A minimally invasive technique for lateral maxillary sinus floor elevation: a Bayesian network study

Merli, Mauro; Moscatelli, Marco; Mariotti, Giorgia; Pagliaro, Umberto; Bernardelli, Francesco; Nieri, Michele

doi:10.1111/clr.12524

Cited by 14 publications

(10 citation statements)

References 46 publications

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“…Membrane perforation has some clinical implications such as increased susceptibility to infections or an inadequately contained graft and may influence the implant survival rate [ 49 ]. In the present study, we did not find severe healing complications and, compared to other studies [ 9 , 27 , 28 , 40 , 48 – 53 ], a very low percentage of surgical complications: only 4 membrane perforations (5.2%). It should be emphasized that in this study, patient selection, accurate diagnosis, and careful therapeutic planning were scrupulously aspired.…”

Section: Discussioncontrasting

confidence: 54%

“…The LSFE is however a predictable technique [ 26 ]. Moreover, the use of new tools such as piezoelectric devices [ 27 ] and less invasive clinical protocols [ 28 ] flap designs [ 29 ] may represent a great advantage in terms of patient benefit, pain experience, and clinical outcome. To date, there is a lot of data on the success and complication rates of this technique; however, the literature does not report the patient’s experience after this surgery [ 30 ].…”

Section: Introductionmentioning

confidence: 99%

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Patient-reported outcomes and complication rates after lateral maxillary sinus floor elevation: a prospective study

Rengo

Fiorino

Cucchi³

et al. 2021

Clin Oral Invest

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Objectives Oral surgery morbidity is highly variable based on patients’ characteristics and kind of surgical intervention. However, poor data are available in the literature regarding patient outcomes after oral surgery. The aim of this retrospective study was to evaluate patient-reported outcome and complication rates after maxillary sinus floor elevation. Materials and methods Data from the records of patients undergoing maxillary sinus elevation have been collected from a private dental office. Patient-reported outcome has been assessed using a 100-mm visual analog scale to evaluate the post-operative pain (VASpain) experienced in the first week following surgery and visual rating scales to evaluate discomfort level (VRSdiscomfort: 0 to 4) and willingness to repeat the same surgical procedure (VRSwillingness: 0 to 3). Analgesics intake, swelling onset and duration, and ecchymosis have been also recorded. Results VASpain showed moderate values in the first 2 days (< 50) post-surgery, with a tendency to progressively decrease over the next 2 days. Average assumption of painkillers was 3.93 ± 3.03. Discomfort level (VRSdiscomfort) after surgery was low (median: 1; IR: 1–0), while willingness to undergo the same surgical procedure was very high (77.63% of patients). Swelling and ecchymosis were experienced by 97.36% and 51.32% of patients, respectively, with a mean duration of 4.09 ± 1.43 and 2.21 ± 2.31 days, respectively. Membrane perforation occurred in 4 cases. Other post-operative complications were not observed. Conclusions Maxillary sinus grafting is a safe procedure, with a low complication rate and moderate morbidity that is well tolerated by patients. Particular attention is needed in case selection, surgical planning and operator expertise. Clinical relevance The analysis of patient-reported outcomes can be of great help in surgical planning and in providing correct and adequate treatment.

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Section: Discussioncontrasting

confidence: 54%

Section: Introductionmentioning

confidence: 99%

Patient-reported outcomes and complication rates after lateral maxillary sinus floor elevation: a prospective study

Rengo

Fiorino

Cucchi³

et al. 2021

Clin Oral Invest

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“…Similar results were previously found in a case series study [ 30 ] that also used OMP3 and reached a bone height with an average of 9.6 ± 3.8 mm. The results of this study were also similar to those obtained in the Bayesian network study in terms of vertical bone gain [ 44 ] and also in accordance with a me-ta-analysis [ 45 ] for the groups with follow up between 4.5 and 9 months.…”

Section: Discussionsupporting

confidence: 90%

Advantages of Porcine Xenograft over Autograft in Sinus Lift: A Randomised Clinical Trial

et al. 2021

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This study aimed to compare the performance of intra-oral autologous bone grafts versus porcine xenografts in a two-step lateral window sinus lift. This split-mouth randomised controlled trial sequentially enrolled 12 patients with a 6-month follow-up. For each patient, a simultaneous randomised bilateral maxillary sinus lift was performed and filled with autologous bone from the mandible (control) or a porcine xenograft (test). A bone biopsy sample was collected during the implant placement for histological and histomorphometric analysis. CT scans were performed at the beginning and at the end of the trial to assess radiological evolution. A comparison of initial and six-month CT scans indicated statistically significant increases in bone level for both materials (7.8 ± 2.4 mm for autologous and 8.7 ± 2.2 mm for xenograft, p < 0.05), and there were no significant differences between the performance of the two materials over time (p = 0.26). The histological analysis showed various stages of the remodelling process and no cells or other signs of inflammation or infection were visible in both groups. The porcine xenografts presented similar results for the studied variables when compared to autologous bone, being a reasonable alternative for a sinus lift.

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“…Treatment plan was discussed with the patient, informed about potential complication for procedure choose. Patient was informed about alternative in prosthetic rehabilitation and an adeguate Informed Consent was taken [21][22][23][24][25][26].…”

Section: Programmentioning

confidence: 99%

Sinus Lift Procedure and Immediate Implant Placing: A Piezo-Surgery and Platelet Rich Plasma Approach: A Case Report

Barbera¹,

Mat²,

Ahmed³

2017

Otolaryngol

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A minimally invasive technique for lateral maxillary sinus floor elevation: a Bayesian network study

Abstract: This technique can be considered noninvasive, with a low early failure and early complication rate.

Cited by 14 publications

References 46 publications

Patient-reported outcomes and complication rates after lateral maxillary sinus floor elevation: a prospective study

Patient-reported outcomes and complication rates after lateral maxillary sinus floor elevation: a prospective study

Advantages of Porcine Xenograft over Autograft in Sinus Lift: A Randomised Clinical Trial

Sinus Lift Procedure and Immediate Implant Placing: A Piezo-Surgery and Platelet Rich Plasma Approach: A Case Report

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