentation in Mandible With Ramus Block Graft. The Jounal of Craniofacial Surgery, 27(3), 662–667. https://doi.org/10.1097/SCS.0000000000002561

Canellas, J. V. S., Medeiros, P. J. D., Figueredo, C. M. S., Fischer, R. G., & Ritto, F. G. (2018). Platelet-rich fibrin in oral surgical procedures : a systematic review and meta-analysis. International Journal of Oral & Maxillofacial Surgery, 48(3), 395–414. https://doi.org/10.1016/j.ijom.2018.07.007

Castro, A., Cortellini, S., Temmerman, A., Li, X., Pinto, N., Teughels, W., & Quirynen, M. (2019). Characterization of the Leukocyte- and Platelet-Rich Fibrin Block: Release of Growth Factors, Cellular Content, and Structure. The International Journal of Oral & Maxillofacial Implants, Vol. 34, pp. 855–864. https://doi.org/10.11607/jomi.7275

Chan, H.-L., Monje, A., Suarez, F., Benavides, E., & Wang, H.-L. (2013). Palatonasal Recess on Medial Wall of the Maxillary Sinus and Clinical Implications for Sinus Augmentation via Lateral Window Approach. Journal of Periodontology, 84(8), 1087–1093. https://doi.org/10.1902/jop.2012.120371

Choukroun J, Adda F, Schoeffler C, V. A. (2001). Une opportunité en paro - implantologie: le PRF. Implantodontie, 42, 55–62.

Choukroun, J., Diss, A., Simonpieri, A., Girard, M. O., Schoeffler, C., Dohan, S. L., Dohan, J. J. A, Mouhyi J, Dohan, D. M. (2006). Platelet-rich fibrin (PRF): A second-generation platelet concentrate. Part IV: Clinical effects on tissue healing. Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology and Endodontology, 101(3), 56–60. https://doi.org/10.1016/j.tripleo.2005.07.011

de Almeida Ferreira, C., Martinelli, C., Novaes, A., Pignaton, T., Guignone, C., de Almeida, A., & Saba-Chujfi, E. (2017). Effect of Maxillary Sinus Membrane Perforation on Implant Survival Rate: A Retrospective Study. The International Journal of Oral & Maxillofacial Implants, 32(2), 401–407. https://doi.org/10.11607/jomi.4419

De Almeida Malzoni, C. M., Nícoli, L. G., Dos Santos Pinto, G. da C., Pigossi, S. C., Zotesso, V. A., Verzola, M. H. A., & Marcantonio, E. (2021). The effectiveness of L-PRF in the treatment of schneiderian membrane large perforations: Long-term follow-up of a case series. Journal of Oral Implantology, 47(1), 31–35. https://doi.org/10.1563/AAID-JOI-D-20-00044

Dohan Ehrenfest, D. M., Del Corso, M., Diss, A., Mouhyi, J., & Charrier, J.-B. (2010). Three-Dimensional Architecture and Cell Composition of a Choukroun’s Platelet-Rich Fibrin Clot and Membrane. Journal of Periodontology, 81(4), 546–555. https://doi.org/10.1902/jop.2009.090531

dos Santos Pinto, G. D. C., Pigossi, S. C., Pessoa, T., Nícoli, L. G., de Souza Bezerra Araújo, R. F., Marcantonio, C., & Marcantonio, E. (2018). Successful use of leukocyte platelet-rich fibrin in the healing of sinus membrane perforation: A case report. Implant Dentistry, 27(3), 375–380. https://doi.org/10.1097/ID.0000000000000731

Fugazzotto, P. a., & Vlassis, J. (2003). A Simplified Classification and Repair System for Sinus Membrane Perforations. Journal of Periodontology, 74(10), 1534–1541.

Gassling, V., Purcz, N., Braesen, J., Will, M., Gierloff, M., Behrens, E., & Wiltfang, J. (2013). Comparison of two different absorbable membranes for the coverage of lateral osteotomy sites in maxillary sinus augmentation: A preliminary study. Journal of Cranio-Maxillofacial Surgery, 41(1), 76–82. https://doi.org/10.1016/j.jcms.2012.10.015

Hartlev, J., Spin-Neto, R., Schou, S., Isidor, F., & Nørholt, S. E. (2019). Cone beam computed tomography evaluation of staged lateral ridge augmentation using platelet-rich fibrin or resorbable collagen membranes in a randomized controlled clinical trial. Clinical Oral Implants Research, 30(3), 277–284. https://doi.org/10.1111/clr.13413

Hernández-Alfaro, F., Torradeflot, M. M., & Marti, C. (2008). Prevalence and management of Schneiderian membrane perforations during sinus-lift procedures. Clinical Oral Implants Research, 19(1), 91–98. https://doi.org/10.1111/j.1600-0501.2007.01372.x

Lektemur Alpan, A., & Torumtay Cin, G. (2020). PRF improves wound healing and postoperative discomfort after harvesting subepithelial connective tissue graft from palate: a randomized controlled trial. Clinical Oral Investigations, 24(1), 425–436. https://doi.org/10.1007/s00784-019-02934-9

Lin, Y. H., Yang, Y. C., Wen, S. C., & Wang, H. L. (2016). The influence of sinus membrane thickness upon membrane perforation during lateral window sinus augmentation. Clinical Oral Implants Research, 27(5), 612–617. https://doi.org/10.1111/clr.12646

Dohan Ehrenfest, DM, Bielecki, T., Jimbo, R., Barbe, G., Del Corso, M., Inchingolo, F., & Sammartino, G. (2012). Do the Fibrin Architecture and Leukocyte Content Influence the Growth Factor Release of Platelet Concentrates? An Evidence-based Answer Comparing a Pure Platelet-Rich Plasma (P-PRP) Gel and a Leukocyte- and Platelet-Rich Fibrin (L-PRF). Current Pharmaceutical Biotechnology, 13(7), 1145–1152. https://doi.org/10.2174/138920112800624382

Marin, S., Kirnbauer, B., Rugani, P., Payer, M., & Jakse, N. (2019). Potential risk factors for maxillary sinus membrane perforation and treatment outcome analysis. Clinical Implant Dentistry and Related Research, 21(1), 66–72. https://doi.org/10.1111/cid.12699

Massuda, C. K. M.; Souza, R. V. de; Roman-Torres, C. V. G.; Marao, H. F.; Sendyk, W. R.; Pimentel, A. C. Aesthetic tissue augmentation with an association of synthetic biomaterial and L-PRF. Research, Society and Development, 9, e578974502, 10.33448/rsd-v9i7.4502.

Miron, R. J., Fujioka-kobayashi, M., & Hernandez, M. (2017). Injectable platelet rich fibrin (i-PRF): opportunities in regenerative dentistry ? Clinical Oral Investigations, 21(8), 2619–2627. https://doi.org/10.1007/s00784-017-2063-9

Moussa, M. (2016). Anterior Maxilla Augmentation Using Palatal Bone Block with Platelet-Rich Fibrin: A Controlled Trial. The International Journal of Oral & Maxillofacial Implants, 31(3), 708–715. https://doi.org/10.11607/jomi.3926

Öncü, E., & Kaymaz, E. (2017). Assessment of the effectiveness of platelet rich fibrin in the treatment of Schneiderian membrane perforation. Clinical Implant Dentistry and Related Research, 19(6), 1009–1014. https://doi.org/10.1111/cid.12528

Ozcan, M., Ucak, O., Alkaya, B., Keceli, S., Seydaoglu, G., & Haytac, M. (2017). Effects of Platelet-Rich Fibrin on Palatal Wound Healing After Free Gingival Graft Harvesting: A Comparative Randomized Controlled Clinical Trial. The International Journal of Periodontics & Restorative Dentistry, 37(5), e270–e278. https://doi.org/10.11607/prd.3226

Proussaefs, P., Lozada, J., Kim, J., & Rohrer, M. D. (2004). Repair of the perforated sinus membrane with a resorbable collagen membrane: a human study. The International Journal of Oral & Maxillofacial Implants, 19(3), 413–420. Retrieved from http://www.ncbi.nlm.nih.gov/pubmed/15214227

Raghoebar, G. M., Onclin, P., Boven, G. C., Vissink, A., & Meijer, H. J. A. (2019). Long-term effectiveness of maxillary sinus floor augmentation: A systematic review and meta-analysis. Journal of Clinical Periodontology, 46(S21), 307–318. https://doi.org/10.1111/jcpe.13055

Schwartz-Arad, D., Herzberg, R., & Dolev, E. (2004). The Prevalence of Surgical Complications of the Sinus Graft Procedure and Their Impact on Implant Survival. Journal of Periodontology, 75(4), 511–516. https://doi.org/10.1902/jop.2004.75.4.511

Schwarz, L., Schiebel, V., Hof, M., Ulm, C., Watzek, G., & Pommer, B. (2015). Risk Factors of Membrane Perforation and Postoperative Complications in Sinus Floor Elevation Surgery: Review of 407 Augmentation Procedures. Journal of Oral and Maxillofacial Surgery, 73(7), 1275–1282. https://doi.org/10.1016/j.joms.2015.01.039

Stacchi, C., Andolsek, F., Berton, F., Perinetti, G., Navarra, C., & Di Lenarda, R. (2017). Intraoperative Complications During Sinus Floor Elevation with Lateral Approach: A Systematic Review. The International Journal of Oral & Maxillofacial Implants, 32(3), e107–e118. https://doi.org/10.11607/jomi.4884

Testori, T., Wallace, S. S., Del Fabbro, M., Taschieri, S., Trisi, P., Capelli, M., & Weinstein, R. L. (2008). Repair of large sinus membrane perforations using stabilized collagen barrier membranes: surgical techniques with histologic and radiographic evidence of success. The International Journal of Periodontics & Restorative Dentistry, 28(1), 9–17. https://doi.org/10.11607/prd.00.0788

Testori, T., Yu, S.-H., Tavelli, L., & Wang, H.-L. (2020). Perforation Risk Assessment in Maxillary Sinus Augmentation with Lateral Wall Technique. The International Journal of Periodontics & Restorative Dentistry, 40(3), 373–380. https://doi.org/10.11607/prd.4179

Tükel, H. C., & Tatli, U. (2018). Risk factors and clinical outcomes of sinus membrane perforation during lateral window sinus lifting: analysis of 120 patients. International Journal of Oral and Maxillofacial Surgery, 47(9), 1189–1194. https://doi.org/10.1016/j.ijom.2018.03.027

Varela, H. A., Souza, J. C. M., Nascimento, R. M., Araújo, R. F., Vasconcelos, R. C., Cavalcante, R. S., & Araújo, A. A. (2019). Injectable platelet rich fibrin: cell content, morphological, and protein characterization. Clinical Oral Investigations, 23(3), 1309–1318. https://doi.org/10.1007/s00784-018-2555-2

Wallace, S. S., Froum, S. J, T. D. (2019). The Sinus Bone Graft. Jensen OT.

Xin, L., Yuan, S., Mu, Z., Li, D., Song, J., & Chen, T. (2020). Histological and Histomorphometric Evaluation of Applying a Bioactive Advanced Platelet-Rich Fibrin to a Perforated Schneiderian Membrane in a Maxillary Sinus Elevation Model. Frontiers in Bioengineering and Biotechnology, 8(November), 1–12. https://doi.org/10.3389/fbioe.2020.600032

Published

16/08/2021

How to Cite

MASSUDA, C. K. M.; CARVALHO, M. R. de .; MIZIARA, L. N. B.; PAIVA, R. S. de .; MARÃO, H. F.; PIMENTEL, A. C.; SENDYK, W. R. Management of Perforation of Schneider’s Membrane in Maxillary Sinus Lift with L-PRF - Case Report. Research, Society and Development, [S. l.], v. 10, n. 10, p. e472101019180, 2021. DOI: 10.33448/rsd-v10i10.19180. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/19180. Acesso em: 21 oct. 2021.

Issue

Section

Health Sciences