{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,11]],"date-time":"2026-09-11T21:38:19Z","timestamp":1789162699524,"version":"build-2803163510"},"reference-count":22,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2013,8,1]],"date-time":"2013-08-01T00:00:00Z","timestamp":1375315200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Journal of Periodontology"],"published-print":{"date-parts":[[2013,8]]},"abstract":"<jats:p><jats:bold>Background:<\/jats:bold> The maxillary sinus augmentation procedure (SAP) using the lateral window technique has been documented to be a highly predictable procedure. However, the most common intraoperative complication has been reported to be maxillary sinus membrane perforation (MSMP). The present study evaluates the percentage of vital bone and implant survival in sinuses that had perforations repaired during surgery versus a non\u2010perforated sinus group.<\/jats:p><jats:p><jats:bold>Methods:<\/jats:bold> Data were obtained retrospectively from an Institutional Review Board\u2013approved anonymous database at New York University, Kriser Dental Center, Department of Periodontology and Implant Dentistry, New York, New York, from 23 patients who had undergone SAP with a total of 40 treated sinuses. Sinuses were grafted with mineralized cancellous bone allograft, anorganic bovine bone matrix, or biphasic calcium phospate. Perforation complications occurred in 15 sinuses with 25 non\u2010perforated sinuses. All perforations were repaired during surgery with absorbable collagen membrane barriers. Histologic cores were taken from all treated sinuses 26 to 32 weeks after surgery. The implant success rate of 79 placed implants was recorded.<\/jats:p><jats:p><jats:bold>Results:<\/jats:bold> The average percentage of vital bone was 26.3% \u00b1 6.3% in the perforated (repaired) sinuses versus 19.1% \u00b1 6.3% in the non\u2010perforated sinuses. The differences were statistically significant (SS). The implant success rate was 100% (35 of 35) compared to 95.5% (43 of 45) in the perforated\/repaired vs. non\u2010perforated sinuses, respectively. There was no SS difference in implant failure rates.<\/jats:p><jats:p><jats:bold>Conclusions:<\/jats:bold> The augmented sinuses in this study that exhibited MSMPs that occurred during the SAP (which were treated during surgery) show SS greater vital bone percentages compared with the non\u2010perforated sinus group. There were no SS differences in implant survival in the perforated versus non\u2010perforated groups. In this study, sinus MSMPs, when properly repaired during surgery, do not appear to be an adverse complication in terms of vital bone production or implant survival.<\/jats:p>","DOI":"10.1902\/jop.2012.120458","type":"journal-article","created":{"date-parts":[[2012,11,23]],"date-time":"2012-11-23T08:23:25Z","timestamp":1353659005000},"page":"1094-1099","source":"Crossref","is-referenced-by-count":62,"title":["Effect of Maxillary Sinus Membrane Perforation on Vital Bone Formation and Implant Survival: A Retrospective Study"],"prefix":"10.1002","volume":"84","author":[{"given":"Stuart J.","family":"Froum","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ismael","family":"Khouly","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giovanni","family":"Favero","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sang\u2010Choon","family":"Cho","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2013,8]]},"reference":[{"key":"e_1_2_3_2_1","doi-asserted-by":"publisher","DOI":"10.1902\/annals.2003.8.1.328"},{"key":"e_1_2_3_3_1","first-page":"565","article-title":"Systematic review of survival rates for implants placed in the grafted maxillary sinus","volume":"24","author":"Del Fabbro M","year":"2004","journal-title":"Int J Periodontics Restorative Dent"},{"key":"e_1_2_3_4_1","first-page":"49","article-title":"Which hard tissue augmentation techniques are the most successful in furnishing bony support for implant placement?","volume":"22","author":"Aghaloo TL","year":"2007","journal-title":"Int J Oral Maxillofac Implants"},{"key":"e_1_2_3_5_1","doi-asserted-by":"publisher","DOI":"10.1902\/jop.2004.75.4.511"},{"key":"e_1_2_3_6_1","first-page":"81","article-title":"A clinical study of the outcomes and complications associated with maxillary sinus augmentation","volume":"21","author":"Barone A","year":"2006","journal-title":"Int J Oral Maxillofac Implants"},{"key":"e_1_2_3_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.joms.2008.01.027"},{"key":"e_1_2_3_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.tripleo.2007.09.021"},{"key":"e_1_2_3_9_1","first-page":"160","article-title":"Influence of anatomy on Schneiderian membrane perforations during sinus elevation surgery: Three\u2010dimensional analysis","volume":"13","author":"Cho SC","year":"2001","journal-title":"Pract Proced Aesthet Dent"},{"key":"e_1_2_3_10_1","first-page":"545","article-title":"Maxillary sinus lift and elevation with subcentral augmentation","volume":"25","author":"Misch CE","year":"1993","journal-title":"Contemp Implant Dent"},{"key":"e_1_2_3_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/0278-2391(94)90283-6"},{"key":"e_1_2_3_12_1","doi-asserted-by":"publisher","DOI":"10.14712\/18059694.2019.4"},{"key":"e_1_2_3_13_1","first-page":"273","article-title":"Histomorphometric comparison of a biphasic bone ceramic to anorganic bovine bone for sinus augmentation: 6\u2010 to 8\u2010month postsurgical assessment of vital bone formation. 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