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Review
. 2018 Jan 29;4(1):3.
doi: 10.1186/s40729-017-0114-2.

Membrane perforation rate in lateral maxillary sinus floor augmentation using conventional rotating instruments and piezoelectric device-a meta-analysis

Corinne Jordi  1 , Khaled Mukaddam  2 , Jörg Thomas Lambrecht  2 , Sebastian Kühl  2
Affiliations
Review

Membrane perforation rate in lateral maxillary sinus floor augmentation using conventional rotating instruments and piezoelectric device-a meta-analysis

Corinne Jordi et al. Int J Implant Dent. .

Abstract

Objectives: Maxillary sinus augmentation (MSA) is a successful and predictable intervention with low complication rates. Perforations of the Schneiderian membrane may occur impairing the general success. The aim of this study was to compare the incidence of membrane perforations between conventional rotating instruments and piezoelectric devices in a meta-analysis.

Material and methods: An electronic research on MEDLINE and PubMed database was performed evaluating the literature from 1980 till 2016. Meta-analysis was performed with the studies matching the inclusion criteria. The incidence of perforations between conventional and piezo during the lateral maxillary sinus floor elevation was determined, and forest plots and a t test for significance analysis were performed.

Results: The search provided 377 articles of which 69 could be included. Selected non-randomised and non-controlled prospective and retrospective studies were incorporated. Conventional rotary instruments were associated with a perforation rate of 24%, the piezoelectric devices with 8% with statistically significant difference between both modalities (p < 0.05).

Conclusion: Membrane perforations in MSA may be significantly reduced applying piezoelectrical devices for MSA.

Keywords: Conventional; Perforation; Piezosurgery; Schneiderian membrane; Sinus lift; Ultrasound.

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Conflict of interest statement

Competing interests

The authors Jordi Corinne, Mukaddam Khaled, Lambrecht Jörg Thomas and Kühl Sebastian state that they have no competing interests.

Publisher’s Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Figures

Fig. 1
Fig. 1
Result of the search strategy and included and excluded studies
Fig. 2
Fig. 2
Forest plot of random effects meta-analysis of the incidence of Schneiderian membrane perforation using conventional rotative instruments. The weighted average for the incidence rate of Schneiderian membrane perforation was 24%
Fig. 3
Fig. 3
Forest plot of random effects meta-analysis of the incidence of Schneiderian membrane perforation using piezoelectric devices. The weighted average for the incidence rate of Schneiderian membrane perforation was 8%
See this image and copyright information in PMC

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