Evaluation of volume changes following lateral window maxillary sinus floor elevation using Minics software

Abstract

BACKGROUND: Significant volume changes at the site of lateral window maxillary sinus floor elevation have been reported 6 months postoperatively, with stabilization thereafter. However, at present, there is no consensus regarding the gold standard to assess the shape and volume of the bone graft site after implantation. This study aimed to analyze volume changes in the lateral window maxillary sinus floor elevation region using Minics software. METHODS: We analyzed 40 patients who underwent lateral window maxillary sinus floor elevation surgery at the Stomatology Department of Binhaiwan Central Hospital, Dongguan, China between 2017 and 2020. Twenty patients underwent lateral window maxillary sinus floor elevation with simultaneous implantation, while 20 patients underwent lateral window maxillary sinus floor elevation with delayed implantation 6 months later. Minics software was used for three-dimensional analysis of the elevation site on the day after surgery (T1) and 6 months after surgery (T2) in both groups. RESULTS: The elevation site volume was reduced 6 months after lateral window maxillary sinus floor elevation. The differences in the length, width, height from the tip, and volume of the implant between T1 and T2 were statistically significant. CONCLUSIONS: The length, width, height, and volume of the lateral window maxillary sinus floor elevation region were reduced using Minics software, suggesting that the volume of the elevation site should be enlarged as much as possible during the operation to prevent volume shrinkage.