Abstract

Summary

Was to increase the efficiency of membrane technology, which enhances and accelerates regeneration processes through selective osteogenesis, which allows for the production of uniform tissue regenerates in peri-defective areas.
 

Materials and Methods

A total of 32 patients with a diagnosis of "Odontogenic perforated maxillary sinusitis" were admitted to the Department of Maxillofacial Surgery of the National Medical Center "Shifobakhsh" in the period from 2020 to 2025. The age of the patients ranged from 20 to 60 years, among. Of these, 15 were men (46.9%) and 17 were women (53.1%). The patients were divided into 2 groups. In the comparison group, there were 16 (50%) people whose perforation of the maxillary sinus was closed using traditional methods. The main group consisted of 16 (50%) people, surgical treatment of the sinus perforation closure was performed according to the developed method. Depending on the nosological for perforative maxillary sinusitis (AOPSMS) (12–37.5%); - chronic odontogenic perforative maxillary sinusitis (ChOPSMS) (20–62.5%).
 

Results

The results of surgical interventions and X-ray data in which chronic granulomatous periodontitis was detected in 13 (40.6%) cases, and chronic granulating periodontitis in 12 (37.5%) cases periodontitis and cystagranuloma was diagnosed in 7 (21.9%) patients. In the development of odontogenic sinusitis, the first molars (16, 26) rank first, detected in 14 (43.8%) patients, second place - the second premolars (15, 25) in 9 (28.1%), third place - the second molars (17, 27) in 6 (18.8%) and the last place is occupied by the third molars (18, 28) was detected in 3 (9.3%) patients. Taking into account the nosology of the disease, in the control group, AOPSMS occurred in 5 (15.6%) cases, in the main group in 7 (21.9%) cases. In 11 (34.4%) cases, ChOPSMS was detected in the control group, this figure is 9 (28.1%) in the main group of subjects. Postoperative complications in the control group occurred in 5 (15.6%) cases, in the main group – in 1 (3.1%) cases.
 

Conclusion

The proposed method reliably closes the perforation of the maxillary sinus, reduces postoperative complications, decreases the risk of relapse and shortens the patient’s hospital stay; in addition, within 3-4 months it is possible to install a dental implant and, what is also important, eliminate various types of bone defects in the oral cavity.
 

Keywords

maxillary sinus sinusitis perforation membrane nickel-titanium chips Osstem bone chips Collapol KP tablets.

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