Case Report

Anterior Wall of Maxillary Sinus As a New Autogenic Graft Source: A Case Report

Abstract

This study introduces the anterior wall of the maxillary sinus as a viable and accessible graft site for small to moderate bone defects in the maxilla that pose challenges for implantation. A healthy 40-year-old woman was referred by a prosthodontist due to malpositioned implants. Following a comprehensive assessment, the decision was made to remove the implants. Upon executing this treatment plan, a medium-sized defect was revealed. The flap was elevated to expose the anterior wall of the maxillary antrum, from which an osseous graft was obtained. This graft was then fixed as a buccal wall of the defect and supported by a membrane. After a healing period of 6 months, two implants were successfully inserted. The anterior wall of the maxillary sinus can serve as a beneficial graft source. However, more extensive studies with appropriate design are required to reach a definitive conclusion.

[1]D’Amato S, Itro A, Santagata M. Mandibular bone regeneration after bone slat technique. Ann Stomatol (Roma). 2017;8(1):39- 44. https://doi.org/10.11138/ads/2017.8.1.039
[2]Wang D, Tabassum A, Wu G, Deng L, Wismeijer D, Liu Y. Bone regeneration in critical-sized bone defect enhanced by
introducing osteoinductivity to biphasic calcium phosphate granules. Clin Oral Implants Res. 2017;28(3):251-60. https:// doi.org/10.1111/clr.12791
[3]Faverani LP, Ramalho-Ferreira G, Santos PHD, Rocha EP, Garcia Júnior IR, Pastori CM, et al. Surgical techniques for maxillary bone grafting - literature review. Rev Col Bras Cir. 2014;41:61-7. https://doi.org/10.1590/S0100 69912014000100012
[4]Sakkas A, Wilde F, Heufelder M, Winter K, Schramm A. Autogenous bone grafts in oral implantology-is it still a “gold standard”? A consecutive review of 279 patients with 456 clinical procedures. Int J Implant Dent. 2017;3(1):23. https:// doi.org/10.1186/s40729-017-0084-4
[5]Raghoebar GM, Timmenga NM, Reintsema H, Stegenga B, Vissink A. Maxillary bone grafting form insertion of endosseous implants: results after 12-124 months. Clin Oral Implants Res. 2001;12(3):279-86. https://doi.org/10.1034/j.1600- 0501.2001.012003279.x
[6]Stübinger S, Robertson A, Zimmerer KS, Leiggener C, Sader R, Kunz C. Piezoelectric harvesting of an autogenous bone
graft from the zygomaticomaxillary region: case report. Int J Periodontics Restorative Dent. 2006;26(5):453-7. Link
[7]Reininger D, Cobo-Vázquez C, Rosenberg B, López- Quiles J. Alternative intraoral donor sites to the chin and mandibular body-ramus. J Clin Exp Dent. 2017;9(12):e1474. https://doi. org/10.4317/jced.54372
[8]Veis AA, Tsirlis AT, Parisis NA. Effect of autogenous harvest site location on the outcome of ridge augmentation for
implant dehiscences. Int J Periodontics Restorative Dent. 2004;24(2):154-63. Link
[9]Abdi I, Maleki D. Anterior Mandibular Composite Graft for Regeneration of Knife-Edge Ridges in Implant Surgery: A
Treatment Case Report. Front Dent. 2020;17(10):1-5. https:// doi.org/10.18502/fid.v17i1.3968
[10]Abdi I, Maleki D, Maleki D. A review of advantages and disadvantages of different intraoral and extraoral autogenic
osseous grafts in the reconstruction of bony defects. J Dentomaxillofac Radiol Pathol Surg. 2019;8(1&2):53-5.
[11]Emodi O, Nseir S, Shilo D, Srouji H, Rachmiel A. Antral Wall Approach for Reconstruction of Orbital Floor Fractures Using Anterior Maxillary Sinus Bone Grafts. J Craniofac Surg. 2018;29(4):e421-6. https://doi.org/10.1097/SCS.0000000000004454
[12]Bande CR, Daware S, Lambade P, Patle B. Reconstruction of orbital floor fractures with autogenous bone graft
application from anterior wall of maxillary sinus: a retrospective study. J Maxillofac Oral Surg.
2015;14(3):605-10. https://doi. org/10.1007/s12663-014-0716-7
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IssueVol 8 No 4 (2023): July-August QRcode
SectionCase Report(s)
DOI https://doi.org/10.18502/crcp.v8i4.14569
Keywords
Autograft Case report Dental implant Maxillary sinus

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How to Cite
1.
Tahmasebi A, Hoseini SH, maleki donya. Anterior Wall of Maxillary Sinus As a New Autogenic Graft Source: A Case Report. CRCP. 2024;8(4):135-138.