THE USE OF MEDICAL ADHESIVES FOR THE PLASTIC CLOSURE OF SCHNEIDERIAN MEMBRANE PERFORATIONS DURING OPEN SINUS LIFT SURGERY (LITERATURE REVIEW AND RESULTS OF OWN RESEARCH)
DOI:
https://doi.org/10.32782/3041-1394.2024-3.11Keywords:
literature review, medical adhesives, autofibrin glue, open sinus lift, Schneiderian membrane perforations, plastic closureAbstract
Introduction. Maxillary sinus membrane perforations (Schneiderian membrane – SM) occur during open sinus lift surgery, which requires its plastic closure. The search of effective, minimally traumatic and easy-toperform plastic methods of closing SM perforations remains relevant for the practice of implantologists. Up to know, scientists have proposed the use of various medical adhesives for plastic closure of SM perforations. The purpose of the study. To analyze the use of medical adhesives for plastic closure of Schneiderian membrane perforations during open sinus lift surgery according to the current literature, and to present the results of our own research on autologous fibrin glue application for the treatment of maxillary sinus membrane perforations. Materials and methods. Analytical and bibliosemantic methods used in the research. Scientific information on medical research topic was obtained by analyzing search engine databases: the electronic library of abstracts, dissertations of the Vernadsky National Library of Ukraine, PubMed, Medline, MedNet, Embase, Web of Science, Scopus, BMJ Group, Free Medical Journals, Free Medical Book, Scirus. The results of our own experimental and clinical studies about using of autologous fibrin glue for plastic closure of SM are also summarized and highlighted. Scientific novelty. The data of modern Ukrainian and foreign professional literature devoted to the study of the effectiveness of the medical adhesives using for plastic closure of SM are analyzed and summarized. The advantages and disadvantages of different groups of biological adhesives are revealed in a comparative aspect. The results of own scientific research on the autologous fibrin glue application for plastic closure of SM in the experiment and in the clinic are presented. Conclusions. The introduction of medical adhesives into clinical dental practice has increased the effectiveness of sinus lift surgery, reduced the duration of plastic closure of large Schneiderian membrane perforations and significantly reduced the percentage of postoperative complications. The use of autologous fibrin glue as a plastic material to repair perforations of the maxillary sinus floor mucosa can be a reliable alternative to other methods of treating this pathology and can optimize reparative osteogenesis in areas of maxillary bone augmentation
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