Complications arising from maxillary sinus raising




Sinus floor augmentation; Intraoperative complications; Maxilla.


In a rehabilitative and aesthetic way, the science of implantology has improved in order to solve some discomforts reported by patients. Among these complaints, the edentulous areas must be meticulously evaluated for adequate clinical planning. Therefore, when the atrophic maxilla is diagnosed, in most cases the maxillary sinus ends up pneumatizing and operational techniques are analyzed to allow the accommodation of the implants. For this reason, the objective of this study is to report the main complications resulting from the maxillary sinus lift procedure. For the elaboration of the research, a bibliographic survey was carried out, using the Scientific Electronic Library Online (Scielo) and Medical Literature Analysis and Retrieval System Online (Medline) databases. Specific descriptors such as maxillary sinus floor elevation, intraoperative complications and maxilla were used as the search method. In this research, the articles were selected by appropriate criteria relevant to the theme, all published between 2016 and 2022, in English and Portuguese. In the current literature, there are many studies in this area that prove a high success rate in maxillary sinus lift surgeries, however, as with any surgical intervention, operational risks may be present. In this aspect, when some questions are added, such as good scientific knowledge on the subject, manual dexterity of the operator and respect for each individual's compliance, the probability of complications from the surgery decreases. 


Bathla, S. C., Fry, R. R., & Majumdar, K. (2018). Maxillary sinus augmentation. Journal of Indian Society of Periodontology, 22(6), 468–473.

Cavalcanti, M. C., Guirado, T. E., Sapata, V. M., Costa, C., Pannuti, C. M., Jung, R. E., & César Neto, J. B. (2018). Maxillary sinus floor pneumatization and alveolar ridge resorption after tooth loss: a cross-sectional study. Brazilian oral research, 32, e64.

Castelo Branco, I. M., Afonso, A. L. dos S. B., de Freitas, T. T. F. S., Maciel, L. F. O., & Vasconcelos, B. C. do E. (2019). Complicações no procedimento de levantamento de seio maxilar: um estudo dos últimos cinco anos. Revista Uningá, 56(S3), 1–10.

David, G., Vermudt, A., Ghizoni, J., Pereira, J., & Pamato, S. (2018). Levantamento de seio maxilar: uma comparação de técnicas. Journal of Research in Dentistry, 6(2), 43-48.

Fernandes Filho, W., Paiva, D. F. F., Pinheiro, J. C., Silva, G. G. da, Maia Neto, J. S., & Botelho, S. H. B. (2020). The importance of maxillary sinus lifting for the installation of dental implants. Research, Society and Development, 9(10), e4969108825.

Ferreira, C. E. A, Martinelli, C. B., Novaes, A. B., Jr, Pignaton, T. B., Guignone, C. C., Gonçalves de Almeida, A. L., & 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.

Göçmen, G., & Özkan, Y. (2017). Maxillary Sinus Augmentation for Dental Implants. In (Ed.), Paranasal Sinuses. IntechOpen.

Insua A., Monje-Gil F., García-Caballero L., Caballé-Serrano J., Wang HL., Monje A. (2017) Mechanical characteristics of the maxillary sinus Schneiderian membrane ex vivo. Clinical Oral Investigations.

Irinakis, T., Dabuleanu, V., & Aldahlawi, S. (2017). Complications During Maxillary Sinus Augmentation Associated with Interfering Septa: A New Classification of Septa. The open dentistry journal, 11, 140–150.

Juzikis, E., Gaubys, A., & Rusilas, H. (2018). Uses of maxillary sinus lateral wall bony window in an open window sinus lift procedure: literature review. Stomatologija, 20(1), 14–21.

Kim, J., & Jang, H. (2019). A review of complications of maxillary sinus augmentation and available treatment methods. Journal of the Korean Association of Oral and Maxillofacial Surgeons, 45(4), 220–224.

Kim, Y. K., & Ku, J. K. (2020). Sinus membrane elevation and implant placement. Journal of the Korean Association of Oral and Maxillofacial Surgeons, 46(4), 292–298.

Kezys J. (2016). Impact of early complications of sinus floor elevation and individual factors of the body on the long-term treatment results. Stomatologija, 18(4), 122–127.

Lee, J. W., Yoo, J. Y., Paek, S. J., Park, W. J., Choi, E. J., Choi, M. G., & Kwon, K. H. (2016). Correlations between anatomic variations of maxillary sinus ostium and postoperative complication after sinus lifting. Journal of the Korean Association of Oral and Maxillofacial Surgeons, 42(5), 278–283.

Melo, M. M. M., Figueira, L. C. G., Guedes, E. V. B., Magno Filho, L. C., & Gomes, A. V. S. F. (2022). Sinus membrane elevation to increase height in the posterior maxillary region: lateral window technique. Research, Society and Development, 11(6), e25311628950.

Monje A., Monje-Gil F., Burgueno M., Gonzalez-Garcia R., Galindo-Moreno P., Wang H.L. (2016). Incidence of and factors associated with sinus membrane perforation during maxillary sinus augmentation using the reamer drilling approach: a double-center case series. The international journal of periodontics & restorative dentistry 36:549-556.

Molina A., Sanz-Sanchez I., Sanz-Martin I., Ortiz-Vigon A., Sanz M. (2022). Complications in sinus lifting procedures: Classification and management. Periodontol 2000 88(1):103–15.

Munakata, M., Yamaguchi, K., Sato, D., Yajima, N., & Tachikawa, N. (2021). Factors influencing the sinus membrane thickness in edentulous regions: a cone-beam computed tomography study. International journal of implant dentistry, 7(1), 16.

Psillas, G., Papaioannou, D., Petsali, S., Dimas, G. G., & Constantinidis, J. (2021). Odontogenic maxillary sinusitis: A comprehensive review. Journal of dental sciences, 16(1), 474–481.

Rengo, C., Fiorino, A., Cucchi, A., Nappo, A., Randellini, E., Calamai, P., & Ferrari, M. (2021). Patient-reported outcomes and complication rates after lateral maxillary sinus floor elevation: a prospective study. Clinical oral investigations, 25(7), 4431–4444.

Silva, M. C., Lôbo M. V., Salmos-Brito, J. A. L., Bessa-Nogueira, R. V. Avaliação da sobrevivência de implantes imediatos e tardios após levantamento de seio maxilar: revisão de literatura. Revista da Academia Brasileira de Odontologia. v.9, n. 1, p. 3-7, 2020.

Starch-Jensen, T., Deluiz, D., Duch, K., & Tinoco, E. (2019). Maxillary Sinus Floor Augmentation With or Without Barrier Membrane Coverage of the Lateral Window: a Systematic Review and Meta-Analysis. Journal of oral & maxillofacial research, 10(4), e1.

Starch-Jensen, T., & Jensen, J. D. (2017). Maxillary Sinus Floor Augmentation: a Review of Selected Treatment Modalities. Journal of oral & maxillofacial research, 8(3), e3.

Tavelli, L., Borgonovo, A. E., Re, D., & Maiorana, C. (2017). Sinus presurgical evaluation: a literature review and a new classification proposal. Minerva stomatologica, 66(3), 115–131.

Shao, Q., Li, J., Pu, R., Feng, Y., Jiang, Z., Yang, G. (2021). Risk factors for sinus membrane perforation during lateral window maxillary sinus floor elevation surgery: A retrospective study. Clinical Implant Dentistry and Related Research. 23. 10.1111/cid.13052.

Sousa, F. C. T. de, Costa, M. D. M. de A, & Dietrich, L. (2021). Lifting the maxillary sinus using the side window technique a literature review. Research, Society and Development, 10(11), e238101119547.

Varela-Centelles, P., Loira-Gago, M., Gonzalez-Mosquera, A., Seoane-Romero, J. M., Garcia-Martin, J. M., & Seoane, J. (2016). Distance of the alveolar antral artery from the alveolar crest. Related factors and surgical considerations in sinus floor elevation. Medicina oral, patologia oral y cirugia bucal, 21(6), e758–e765.

Whyte, A., & Boeddinghaus, R. (2019). The maxillary sinus: physiology, development and imaging anatomy. Dento maxillo facial radiology, 48(8), 20190205.

Yan, M., Liu, R., Bai, S., Wang, M., Xia, H., Chen, J. (2018). Transalveolar sinus floor lift without bone grafting in atrophic maxilla: A meta-analysis. Scientific Reports.

Yu, S. J., Lee, Y. H., Lin, C. P., & Wu, A. Y. (2019). Computed tomographic analysis of maxillary sinus anatomy relevant to sinus lift procedures in edentulous ridges in Taiwanese patients. Journal of periodontal & implant science, 49(4), 237–247.



How to Cite

NASCIMENTO, V. O. do .; CRONEMBERGER, M. P. C.; CAVALCANTE, A. de A. F. .; SILVA, M. L. .; SOUSA, A. P. S. de; MATOS , L. M. R. de . Complications arising from maxillary sinus raising . Research, Society and Development, [S. l.], v. 11, n. 10, p. e344111032714, 2022. DOI: 10.33448/rsd-v11i10.32714. Disponível em: Acesso em: 27 jan. 2023.



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