A Split-Mouth Design Comparison for Lateral and Crestal Sinus Lift Techniques with Dental Implants Placements: Short Communication

Al-Almaie, Saad; Kavarodi, Abdul Majeed; Alorf, Ali; Alzahrani, Saeed Abdullah

doi:10.2174/1874210601711010603

Cited by 7 publications

(13 citation statements)

References 13 publications

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“…Trans-crestal approach is the main alternative to LSFE and it is generally preferred by patients due to reduced morbidity, comparable to implants inserted in native bone [ 7 ], thus lower than with the lateral approach, and to the shorter period of rehabilitation [ 25 ].…”

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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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: 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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“…Several randomized or quasi-randomized trials have been conducted comparing tSFE and lSFE for chair time (Bacevic et al, 2021;Farina et al, 2018), morbidity (Al-Almaie et al, 2017;Bacevic et al, 2021;Bensaha, 2011;Cannizzaro et al, 2009;Farina et al, 2018;Temmerman et al, 2017;Yu et al, 2017;Zhou et al, 2021), radiographic outcomes (Al-Almaie et al, 2017;Bacevic et al, 2021;Bensaha, 2011;Cannizzaro et al, 2009;Farina et al, 2019;Temmerman et al, 2017;Yu et al, 2017;Zhou et al, 2021), surgeryrelated costs and specific aspects of oral health-related quality of life (Farina, Simonelli, Franceschetti, Travaglini, et al, 2022).…”

Section: Introductionmentioning

confidence: 99%

“…Follow-up data from comparative randomized studies, however, remains limited to a few trials with a follow-up of 2 (Yu et al, 2017;Zhou et al, 2021), 3 (Al-Almaie et al, 2017 or 5 years (Cannizzaro et al, 2013), the majority of which refers to different surgical conditions between treatments (Al-Almaie et al, 2017;Cannizzaro et al, 2013;Yu et al, 2017).…”

Section: Introductionmentioning

confidence: 99%

Six‐year extension results of a randomized trial comparing transcrestal and lateral sinus floor elevation at sites with 3–6 mm of residual bone

Farina

Riccardi²,

Schincaglia

et al. 2023

Clinical Oral Implants Res

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ObjectivesTo comparatively evaluate the 6‐year outcomes of transcrestal and lateral sinus floor elevation (tSFE and lSFE, respectively).MethodsThe 54 patients representing the per‐protocol population of a randomized trial comparing implant placement with simultaneous tSFE versus lSFE at sites with a residual bone height of 3–6 mm were invited to participate in the 6‐year follow‐up visit. Study assessments included: peri‐implant marginal bone level at the mesial (mMBL) and distal (dMBL) aspects of the implant, proportion of the entire implant surface in direct contact with the radiopaque area (totCON%), probing depth, bleeding on probing, suppuration on probing, and modified plaque index. Also, the conditions of the peri‐implant tissues at 6‐year visit were diagnosed according to the case definitions of peri‐implant health, mucositis, and peri‐implantitis from the 2017 World Workshop.ResultsForty‐three patients (21 treated with tSFE and 22 treated with lSFE) participated in the 6‐year visit. Implant survival was 100%. At 6 years, totCON% was 96% (IR: 88%–100%) in tSFE group and 100% (IR: 98%–100%) in lSFE group (p = .036). No significant intergroup difference in patient distribution according to the diagnosis of peri‐implant health/disease was observed. Median dMBL was 0.3 mm in tSFE group and 0 mm in lSFE group (p = .024).ConclusionsAt 6 years following placement concomitantly with tSFE and lSFE, implants showed similar conditions of peri‐implant health. Peri‐implant bone support was high in both groups and was slightly but significantly lower in tSFE group.

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“…To date, the clinical outcomes of tSFE and lSFE have been compared in several trials [7,[10][11][12][13][14][15][16][17][18][19][20][21]. Among these, few randomized trials comparatively evaluated the impact of the dimensional reduction of the grafted area on periimplant bone support at a follow-up of at least 2 years following tSFE and lSFE [14,22].…”

Section: Introductionmentioning

confidence: 99%

Peri-implant tissue conditions following transcrestal and lateral sinus floor elevation: 3-year results of a bi-center, randomized trial

et al. 2022

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Objectives The present study was performed to comparatively evaluate the peri-implant bone stability and conditions of marginal tissues at 3 years following transcrestal and lateral sinus floor elevation (tSFE and lSFE, respectively). Materials and methods Patients included in a parallel-arm randomized trial comparatively evaluating tSFE and lSFE were recalled at 3 years post-surgery. Twenty-one and 24 patients in tSFE and lSFE groups, respectively, participated in the follow-up visit. Peri-implant bone support was evaluated as the proportion of the entire implant surface in direct contact with the radiopaque area (totCON%) on 3-year periapical radiographs. The conditions of the marginal peri-implant tissues at 3-year visit were classified as peri-implant health, peri-implant mucositis, or peri-implantitis. Results At 3 years, both groups showed an implant survival rate of 100%. Median totCON% was stable at 3 years, being 100% in both groups (p = 0.124). Peri-implant health and mucositis were diagnosed in 10 (47.6%) and 11 (52.4%) patients, respectively, in the tSFE group, and in 8 (33.3%) and 16 (66.7%) subjects, respectively, in the lSFE group (p = 0.502). Conclusions At 3 years following surgery, implants placed concomitantly with tSFE and lSFE fully maintain peri-implant bone support. Peri-implant mucositis was the most prevalent condition, with a similar prevalence between groups. Clinical relevance. Based on 3-year data on peri-implant bone support and prevalence of peri-implant diseases, the study suggests that tSFE and lSFE represent two equally valid options for the rehabilitation of the posterior maxilla. ClinicalTrials.gov ID: NCT02415946.

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A Split-Mouth Design Comparison for Lateral and Crestal Sinus Lift Techniques with Dental Implants Placements: Short Communication

Cited by 7 publications

References 13 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

Six‐year extension results of a randomized trial comparing transcrestal and lateral sinus floor elevation at sites with 3–6 mm of residual bone

Peri-implant tissue conditions following transcrestal and lateral sinus floor elevation: 3-year results of a bi-center, randomized trial

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