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Bony projections at the inner surface of the maxillary sinus are divided into two main groups: exostoses,which are rounded bone structures; and septa, defined as having a pointed end. Bony septa are common anatomical structures and can lead to complications during sinus augmentation procedures. Materials and methods The study reports a clinical case of a vertical partial basal bony septum, where upon elevation of the sinus membrane, its perforation was observed (size >5 mm). Results The present study proposes a method of treatment of perforated sinus membranes.The post-surgical period was uneventful. The bone grafting material remained compact in the sinus augmentation site. Conclusions The proposed method for the management of perforated sinus membranes can be applied in surgical procedures for perforations > 5 mm in size.

scripta scientifica medicinae dentalis

A clinical case of perforation of the maxillary sinus membrane during sinus lift surgery and a proposed methodology for the management of subsequent complications