The influence of the maxillary sinus on maxillary posterior tooth endodontic microsurgery

Endodontic microsurgery is one effective method for preserving teeth affected by periapical disease, and is also an essential technique for treating difficult cases. However, due to the restricted operating space at the posterior site and the proximity of the root apex to the maxillary sinus, endodo...

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Autores principales:	SUN Mingxin, SONG Dongzhe, HUANG Dingming
Formato:	article
Lenguaje:	ZH
Publicado:	Editorial Department of Journal of Prevention and Treatment for Stomatological Diseases 2022
Materias:	endodontic microsurgery maxillary posterior area maxillary sinus cbct 3d-printed surgical guide ultrasonic osteotome endoscope Medicine R
Acceso en línea:	https://doaj.org/article/a71f92cfcddf44dea2362eb96d52b6f9
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spelling	oai:doaj.org-article:a71f92cfcddf44dea2362eb96d52b6f92021-11-26T06:32:57ZThe influence of the maxillary sinus on maxillary posterior tooth endodontic microsurgery10.12016/j.issn.2096-1456.2022.02.0112096-1456https://doaj.org/article/a71f92cfcddf44dea2362eb96d52b6f92022-02-01T00:00:00Zhttp://www.kqjbfz.com/CN/10.12016/j.issn.2096-1456.2022.02.011https://doaj.org/toc/2096-1456Endodontic microsurgery is one effective method for preserving teeth affected by periapical disease, and is also an essential technique for treating difficult cases. However, due to the restricted operating space at the posterior site and the proximity of the root apex to the maxillary sinus, endodontic surgery in the posterior maxillary area represents great challenges. This article summarizes the anatomical relationship between the maxillary sinus and the maxillary posterior teeth, the influence on endodontic microsurgery, and the application of assistive techniques on maxillary posterior teeth, such as 3D-printed surgical guides and ultrasonic osteotomes. Literature review results show that the spatial relationship between the apex of maxillary posterior teeth and the maxillary sinus is usually divided into three categories: the apex enters the maxillary sinus; the apex contacts the bottom of the maxillary sinus; and there is a distance between the apex and the bottom of the maxillary sinus. CBCT should be performed before the operation, and the periapical state of the tooth and the maxillary sinus and the distance between the lesions and the sinus floor should be considered to evaluate the difficulty of the operation. Meanwhile, during surgery, equipment such as surgical guides, endoscopes and ultrasonic osteotomes should be used to ensure that the operation is safer, reliable, precise and less invasive, but the clinical popularity of ultrasonic osteotomes still needs further promotion. Moreover, high-quality clinical studies on the long-term effects of micro-apical surgery in the posterior maxillary area are still lacking.SUN MingxinSONG DongzheHUANG DingmingEditorial Department of Journal of Prevention and Treatment for Stomatological Diseasesarticleendodontic microsurgerymaxillary posterior areamaxillary sinuscbct3d-printed surgical guideultrasonic osteotomeendoscopeMedicineRZH口腔疾病防治, Vol 30, Iss 2, Pp 140-147 (2022)
institution	DOAJ
collection	DOAJ
language	ZH
topic	endodontic microsurgery maxillary posterior area maxillary sinus cbct 3d-printed surgical guide ultrasonic osteotome endoscope Medicine R
spellingShingle	endodontic microsurgery maxillary posterior area maxillary sinus cbct 3d-printed surgical guide ultrasonic osteotome endoscope Medicine R SUN Mingxin SONG Dongzhe HUANG Dingming The influence of the maxillary sinus on maxillary posterior tooth endodontic microsurgery
description	Endodontic microsurgery is one effective method for preserving teeth affected by periapical disease, and is also an essential technique for treating difficult cases. However, due to the restricted operating space at the posterior site and the proximity of the root apex to the maxillary sinus, endodontic surgery in the posterior maxillary area represents great challenges. This article summarizes the anatomical relationship between the maxillary sinus and the maxillary posterior teeth, the influence on endodontic microsurgery, and the application of assistive techniques on maxillary posterior teeth, such as 3D-printed surgical guides and ultrasonic osteotomes. Literature review results show that the spatial relationship between the apex of maxillary posterior teeth and the maxillary sinus is usually divided into three categories: the apex enters the maxillary sinus; the apex contacts the bottom of the maxillary sinus; and there is a distance between the apex and the bottom of the maxillary sinus. CBCT should be performed before the operation, and the periapical state of the tooth and the maxillary sinus and the distance between the lesions and the sinus floor should be considered to evaluate the difficulty of the operation. Meanwhile, during surgery, equipment such as surgical guides, endoscopes and ultrasonic osteotomes should be used to ensure that the operation is safer, reliable, precise and less invasive, but the clinical popularity of ultrasonic osteotomes still needs further promotion. Moreover, high-quality clinical studies on the long-term effects of micro-apical surgery in the posterior maxillary area are still lacking.
format	article
author	SUN Mingxin SONG Dongzhe HUANG Dingming
author_facet	SUN Mingxin SONG Dongzhe HUANG Dingming
author_sort	SUN Mingxin
title	The influence of the maxillary sinus on maxillary posterior tooth endodontic microsurgery
title_short	The influence of the maxillary sinus on maxillary posterior tooth endodontic microsurgery
title_full	The influence of the maxillary sinus on maxillary posterior tooth endodontic microsurgery
title_fullStr	The influence of the maxillary sinus on maxillary posterior tooth endodontic microsurgery
title_full_unstemmed	The influence of the maxillary sinus on maxillary posterior tooth endodontic microsurgery
title_sort	influence of the maxillary sinus on maxillary posterior tooth endodontic microsurgery
publisher	Editorial Department of Journal of Prevention and Treatment for Stomatological Diseases
publishDate	2022
url	https://doaj.org/article/a71f92cfcddf44dea2362eb96d52b6f9
work_keys_str_mv	AT sunmingxin theinfluenceofthemaxillarysinusonmaxillaryposteriortoothendodonticmicrosurgery AT songdongzhe theinfluenceofthemaxillarysinusonmaxillaryposteriortoothendodonticmicrosurgery AT huangdingming theinfluenceofthemaxillarysinusonmaxillaryposteriortoothendodonticmicrosurgery AT sunmingxin influenceofthemaxillarysinusonmaxillaryposteriortoothendodonticmicrosurgery AT songdongzhe influenceofthemaxillarysinusonmaxillaryposteriortoothendodonticmicrosurgery AT huangdingming influenceofthemaxillarysinusonmaxillaryposteriortoothendodonticmicrosurgery
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The influence of the maxillary sinus on maxillary posterior tooth endodontic microsurgery

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