Research Article
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Assessment of the Relationship Between Maxillary Sinus Membrane Thickness and Various Anatomical Factors Before Implant Treatment

Year 2024, Volume: 14 Issue: 4, 1076 - 1083, 29.12.2024
https://doi.org/10.33808/clinexphealthsci.1498706

Abstract

Objective: This study aimed to evaluate the maxillary sinus mucosal thickness (MSMT) and factors that may affect this thickness in individuals with a posterior edentulous region.
Methods: Cone beam computed tomography (CBCT) images of 130 patients with edentulous posterior maxilla were retrospectively examined. MSMT was measured. The relationship between MSMT and age, gender, residual alveolar bone length/width, nasal septum deviation angle, ostium obstruction, and pneumatization were examined. Descriptive statistics, nonparametric tests, Spearman correlation, and chi-square analyses were used. The significance level was set at .05.
Results: The study included 130 maxillary sinuses. Pathological mucosal thickening was present in 67 (51.5%) of maxillary sinuses. Mucosal thickness was significantly thicker in the presence of maxillary sinus ostium obstruction, in the presence of pneumatization and in males. No statistically significant differences were found between nasal septum deviation angle groups.
Conclusions: MSMT is affected by gender, the alveolar bone length, maxillary sinus ostium obstruction, and pneumatization as results of this study. When planning implant treatment, these factors that will affect the MSMT should be considered for the success of the treatment, and the planning should be done together by the oral and maxillofacial surgeon and the dentomaxillofacial radiologist.

Ethical Statement

This study was approved by Ethics Committee of Gazi University University, Noninvasive Clinic Ethics Committee (Approval date: 2022; Number:1069)

Supporting Institution

This research did not receive any specific grant from funding agencies in the public, commercial, or not-for-profit sectors

Thanks

We would like to thank Gazi University Academic Writing, Research and Application Center for grammar editing.

References

  • Chan HL, Wang HL. Sinus pathology and anatomy in relation to complications in lateral window sinus augmentation. Implant Dentistry 2011;20(6):406-412.
  • Munakata M, Yamaguchi K, Sato D, Yajima N, Tachikawa N. Factors influencing the sinus membrane thickness in edentulous regions: A cone-beam computed tomography study. Int J Implant Dent. 2021;7(1):16. DOI: 10.1186/s40729-021-00298-y
  • Díaz Olivares LA, Cortés Bretón Brinkmann J, Martínez Rodríguez N, Martínez González JM, López Quiles J, Leco Berrocal I, Meniz García C. Management of Schneiderian membrane perforations during maxillary sinus floor augmentation with lateral approach in relation to subsequent implant survival rates: A systematic review and meta-analysis. Int J Implant Dent. 2021;7(1):91. DOI: 10.1186/s40729-021-00346-7.
  • Karaca EÖ, Gürsoy H, Tunar OL. Sinus ogmentasyon komplikasyonları ve tedavi önerileri. 7tepeklinik 2016; 12: 53-62. DOI: 10.5505/yeditepe.2016.03511 (Turkish)
  • Testori T, Yu SH, Tavelli L, Wang HL. Perforation Risk Assessment in maxillary sinus augmentation with lateral wall technique. International Journal of Periodontics & Restorative Dentistry 2020;40(3): 373-380.
  • Lin YH, Yang YC, Wen SC, Wang HL. The influence of sinus membrane thickness upon membrane perforation during lateral window sinus augmentation. Clinical oral implants research 2016;27(5):612-617.
  • Kalyvas D, Kapsalas A, Paikou S, Tsiklakis K. Thickness of the Schneiderian membrane and its correlation with anatomical structures and demographic parameters using CBCT tomography: A retrospective study. International Journal of Implant Dentistry 2018;4(1):1-8.
  • Janner SF, Caversaccio MD, Dubach P, Sendi P, Buser D, Bornstein MM. Characteristics and dimensions of the Schneiderian membrane: A radiographic analysis using cone beam computed tomography in patients referred for dental implant surgery in the posterior maxilla. Clin Oral Implants Res. 2011;22(12):1446-1453. DOI: 10.1111/j.1600-0501.2010.02140.x
  • Lozano Carrascal N, Salomó Coll O, Gehrke SA, Calvo Guirado JL, Hernández Alfaro F, Gargallo Albiol J. Radiological evaluation of maxillary sinus anatomy: A cross-sectional study of 300 patients. Ann Anat. 2017;214:1-8. DOI: 10.1016/j.aanat.2017.06.002
  • Aboelmaaty W, Alfadley A, Awawdeh M, Sapri AS, Awawdeh L, Mira ES. Utilizing a novel AI tool to detect the posterior superior alveolar artery's location's impact on maxillary sinus mucosal thickening in the presence of periapical lesions. Medicina (Kaunas) 2024;60(1):140. DOI: 10.3390/medicina60010140
  • Peñarrocha Oltra S, Soto Peñaloza D, Bagán Debón L, Bagan JV, Peñarrocha Oltra D. Association between maxillary sinus pathology and odontogenic lesions in patients evaluated by cone beam computed tomography. A systematic review and meta-analysis. Med Oral Patol Oral Cir Bucal. 2020;25(1):e34-e48. DOI: 10.4317/medoral.23172
  • Shanbhag S, Karnik P, Shirke P, Shanbhag V. Cone‐beam computed tomographic analysis of sinus membrane thickness, ostium patency, and residual ridge heights in the posterior maxilla: Implications for sinus floor elevation. Clinical Oral Implants Research 2014;25(6):755-760.
  • Akbari S, Taheri M, Aslroosta H, Ordoukhani A, Paknejad M, Hashemi F, Farimani Z. Relationship of maxillary sinus mucosal thickening and residual alveolar ridge height: A CBCT analysis. Front Dent. 2022;19:19. DOI: 10.18502/fid.v19i19.9965
  • Bayrak S, Ustaoglu G, Demiralp KÖ, Çakmak ESK. Evaluation of the characteristics and association between schneiderian membrane thickness and nasal septum deviation. Journal of Craniofacial Surgery 2018;29(3):683-687.
  • Cakli H, Cingi C, Ay Y, Oghan F, Ozer T, Kaya E. Use of cone beam computed tomography in otolaryngologic treatments. European Archives of Oto-Rhino-Laryngology 2012;269:711-720.
  • Maska B, Lin GH, Othman A, Behdin S, Travan S, Benavides E, Kapila Y. Dental implants and grafting success remain high despite large variations in maxillary sinus mucosal thickening. International Journal of Implant Dentistry 2017;3(1):1-8.
  • Elahi MM, Frenkiel S, Fageeh N. Paraseptal structural changes and chronic sinus disease in relation to the deviated septum. The Journal of Otolaryngology 1997;26(4):236-240.
  • Mallya S, Lam E. White and Pharoah's Oral radiology E-book: Principles and interpretation. Second South Asia Edition E-Book: Elsevier India; 2019.
  • Yeung AWK, Hung KF, Li DTS, Leung YY. The use of cbct in evaluating the health and pathology of the maxillary sinus. Diagnostics 2022;12(11):2819.
  • Eggesbø H. Radiological imaging of inflammatory lesions in the nasal cavity and paranasal sinuses. European Radiology 2006;16(4):872-888.
  • Çakur B, Sümbüllü MA, Durna D. Relationship among schneiderian membrane, underwood's septa, and the maxillary sinus inferior border. Clinical Implant Dentistry and Related Research 2013;15(1):83-87.
  • Cagici CA, Yilmazer C, Hurcan C, Ozer C, Ozer F. Appropriate interslice gap for screening coronal paranasal sinus tomography for mucosal thickening. Eur Arch Otorhinolaryngol. 2009;266(4):519-525. DOI: 10.1007/s00405-008-0786-6
  • Shanbhag S, Shanbhag V, Stavropoulos A. Volume changes of maxillary sinus augmentations over time: A systematic review. International Journal of Oral & Maxillofacial Implants 2014;29(4):881-892.
  • Zhang B, Wei Y, Cao J, Xu T, Zhen M, Yang G, Chung KH, Hu.W. Association between the dimensions of the maxillary sinus membrane and molar periodontal status: A retrospective CBCT study. J Periodontol. 2020;91(11):1429-1435. DOI: 10.1002/jper.19-0391.
  • Dursun E, Keceli HG, Dolgun A, Velasco-Torres M, Olculer M, Ghoreishi R, Sinjab K, Sinacola R A, Kubilius M, Tözüm MD, Galindo MP, Yilmaz HG, Wang HL, Juodzbalys G, Tözüm TF. Maxillary sinus and surrounding bone anatomy with cone beam computed tomography after multiple teeth loss: A retrospective multicenter clinical study. Implant Dent. 2019;28(3):226-236. DOI: 10.1097/id.0000000000000862
  • Guo ZZ, Liu Y, Qin L, Song YL, Xie C, Li DH. Longitudinal response of membrane thickness and ostium patency following sinus floor elevation: A prospective cohort study. Clinical Oral Implants Research 2016;27(6):724-729.
  • Yildirim TT, Güncü GN, Göksülük D, Tözüm MD, Colak M, Tözüm TF. The effect of demographic and disease variables on Schneiderian membrane thickness and appearance. Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology 2017;124(6):568-576.
  • Monje A, Diaz KT, Aranda L, Insua A, Garcia-Nogales A, Wang HL. Schneiderian membrane thickness and clinical implications for sinus augmentation: A systematic review and meta-regression analyses. J Periodontol. 2016;87(8):888-899. DOI: 10.1902/jop.2016.160041
  • Ramanauskaite A, Ataman Duruel ET, Duruel O, Tözüm MD, Yildirim TT, Tözüm TF. Effects of clinical local factors on thickness and morphology of Schneiderian membrane: A retrospective clinical study. Clinical Implant Dentistry and Related Research 2019;21(4):715-722.
  • Yilmaz HG, Tözüm TF. Are gingival phenotype, residual ridge height, and membrane thickness critical for the perforation of maxillary sinus? Journal of Periodontology 2012;83(4):420-425.
  • Kipçak ÖA. Maksiller Sinüs patolojilerinin ve schneider membran değişikliklerinin odontojenik faktörlerle ilişkisinin konik ışınlı bilgisayarlı tomografi kullanılarak değerlendirilmesi. Kocaeli Üniversitesi Sağlık Bilimleri Dergisi7(3):296-303. (Turkish)
  • Lim HC, Kim S, Kim DH, Herr Y, Chung JH, Shin SI. Factors affecting maxillary sinus pneumatization following posterior maxillary tooth extraction. J Periodontal Implant Sci. 2021;51(4):285-295. DOI: 10.5051/jpis.2007220361
  • Carmeli G, Artzi Z, Kozlovsky A, Segev Y, Landsberg R. Antral computerized tomography pre‐operative evaluation: Relationship between mucosal thickening and maxillary sinus function. Clinical Oral Implants Research 2011;22(1):78-82.
  • Alho OP. Nasal airflow, mucociliary clearance, and sinus functioning during viral colds: effects of allergic rhinitis and susceptibility to recurrent sinusitis. Am J Rhinol. 2004;18(6):349-355.
  • Barone A, Santini S, Sbordone L, Crespi R, Covani U. A clinical study of the outcomes and complications associated with maxillary sinus augmentation. Int J Oral Maxillofac Implants 2006;21(1):81-85.
  • Norihito I, Yusuke K, Satoshi T, Kotaro I, Yoshinobu H, Naohisa H, Eri S, Keiko S, Takashi K. Forms of maxillary sinus with septa can cause by mucosal thickening of maxillary sinus: Computed tomographic study. International Journal of Oral-Medical Sciences 2019;18(1):57-61.
  • Sánchez Pérez A, Boracchia AC, López Jornet P, Boix García P. Characterization of the maxillary sinus using cone beam computed tomography. A retrospective radiographic study. Implant Dentistry 2016;25(6):762-769.
  • Taghiloo H, Halimi Z. The frequencies of different types of nasal septum deviation and their effect on increasing the thickness of maxillary sinus mucosa. Journal of Dental Research, Dental Clinics, Dental Prospects 2019;13(3):208.
Year 2024, Volume: 14 Issue: 4, 1076 - 1083, 29.12.2024
https://doi.org/10.33808/clinexphealthsci.1498706

Abstract

References

  • Chan HL, Wang HL. Sinus pathology and anatomy in relation to complications in lateral window sinus augmentation. Implant Dentistry 2011;20(6):406-412.
  • Munakata M, Yamaguchi K, Sato D, Yajima N, Tachikawa N. Factors influencing the sinus membrane thickness in edentulous regions: A cone-beam computed tomography study. Int J Implant Dent. 2021;7(1):16. DOI: 10.1186/s40729-021-00298-y
  • Díaz Olivares LA, Cortés Bretón Brinkmann J, Martínez Rodríguez N, Martínez González JM, López Quiles J, Leco Berrocal I, Meniz García C. Management of Schneiderian membrane perforations during maxillary sinus floor augmentation with lateral approach in relation to subsequent implant survival rates: A systematic review and meta-analysis. Int J Implant Dent. 2021;7(1):91. DOI: 10.1186/s40729-021-00346-7.
  • Karaca EÖ, Gürsoy H, Tunar OL. Sinus ogmentasyon komplikasyonları ve tedavi önerileri. 7tepeklinik 2016; 12: 53-62. DOI: 10.5505/yeditepe.2016.03511 (Turkish)
  • Testori T, Yu SH, Tavelli L, Wang HL. Perforation Risk Assessment in maxillary sinus augmentation with lateral wall technique. International Journal of Periodontics & Restorative Dentistry 2020;40(3): 373-380.
  • Lin YH, Yang YC, Wen SC, Wang HL. The influence of sinus membrane thickness upon membrane perforation during lateral window sinus augmentation. Clinical oral implants research 2016;27(5):612-617.
  • Kalyvas D, Kapsalas A, Paikou S, Tsiklakis K. Thickness of the Schneiderian membrane and its correlation with anatomical structures and demographic parameters using CBCT tomography: A retrospective study. International Journal of Implant Dentistry 2018;4(1):1-8.
  • Janner SF, Caversaccio MD, Dubach P, Sendi P, Buser D, Bornstein MM. Characteristics and dimensions of the Schneiderian membrane: A radiographic analysis using cone beam computed tomography in patients referred for dental implant surgery in the posterior maxilla. Clin Oral Implants Res. 2011;22(12):1446-1453. DOI: 10.1111/j.1600-0501.2010.02140.x
  • Lozano Carrascal N, Salomó Coll O, Gehrke SA, Calvo Guirado JL, Hernández Alfaro F, Gargallo Albiol J. Radiological evaluation of maxillary sinus anatomy: A cross-sectional study of 300 patients. Ann Anat. 2017;214:1-8. DOI: 10.1016/j.aanat.2017.06.002
  • Aboelmaaty W, Alfadley A, Awawdeh M, Sapri AS, Awawdeh L, Mira ES. Utilizing a novel AI tool to detect the posterior superior alveolar artery's location's impact on maxillary sinus mucosal thickening in the presence of periapical lesions. Medicina (Kaunas) 2024;60(1):140. DOI: 10.3390/medicina60010140
  • Peñarrocha Oltra S, Soto Peñaloza D, Bagán Debón L, Bagan JV, Peñarrocha Oltra D. Association between maxillary sinus pathology and odontogenic lesions in patients evaluated by cone beam computed tomography. A systematic review and meta-analysis. Med Oral Patol Oral Cir Bucal. 2020;25(1):e34-e48. DOI: 10.4317/medoral.23172
  • Shanbhag S, Karnik P, Shirke P, Shanbhag V. Cone‐beam computed tomographic analysis of sinus membrane thickness, ostium patency, and residual ridge heights in the posterior maxilla: Implications for sinus floor elevation. Clinical Oral Implants Research 2014;25(6):755-760.
  • Akbari S, Taheri M, Aslroosta H, Ordoukhani A, Paknejad M, Hashemi F, Farimani Z. Relationship of maxillary sinus mucosal thickening and residual alveolar ridge height: A CBCT analysis. Front Dent. 2022;19:19. DOI: 10.18502/fid.v19i19.9965
  • Bayrak S, Ustaoglu G, Demiralp KÖ, Çakmak ESK. Evaluation of the characteristics and association between schneiderian membrane thickness and nasal septum deviation. Journal of Craniofacial Surgery 2018;29(3):683-687.
  • Cakli H, Cingi C, Ay Y, Oghan F, Ozer T, Kaya E. Use of cone beam computed tomography in otolaryngologic treatments. European Archives of Oto-Rhino-Laryngology 2012;269:711-720.
  • Maska B, Lin GH, Othman A, Behdin S, Travan S, Benavides E, Kapila Y. Dental implants and grafting success remain high despite large variations in maxillary sinus mucosal thickening. International Journal of Implant Dentistry 2017;3(1):1-8.
  • Elahi MM, Frenkiel S, Fageeh N. Paraseptal structural changes and chronic sinus disease in relation to the deviated septum. The Journal of Otolaryngology 1997;26(4):236-240.
  • Mallya S, Lam E. White and Pharoah's Oral radiology E-book: Principles and interpretation. Second South Asia Edition E-Book: Elsevier India; 2019.
  • Yeung AWK, Hung KF, Li DTS, Leung YY. The use of cbct in evaluating the health and pathology of the maxillary sinus. Diagnostics 2022;12(11):2819.
  • Eggesbø H. Radiological imaging of inflammatory lesions in the nasal cavity and paranasal sinuses. European Radiology 2006;16(4):872-888.
  • Çakur B, Sümbüllü MA, Durna D. Relationship among schneiderian membrane, underwood's septa, and the maxillary sinus inferior border. Clinical Implant Dentistry and Related Research 2013;15(1):83-87.
  • Cagici CA, Yilmazer C, Hurcan C, Ozer C, Ozer F. Appropriate interslice gap for screening coronal paranasal sinus tomography for mucosal thickening. Eur Arch Otorhinolaryngol. 2009;266(4):519-525. DOI: 10.1007/s00405-008-0786-6
  • Shanbhag S, Shanbhag V, Stavropoulos A. Volume changes of maxillary sinus augmentations over time: A systematic review. International Journal of Oral & Maxillofacial Implants 2014;29(4):881-892.
  • Zhang B, Wei Y, Cao J, Xu T, Zhen M, Yang G, Chung KH, Hu.W. Association between the dimensions of the maxillary sinus membrane and molar periodontal status: A retrospective CBCT study. J Periodontol. 2020;91(11):1429-1435. DOI: 10.1002/jper.19-0391.
  • Dursun E, Keceli HG, Dolgun A, Velasco-Torres M, Olculer M, Ghoreishi R, Sinjab K, Sinacola R A, Kubilius M, Tözüm MD, Galindo MP, Yilmaz HG, Wang HL, Juodzbalys G, Tözüm TF. Maxillary sinus and surrounding bone anatomy with cone beam computed tomography after multiple teeth loss: A retrospective multicenter clinical study. Implant Dent. 2019;28(3):226-236. DOI: 10.1097/id.0000000000000862
  • Guo ZZ, Liu Y, Qin L, Song YL, Xie C, Li DH. Longitudinal response of membrane thickness and ostium patency following sinus floor elevation: A prospective cohort study. Clinical Oral Implants Research 2016;27(6):724-729.
  • Yildirim TT, Güncü GN, Göksülük D, Tözüm MD, Colak M, Tözüm TF. The effect of demographic and disease variables on Schneiderian membrane thickness and appearance. Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology 2017;124(6):568-576.
  • Monje A, Diaz KT, Aranda L, Insua A, Garcia-Nogales A, Wang HL. Schneiderian membrane thickness and clinical implications for sinus augmentation: A systematic review and meta-regression analyses. J Periodontol. 2016;87(8):888-899. DOI: 10.1902/jop.2016.160041
  • Ramanauskaite A, Ataman Duruel ET, Duruel O, Tözüm MD, Yildirim TT, Tözüm TF. Effects of clinical local factors on thickness and morphology of Schneiderian membrane: A retrospective clinical study. Clinical Implant Dentistry and Related Research 2019;21(4):715-722.
  • Yilmaz HG, Tözüm TF. Are gingival phenotype, residual ridge height, and membrane thickness critical for the perforation of maxillary sinus? Journal of Periodontology 2012;83(4):420-425.
  • Kipçak ÖA. Maksiller Sinüs patolojilerinin ve schneider membran değişikliklerinin odontojenik faktörlerle ilişkisinin konik ışınlı bilgisayarlı tomografi kullanılarak değerlendirilmesi. Kocaeli Üniversitesi Sağlık Bilimleri Dergisi7(3):296-303. (Turkish)
  • Lim HC, Kim S, Kim DH, Herr Y, Chung JH, Shin SI. Factors affecting maxillary sinus pneumatization following posterior maxillary tooth extraction. J Periodontal Implant Sci. 2021;51(4):285-295. DOI: 10.5051/jpis.2007220361
  • Carmeli G, Artzi Z, Kozlovsky A, Segev Y, Landsberg R. Antral computerized tomography pre‐operative evaluation: Relationship between mucosal thickening and maxillary sinus function. Clinical Oral Implants Research 2011;22(1):78-82.
  • Alho OP. Nasal airflow, mucociliary clearance, and sinus functioning during viral colds: effects of allergic rhinitis and susceptibility to recurrent sinusitis. Am J Rhinol. 2004;18(6):349-355.
  • Barone A, Santini S, Sbordone L, Crespi R, Covani U. A clinical study of the outcomes and complications associated with maxillary sinus augmentation. Int J Oral Maxillofac Implants 2006;21(1):81-85.
  • Norihito I, Yusuke K, Satoshi T, Kotaro I, Yoshinobu H, Naohisa H, Eri S, Keiko S, Takashi K. Forms of maxillary sinus with septa can cause by mucosal thickening of maxillary sinus: Computed tomographic study. International Journal of Oral-Medical Sciences 2019;18(1):57-61.
  • Sánchez Pérez A, Boracchia AC, López Jornet P, Boix García P. Characterization of the maxillary sinus using cone beam computed tomography. A retrospective radiographic study. Implant Dentistry 2016;25(6):762-769.
  • Taghiloo H, Halimi Z. The frequencies of different types of nasal septum deviation and their effect on increasing the thickness of maxillary sinus mucosa. Journal of Dental Research, Dental Clinics, Dental Prospects 2019;13(3):208.
There are 38 citations in total.

Details

Primary Language English
Subjects Oral and Maxillofacial Surgery, Oral and Maxillofacial Radiology, Oral Implantology
Journal Section Articles
Authors

Nebiha Gözde İspir 0000-0003-3948-0307

Zeynep Fatma Zor 0000-0001-9647-4101

Meryem Toraman Alkurt 0000-0003-0908-8304

Publication Date December 29, 2024
Submission Date June 10, 2024
Acceptance Date November 27, 2024
Published in Issue Year 2024 Volume: 14 Issue: 4

Cite

APA İspir, N. G., Zor, Z. F., & Toraman Alkurt, M. (2024). Assessment of the Relationship Between Maxillary Sinus Membrane Thickness and Various Anatomical Factors Before Implant Treatment. Clinical and Experimental Health Sciences, 14(4), 1076-1083. https://doi.org/10.33808/clinexphealthsci.1498706
AMA İspir NG, Zor ZF, Toraman Alkurt M. Assessment of the Relationship Between Maxillary Sinus Membrane Thickness and Various Anatomical Factors Before Implant Treatment. Clinical and Experimental Health Sciences. December 2024;14(4):1076-1083. doi:10.33808/clinexphealthsci.1498706
Chicago İspir, Nebiha Gözde, Zeynep Fatma Zor, and Meryem Toraman Alkurt. “Assessment of the Relationship Between Maxillary Sinus Membrane Thickness and Various Anatomical Factors Before Implant Treatment”. Clinical and Experimental Health Sciences 14, no. 4 (December 2024): 1076-83. https://doi.org/10.33808/clinexphealthsci.1498706.
EndNote İspir NG, Zor ZF, Toraman Alkurt M (December 1, 2024) Assessment of the Relationship Between Maxillary Sinus Membrane Thickness and Various Anatomical Factors Before Implant Treatment. Clinical and Experimental Health Sciences 14 4 1076–1083.
IEEE N. G. İspir, Z. F. Zor, and M. Toraman Alkurt, “Assessment of the Relationship Between Maxillary Sinus Membrane Thickness and Various Anatomical Factors Before Implant Treatment”, Clinical and Experimental Health Sciences, vol. 14, no. 4, pp. 1076–1083, 2024, doi: 10.33808/clinexphealthsci.1498706.
ISNAD İspir, Nebiha Gözde et al. “Assessment of the Relationship Between Maxillary Sinus Membrane Thickness and Various Anatomical Factors Before Implant Treatment”. Clinical and Experimental Health Sciences 14/4 (December 2024), 1076-1083. https://doi.org/10.33808/clinexphealthsci.1498706.
JAMA İspir NG, Zor ZF, Toraman Alkurt M. Assessment of the Relationship Between Maxillary Sinus Membrane Thickness and Various Anatomical Factors Before Implant Treatment. Clinical and Experimental Health Sciences. 2024;14:1076–1083.
MLA İspir, Nebiha Gözde et al. “Assessment of the Relationship Between Maxillary Sinus Membrane Thickness and Various Anatomical Factors Before Implant Treatment”. Clinical and Experimental Health Sciences, vol. 14, no. 4, 2024, pp. 1076-83, doi:10.33808/clinexphealthsci.1498706.
Vancouver İspir NG, Zor ZF, Toraman Alkurt M. Assessment of the Relationship Between Maxillary Sinus Membrane Thickness and Various Anatomical Factors Before Implant Treatment. Clinical and Experimental Health Sciences. 2024;14(4):1076-83.

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