Clinical effect of simultaneous implantation and maxillary sinus floor elevation with or without bone graft

doi:10.19439/j.sjos.2023.01.019

Abstract

Abstract: PURPOSE: To investigate the difference of osteogenic effect and stability of maxillary sinus implants 6 months after maxillary sinus elevation with or without bone grafting. METHODS: A total of 150 patients with maxillary sinus floor lift and simultaneous implantation in Lishui People's Hospital from December 2019 to December 2021 were divided into group A (internal maxillary sinus lift + bone grafting) and group B (internal lift without bone grafting). Preoperative and postoperative CBCT data and implant stability of all patients were measured and analyzed to compare whether there were differences in clinical efficacy between the two groups. SPSS 25.0 software package was used for data analysis. RESULTS: A total of 199 implants were implanted, the implant retention rate was 97.6% in group A and 95.7% in group B one year after surgery, with no significant difference between the two groups(P>0.05). There was no significant difference in residual bone height(RBH) and gray scale value (HU) between the two groups before and 6 months after operation (P>0.05). There was no significant difference in ISQ value between the two groups during operation and 6 months after operation(P>0.05). CONCLUSIONS: In cases with the remaining alveolar bone height of 3~8 mm and the planned lifting height of 3~4 mm, maxillary sinus floor lifting procedure achieved good clinical results in both groups with or without bone grafting, which indicated that bone grafting had little effect on retention rate and stability of the implants.

Key words: Maxillary sinus floor lift, No bone grafting, Implant stability

CLC Number:

R782.1

HU Ning, LI Feng-dan, JIANG Yin-hua. Clinical effect of simultaneous implantation and maxillary sinus floor elevation with or without bone graft[J]. Shanghai Journal of Stomatology, 2023, 32(1): 101-104.

References

[1] Boyne PJ, James RA.Grafting of the maxillary sinus floor with autogenous marrow and bone[J]. J Oral Surg, 1980, 38(8): 613-616.
[2] Tatum H.Maxillary and sinus implant reconstmctions[J]. Dent Clin North Am, 1986, 30(2): 207-229.
[3] Steller D, Falougy M, Mirzaei P, et al.Retrospective analysis of time-related three-dimensional iliac bone graft resorption following sinus lift and vertical augmentation in the maxilla[J]. Int J Oral Maxillofac Surg, 2022, 51(4): 545-551.
[4] Lundgren S, Anderson S, Gualini F, et al.Bone reformation with sinus membrane elevation: a new surgical technique for maxillary sinus floor augmentation[J]. Clin Implant Dent Relat Res, 2004, 6(3): 165-173.
[5] Berbéri A, Al-Nemer F, Hamade E, et al.Mesenchymal stem cells with osteogenic potential in human maxillary sinus membrane: an in vitro study[J]. Clin Oral Investig, 2017, 21(5):1599-1609.
[6] Scala A, Botticelli D, Faeda RS, et al.Lack of influence of the Schneiderian membrane in forming new bone apical to implants simultaneously installed with sinus floor elevation: an experimental study in monkeys[J]. Clin Oral Implants Res, 2012, 23(2):175-181.
[7] Rong Q, Li X, Chen SL, et al.Effect of the Schneiderian membrane on the formation of bone after lifting the floor of the maxillary sinus: an experimental study in dogs[J]. Br J Oral Maxillofac Surg, 2015, 53(7):607-612.
[8] Kirmeier R, Payer M, Wehrschuetz M, et al.Evaluation of three-dimensional changes after sinus floor augmentation with different grafting materials[J]. Clin Oral Implants Res, 2008, 19(4):366-372.
[9] Sohn DS, Moon JW, Lee WH, et al.Comparison of new bone formation in the maxillary sinus with and without bone grafts: immunochemical rabbit study[J]. Int J Oral Maxillofac Implants, 2011, 26(5):1033-1042.
[10] Fugazzotto PA, Vlassis J.A simplified classification and repair system for sinus membrane perforations[J]. J Periodontol, 2003, 74(10):1534-1541.
[11] Taschieri S, Lolato A, Testori T, et al.Short dental implants as compared to maxillary sinus augmentation procedure for the rehabilitation of edentulous posterior maxilla: three-year results of a randomized clinical study[J]. Clin Implant Dent Relat Res, 2018, 20(1):9-20.
[12] Chen H, Zhou L, Wu D, et al.Osteotome sinus floor elevation with concentrated growth factor and simultaneous implant placement with or without bone grafting: a retrospective study[J]. Int J Oral Maxillofac Surg, 2022, 51(8):1078-1084.
[13] Qian SJ, Mo JJ, Si MS, et al.Long-term outcomes of osteotome sinus floor elevation with or without bone grafting: the 10-year results of a randomized controlled trial[J]. J Clin Periodontol, 2020, 47(8):1016-1025.
[14] Merheb J, Nurdin N, Bischof M, et al.Stability evaluation of implants placed in the atrophic maxilla using osteotome sinus floor elevation with and without bone grafting: a 5-year prospective study[J]. Int J Oral Implantol (Berl), 2019, 12(3):337-346.

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