Augmentation of the Posterior Maxilla: A Proposed Hierarchy of Treatment Selection

Fugazzotto, Paul A.

doi:10.1902/jop.2003.74.11.1682

Cited by 66 publications

(56 citation statements)

References 13 publications

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“…The integrity of the membrane was checked and a collagen sponge was placed apically, to which the bone graft was added. Leblebicioglu et al (6) used the smallest diameter osteotome to fracture the sinus floor (7). Ferrigno et al (8) used ostectomy drills without any type of irrigation, given that this enabled collecting the chips of autogenous bone from the drills in order to then use them to fill the bone graft.…”

Section: Discussionmentioning

confidence: 99%

Meta-analysis of the increase in height in maxillary sinus elevations with osteotome

Antonaya-Mira¹,

Dorado²,

Martínez-Rodríguez³

et al. 2012

Med Oral

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Objectives: To compare the different variations of sinus elevation techniques with osteotomes, to evaluate the increase in height achieved, and to quantify the osseointegration periods and the success rates for the implants placed. Study Design: A meta-analytic study with descriptive statistics was carried out on sinus elevations using osteotomes, analyzing a total of 11 articles published between the years 2003 and 2008. Results: Summers’ classic technique for performing sinus elevations with osteotomes differs from the current techniques being used with respect to the use of drills, the manner in which the sinus floor is fractured and how the sinus membrane is lifted, and especially on the type of graft used—the most current tendency being not to use a graft. The maximum gain in height is 4.62 mm, and the minimum gain in height is 2.07 mm, starting with a maximum residual bone height of 8.8 mm and a minimum of 4.1 mm. The osseointegration period is 4.9 months and the success rate is 95.5%. Conclusions: Performing sinus elevations with osteotomes is a predictable technique that enables achieving an increase in bone height and successful results, similar to those of other techniques used, in the placement of implants. Key words:Osteotomes, maxillary sinus elevation, dental implants, osseointegration.

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Section: Discussionmentioning

confidence: 99%

Meta-analysis of the increase in height in maxillary sinus elevations with osteotome

Antonaya-Mira¹,

Dorado²,

Martínez-Rodríguez³

et al. 2012

Med Oral

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“…In particular, the survival rate is clearly reduced when the native bone height in an implant site is 4 mm or less [11]: It is difficult to achieve primary stability of the implant, and there is a higher possibility that the Schneiderian membrane will tear [23]. However, this is somewhat controversial.…”

Section: Discussionmentioning

confidence: 99%

Bone-added osteotome sinus floor elevation with simultaneous placement of non-submerged sand blasted with large grit and acid etched implants: a 5-year radiographic evaluation

Jung

Choi

Cho

et al. 2010

J Periodontal Implant Sci

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PurposeImplant survival rates using a bone-added osteotome sinus floor elevation (BAOSFE) procedure with simultaneous placement of a non-submerged sand blasted with large grit and acid etched (SLA) implant are well documented at sites where native bone height is less than 5 mm. This study evaluated the clinical results of non-submerged SLA Straumann implants placed at the time of the BAOSFE procedure at sites where native bone height was less than 4 mm. Changes in graft height after the BAOSFE procedure were also assessed using radiographs for 5 years after the implant procedure.MethodsThe BAOSFE procedure was performed on 4 patients with atrophic posterior maxillas with simultaneous placement of 7 non-submerged SLA implants. At least 7 standardized radiographs were obtained from each patient as follows: before surgery, immediately after implant placement, 6 months after surgery, every year for the next 3 years, and after more than 5 years had passed. Clinical and radiographic examinations were performed at every visit. Radiographic changes in graft height were calculated with respect to the implant's known length and the original sinus height.ResultsAll implants were stable functionally, as well as clinically and radiographically, during the follow-up. Most of the radiographic reduction in the grafted bone height occurred in the first 2 years; reduction after 2 years was slight.ConclusionsThe simultaneous placement of non-submerged SLA implants using the BAOSFE procedure is a feasible treatment option for patients with severe atrophic posterior maxillas. However, the grafted bone height is reduced during the healing period, and patients must be selected with care.

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“…This technique allows a better view of the surgical site [87]. The cooling solution by hydropneumatic pressure assists in the Schneiderian membrane release [98] which minimizes the risk of perforations. The strong point of this method includes brief learning curve, reduced invasiveness, reduction of the operating times and greater precision [99].…”

Section: Discussionmentioning

confidence: 99%

Maxillary Sinus Floor Elevation Techniques with Recent Advances: A Literature Review

Pawar

Sapra

et al. 2017

APJHS

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Background: In the rehabilitation of atrophic posterior maxilla, factors such as age, extraction of teeth result in loss of alveolar bone height together with increased pneumatization of sinus contradicting the implant surgery. Although adequate bone height can be achieved using various maxillary sinus augmentation techniques, these procedures have been practiced successfully. However, significant complications occur such as perforations or tearing. To maintain the integrity of Schneiderian membrane subsequently increasing the success rate a retrospective analysis is carried out on various techniques with complications which occur during and after treatment.Methods: A systematic online and manual review of the literature identified articles dealing with SFE. Applying rigid inclusion criteria, screening and data abstraction were performed independently by two reviewers. The follow-up of was a minimum of 6 months. The articles selected were carefully read and data of interest were tabulated. The identified articles were analyzed regarding implant outcome, with or without graft using different surgical techniques with complication rates using random-effects Poisson regression models to obtain summary estimates/ year proportions. This article reviews various sinus lift techniques for intact elevation of Schneiderian membrane based on advanced PUBMED, Medline, Cochrane database system search of English-language literature from the year 2004 to present in order to compare and evaluate the success rate with minimal complications selecting the most suitable which can fulfill the criteria of being non-invasive, less time-consuming, more reliable and less traumatic.Result:After reviewing various sinus elevation techniques; nasal suction technique(NaSucT), balloon antral elevation technique(BAOSFE), and Hydraulic Sinus Lift technique(HySiLift) emerges as more favourable among all these and can efficiently lift the Schneiderian membrane with minimal trauma. We must emphasize that these are new techniques and cannot replace the conventional techniques as a whole.

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Augmentation of the Posterior Maxilla: A Proposed Hierarchy of Treatment Selection

Cited by 66 publications

References 13 publications

Meta-analysis of the increase in height in maxillary sinus elevations with osteotome

Meta-analysis of the increase in height in maxillary sinus elevations with osteotome

Bone-added osteotome sinus floor elevation with simultaneous placement of non-submerged sand blasted with large grit and acid etched implants: a 5-year radiographic evaluation

Maxillary Sinus Floor Elevation Techniques with Recent Advances: A Literature Review

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