Comparison of different sinus augmentation techniques for implant placements
An original research
Keywords:
atrophic maxilla, dental implants, lateral window sinus augmentation, transalveolar sinus augmentationAbstract
Aim: The purpose of the present research was to evaluate various sinus augmentation techniques for implant placements. Methodology: Four techniques were evaluated: 1-stage bone-added osteotome sinus floor elevation procedure (BAOSFE) with simultaneous implant placement; 2-stage BAOSFE with delayed implant placement; 1-stage lateral window sinus floor elevation with simultaneous implant placement; and 2-stage lateral window sinus floor elevation with delayed implant placement. Patients were followed for 18 to 72 months (mean: 52.5 months) after prosthesis placement. Data were analyzed with cone-beam computed tomography. Results: A total of 96 implants from 71 patients were analyzed; pre-treatment, there were no significant differences between patients. Total implant survival was 98.9%. The mean residual bone height was significantly higher in the 1-stage BAOSFE group than the other groups (P <.01); 1 implant in this group failed at 3 months. There was no significant difference in total bone height gain between groups. However, the bone height gain of 1st sinus lifting with 2-stage BAOSFE was significantly lower than the 2-stage lateral window procedure (P<.01). There was no prosthesis failure. Conclusion: The favorable implant outcomes suggest these 1-stage and 2-stage MSFA procedures should be considered as alternative treatment options for patients with extremely atrophic posterior maxilla.
Downloads
References
Simon BI, Greenfield JL. Alternative to the gold standard for sinus augmentation: Osteotome sinus elevation. Quintessence International. Oct 2011;1:42(9).
Irinakis T, Dabuleanu V, Aldahlawi S. Complications during maxillary sinus augmentation associated with interfering septa: a new classification of septa. The open dentistry journal. 2017;11:140.
Steigmann M, Garg AK. A comparative study of bilateral sinus lift s performed with platelet rich plasma alone versus alloplastic graft material reconstituted with blood. Implant Dent 2005;14:261-6.
Linkow LI. Clinical evaluation of the various designed endosseous implants. J Oral Implant Transplant Surg 1966;12:35-46.
Boyne PJ, James RA. Grafting of the maxillary sinus floor with autogenous marrow and bone. J Oral Surg 1980;38:613-6.
Kent JN, Block MS. Simultaneous maxillary sinus fl oor bone graft ing and placement of hydroxylapatite-coated implants. J Oral Maxillofac Surg 1989;47:238-42.
Jensen J, Simonsen EK, Sindet-Pedersen S. Reconstruction of the severely resorbed maxilla with bone grafting and osseointegrated implants: A preliminary report. J Oral Maxillofac Surg 1990;48:27-32.
Blomqvist JE, Alberius P, Isaksson S, Linde A, Obrant K. Importance of bone graft quality for implant integration aft er maxillary sinus reconstruction. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 1998;86:268-74.
Jensen J, Sindet-Pedersen S. Autogenous mandibular bone graft s and osseointegrated implants for reconstruction of the severely atrophied maxilla: a preliminary report. J Oral Maxillofac Surg 1991;49:1277-87.
Hirsch JM, Ericsson I. Maxillary sinus augmentation using mandibular bone graft s and simultaneous installation of implants: A surgical technique. Clin Oral Implants Res 1991;2:91-6.
Jurisic M, Markovic A, Radulovic M, Brkovic BM, Sándor GK. Maxillary sinus floor augmentation: comparing osteotome with lateral window immediate and delayed implant placements. An interim report. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2008;106:820-7.
Block MS, Kent JN. Maxillary sinus grafting for totally and partially edentulous patients. J Am Dent Assoc 1993;124:139-43.
Momtaheni DM, Schweitzer K, Muenchinger F. Technique for stabilization of autogenous cancellous bone grafts in sinus lift procedures. Oral Surg Oral Med Oral Pathol 1994;78:14-6.
Del Fabbro M, Testori T, Francetti L, Weinstein R. Systematic review of survival rates for implants placed in the graft ed maxillary sinus. Int J Periodontics Restorative Dent 2004;24:565-77.
Block MS, Kent JN, Kallukaran FU, Th unthy K, Weinberg R. Bone maintenance 5 to 10 years aft er sinus grafting. J Oral Maxillofac Surg 1998;56:706-14.
Summers RB. The osteotome technique: Part 4–Future site development. Compend Contin Educ Dent 1995;16:10901092 passim; 1094-1096, 1098, quiz 1099.
Rosen PS, Summers R, Mellado JR, et al. The bone-added osteotome sinus floor elevation technique: multicenter retrospective report of consecutively treated patients. Int J Oral Maxillofac Implants 1999; 14:853–8.
Chao YL, Chen HH, Mei CC, et al. Meta-regression analysis of the initial bone height for predicting implant survival rates of two sinus elevation procedures. J Clin Periodontol 2010;37:456–65.
Calin C, Petre A, Drafta S. Osteotome-mediated sinus floor elevation: a systematic review and meta-analysis. Int J Oral Maxillofac Implants 2014;29:558–76.
PA F. Augmentation of the posterior maxilla: a proposed hierarchy of treatment selection. J Periodontol 2003;74:1682–91.
Winter AA, Pollack AS, Odrich RB. Placement of implants in the severely atrophic posterior maxilla using localized management of the sinus floor: a preliminary study. Int J Oral Maxillofac Implants 2002;17:687–95.
Renouard F, Nisand D. Short implants in the severely resorbed maxilla: a 2-year retrospective clinical study. Clin Implant Dent Relat Res 2005;7 (Suppl 1):S104–10.
Griffin TJ, Cheung WS. The use of short, wide implants in posterior areas with reduced bone height: a retrospective investigation. J Prosthet Dent 2004;92:139–44.
Block MS, Delgado A, Fontenot MG. The effect of diameter and length of hydroxylapatite-coated dental implants on ultimate pullout force in dog alveolar bone. J Oral Maxillofac Surg 1990;48:174–8.
Published
How to Cite
Issue
Section
Copyright (c) 2022 International journal of health sciences
![Creative Commons License](http://i.creativecommons.org/l/by-nc-nd/4.0/88x31.png)
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Articles published in the International Journal of Health Sciences (IJHS) are available under Creative Commons Attribution Non-Commercial No Derivatives Licence (CC BY-NC-ND 4.0). Authors retain copyright in their work and grant IJHS right of first publication under CC BY-NC-ND 4.0. Users have the right to read, download, copy, distribute, print, search, or link to the full texts of articles in this journal, and to use them for any other lawful purpose.
Articles published in IJHS can be copied, communicated and shared in their published form for non-commercial purposes provided full attribution is given to the author and the journal. Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgment of its initial publication in this journal.
This copyright notice applies to articles published in IJHS volumes 4 onwards. Please read about the copyright notices for previous volumes under Journal History.