Efficacy of Two Different Hydrodynamic Sinus Lift Systems for Atraumatic Elevation in Immediate Implant Placement

Abstract

Purpose To evaluate the efficacy of two hydrodynamic sinus lifting procedures and to successfully place immediate implants in maxillary posterior sites that have a compromised native bone as a result of periodontal or endodontic disease. Patients and Methods A total of 26 patient sites were enrolled with 13 sites each in the Minimally Invasive Antral Membrane Balloon Elevation (MIAMBE) and Drill Integrated Hydrodynamics for the transcrestal sinus floor elevation (DIHSFE) groups who received transcrestal sinus floor elevation followed by immediate implant placement. Clinical parameters such as sinus membrane perforations, nasal bleeding, postoperative sinusitis, VAS scores at Day-7 for pain and discomfort, primary implant stability and time taken were evaluated. Results The DIHSFE had greater sinus membrane perforations and incidence of nasal bleeding when compared with MIAMBE with (p = 0.066) and (p = 0.141). Post-operative sinusitis was evident in both the groups with (p = 0.619). The mean VAS score was statistically significant between both the groups (p ≤ 0.005). The insertion torque values, and mean time taken for surgical procedure was not statistically significant between groups. Conclusion The present study highlighted that MIAMBE is superior to DIHSFE in its ability to cause less severe patient morbidities and post-operative complications.

Radiographic Study of Transcrestal Sinus Floor Elevation Using Osseodensification Technique with Graft Material: A Pilot Study

“…The osteotome sinus floor elevation (OSFE) technique is a less invasive approach, is less time-consuming, and reduces postoperative discomfort by using osteotomes to increase the density of the maxillary bone by compaction and allowing the insertion of the implants with good primary stability [4]. To reduce trauma and risk of membrane perforation, which is the most common intraoperative complication associated with maxillary sinus lift surgery [7,8], several techniques for the transcrestal approach have been discussed [9,10], including balloon elevation technique [11], hydraulic sinus condensing technique [12], trephine assisted lifting, MISE technique, and CAS KIT (NeoBiotech, quokkaMED O.E. Athens, Greece) [13].…”