Journal ArticleDOI
Recent Trends in Sinus Lift Surgery and Their Clinical Implications.
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TLDR
Although both osteotome and lateral window procedures can help clinicians in overcoming the challenges of placing implants in atrophic posterior maxilla, pre-implant residual bone height is crucial in determining the survival of these implants.Abstract:
Background
Sinus lift procedures are used to allow residual bone to accommodate functional implants in atrophic posterior maxilla. Numerous anatomical and surgical advancements in sinus lift surgery are still inspiring clinicians.
Purpose
The purpose of this study was to describe the recent trends in sinus lift surgery focusing on implant survival, bone grafting, anatomical and surgical considerations, and their clinical implications on the practice of implant dentistry in atrophic posterior maxilla.
Materials and Methods
We performed an extensive search in MEDLINE, Embase, Scopus, Web of Science, Trip, Cochrane Oral Health Group's Trials Register, Cochrane Central Register of Controlled Trials, and ProQuest Dissertations & Theses. Articles were critically reviewed to determine the level of evidence as per the Canadian Task Force on Preventive Health Care.
Results
Comprehensive assessment of sinus septa, sinus pathology, and bone quality and quantity using three-dimensional cone beam computed tomography radiographs is important before placing implants in posterior maxilla. With a residual bone height of less than 5 mm, the survival rate of implant decreases substantially. Lateral window approach can increase the vertical bone height to greater than 9 mm, while osteotome approach can increase this height from 3 to 9 mm. The perforation of Schneiderian membrane doubles the risk for the incidence of sinusitis or infection. The use of piezoelectric surgery allows adequate sinus lift while protecting soft tissues and minimizing patient discomfort.
Conclusions
Although both osteotome and lateral window procedures can help clinicians in overcoming the challenges of placing implants in atrophic posterior maxilla, pre-implant residual bone height is crucial in determining the survival of these implants. Future research directions should consider study designs grounded on longitudinal randomized controlled trials of large sample size.read more
Citations
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Journal ArticleDOI
Incidence, Risk Factors, and Complications of Schneiderian Membrane Perforation in Sinus Lift Surgery: A Meta-Analysis.
TL;DR: With an incidence ratio of 1:4, membrane perforation is a common surgical complication during sinus lift surgery, and appropriately handled and treated membraneperforation tends to show comparable implant survival when compared with intact membrane.
Journal ArticleDOI
Graft-Free Maxillary Sinus Floor Elevation: A Systematic Review and Meta-Analysis
TL;DR: Within limitations of the present systematic review, GFSFE with simultaneous implant placement can achieve satisfactory mean ISR of 97.9% ± 0.02%, and factors influencing amount of vertical bone gain, protruded implant length, and peri-implant marginal bone loss are evaluated.
Journal ArticleDOI
Maxillary sinus floor pneumatization and alveolar ridge resorption after tooth loss: a cross-sectional study.
Marília Cabral Cavalcanti,Thais Eiler Guirado,Vitor Marques Sapata,Claudio Costa,Cláudio Mendes Pannuti,Ronald E. Jung,João Batista César Neto +6 more
TL;DR: The present study showed that tooth loss in posterior maxilla favors sinus pneumatization and the identification of LSP at molar roots seems to indicate a greater necessity for sinus lift surgeries.
Journal ArticleDOI
Anatomical characteristics of maxillary sinus septa visualized by cone beam computed tomography.
TL;DR: A significant association was found between edentulism and the presence of septa, and the septa were most often transversally oriented for edentulous patients, which may have an influence on the performance of sinus floor elevation.
Journal ArticleDOI
Piezosurgery in implant dentistry
TL;DR: Overall, piezoelectric surgery is superior to other methods that utilize mechanical instruments and offers a wide range of new possibilities to perform customized and minimally invasive osteotomies.
References
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Journal Article
Maxillary and sinus implant reconstructions.
TL;DR: The root and sinus series of the Omnii system have been used extensively and their design attempts to maximize the use of the available bone, and placement techniques allow the manipulation of bone to form sockets in otherwise deficient areas of bone.
Journal ArticleDOI
Implant success, survival, and failure: the International Congress of Oral Implantologists (ICOI) Pisa Consensus Conference.
Carl E. Misch,Morton L. Perel,Hom-Lay Wang,Gilberto Sammartino,Pablo Galindo-Moreno,Paolo Trisi,Marius Steigmann,Alberto Rebaudi,Ady Palti,Michael A. Pikos,D. Schwartz-Arad,Joseph Choukroun,José-Luis Gutiérrez-Pérez,Gaetano Marenzi,Dimosthenis K. Valavanis +14 more
TL;DR: A few indices developed for natural teeth are used as an index that is specific for endosteal root-form implants, intended to update and upgrade what is purported to be implant success, implant survival, and implant failure.
Journal ArticleDOI
A systematic review of the success of sinus floor elevation and survival of implants inserted in combination with sinus floor elevation
TL;DR: The insertion of dental implants in combination with maxillary sinus floor elevation is a predictable treatment method showing high implant survival rates and low incidences of surgical complications.
Journal Article
A new concept in maxillary implant surgery: the osteotome technique.
TL;DR: The author concludes that the osteotome technique is superior to drilling for many applications in soft maxillary bone and allows more implants to be inserted in a greater variety of sites during a routine office procedure.
Journal ArticleDOI
Bone reformation with sinus membrane elevation: a new surgical technique for maxillary sinus floor augmentation.
TL;DR: Investigating whether sinus membrane elevation and the simultaneous insertion of titanium implants without additional grafting material constitute a valid technique for bone augmentation of the maxillary sinus floor showed that there is great potential for healing and bone formation in the maxillian sinus without the use of additional bone grafts or bone substitutes.