{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,31]],"date-time":"2025-12-31T07:02:37Z","timestamp":1767164557452,"version":"build-2238731810"},"reference-count":56,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2023,7,5]],"date-time":"2023-07-05T00:00:00Z","timestamp":1688515200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Oral Implants Res"],"published-print":{"date-parts":[[2023,9]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>To describe the histological events that occur after maxillary sinus floor elevation when the elevated and undetached sinus mucosa are in close proximity or in contact with each other.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and methods<\/jats:title>\n                    <jats:p>From 76 rabbits, 152 elevated maxillary sinuses were analyzed histologically. Sites without adhesions were classified as \u201cNo proximity,\u201d whereas the adhesion stages were divided into \u201cProximity,\u201d \u201cFusion,\u201d and \u201cSynechia stages.\u201d The width of the pseudostratified columnar epithelium and the distance between the two layers of the elevated and undetached sinus mucosae were measured at various standardized positions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Thirty\u2010one sites presenting with adhesions were found. Twelve sites were in the proximity stage,\u201d presenting cilia of the two epithelial layers that were shortened and interlinked within the mucous context. Hyperactivity of the goblet cells was also observed. In the other cases, the hyperplastic epithelium showed attempts to reach the contralateral mucosa. The 15 \u201cfusion stage\u201d sites presented regions with epithelial cells of the two mucosal layers that penetrated each other. Four sites presented \u201csynechiae stages,\u201d represented by bridges of connective tissue connecting the two lamina propria.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Close proximity or tight contact between the elevated and undetached mucosa adhering to the bone walls might occur after maxillary sinus floor elevation. This induced hyperplasia of the epithelial cells and adhesion of the two layers until synechiae formation.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/clr.14123","type":"journal-article","created":{"date-parts":[[2023,7,5]],"date-time":"2023-07-05T03:47:16Z","timestamp":1688528836000},"page":"967-978","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Mucosal adhesion phenomenon after maxillary sinus floor elevation: A preclinical study"],"prefix":"10.1111","volume":"34","author":[{"given":"Yasushi","family":"Nakajima","sequence":"first","affiliation":[{"name":"Department of Oral Implantology Osaka Dental University  Osaka Japan"},{"name":"ARDEC Academy  Rimini Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4565-5222","authenticated-orcid":false,"given":"Karol 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