Abstract
The aim of this study was to describe a modified transcrestal sinus floor elevation
(mTSFE) technique and to evaluate its clinical effectiveness and reliability when
residual bone height is severely reduced. Forty-three maxillary edentulous patients
who met the inclusion criteria were enrolled. All patients underwent the mTSFE technique;
66 dental implants were inserted simultaneously. Patient-reported outcomes were assessed
2 weeks after surgery. Prosthetic crowns were placed 6 months after surgery. Radiographic
analyses and clinical analyses were conducted to assess the clinical effectiveness
and feasibility of mTSFE during a follow-up period of 2–8 years. The mean vertical
bone increase after surgery was 8.09 mm, and it decreased to 6.56 mm at 6 months after
surgery. Two cases of membrane perforation occurred during surgery and one implant
was lost in the third year after surgery; the survival rate at the implant level was
98.48%. No severe postoperative complication was reported and the subjective feeling
of patients was acceptable. This mTSFE technique could simplify the operative procedure
and might be helpful to reduce intraoperative trauma, as well as to alleviate postoperative
discomfort.
Keywords
To read this article in full you will need to make a payment
Purchase one-time access:
Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online accessOne-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:
Subscribe to International Journal of Oral and Maxillofacial SurgeryAlready a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
References
- Management of the posterior maxilla with sinus lift: review of techniques.J Oral Maxillofac Surg. 2009; 67: 1730-1734https://doi.org/10.1016/j.joms.2009.03.042
- Maxillary sinus and surrounding bone anatomy with cone beam computed tomography after multiple teeth loss: a retrospective multicenter clinical study.Implant Dent. 2019; 28: 226-236https://doi.org/10.1097/ID.0000000000000862
- Cone-beam computed tomographic analysis of sinus membrane thickness, ostium patency, and residual ridge heights in the posterior maxilla: implications for sinus floor elevation.Clin Oral Implants Res. 2014; 25: 755-760https://doi.org/10.1111/clr.12168
- Rehabilitation of atrophic jaw using iliac onlay bone graft combined with dental implants.Int J Implant Dent. 2019; 511https://doi.org/10.1186/s40729-019-0163-9
- Survival rates of short dental implants (</=6.5 mm) placed in posterior edentulous ridges and factors affecting their survival after a 12-month follow-up period: a systematic review.Int J Oral Maxillofac Implants. 2019; 34: 605-621https://doi.org/10.11607/jomi.7187
- Bone augmentation of the edentulous maxilla for implant placement: a systematic review.Int J Oral Maxillofac Implants. 2016; 31: s19-s30https://doi.org/10.11607/jomi.16suppl.g1
- Maxillary sinus floor augmentation: a review of selected treatment modalities.J Oral Maxillofac Res. 2017; 8e3https://doi.org/10.5037/jomr.2017.8303
- Maxillary and sinus implant reconstructions.Dent Clin N Am. 1986; 30: 207-229
- Anatomical characteristics and dimensions of edentulous sites in the posterior maxillae of patients referred for implant therapy.Int J Periodontics Restor Dent. 2013; 33: 337-345https://doi.org/10.11607/prd.1475
- Survival of implants using the osteotome technique with or without grafting in the posterior maxilla: a systematic review.Int J Oral Maxillofac Implants. 2016; 31: 1077-1088https://doi.org/10.11607/jomi.4321
- Survival and success rates of dental implants placed using osteotome sinus floor elevation without added bone grafting: a retrospective study with a follow-up of up to 10 years.Int J Periodontics Restor Dent. 2016; 36: s89-s97https://doi.org/10.11607/prd.2191
- Sinus floor elevation procedures to enable implant placement and integration: techniques, biological aspects and clinical outcomes.Periodontology 2000. 2017; 73: 103-120https://doi.org/10.1111/prd.12165
- Incidence and severity of postoperative complications following oral, periodontal, and implant surgeries: a retrospective study.J Periodontol. 2019; 90: 1270-1278https://doi.org/10.1002/JPER.18-0658
- Anatomical analyses for maxillary sinus floor augmentation with a lateral approach: a cone beam computed tomography study.Ann Anat. 2019; 226: 29-34https://doi.org/10.1016/j.aanat.2019.07.003
- Detection of the posterior superior alveolar artery in the lateral sinus wall using computed tomography/cone beam computed tomography: a prevalence meta-analysis study and systematic review.Int J Oral Maxillofac Surg. 2015; 44: 1405-1410https://doi.org/10.1016/j.ijom.2015.07.001
- Peri-implant diseases and conditions: consensus report of workgroup 4 of the 2017 World Workshop on the Classification of Periodontal and Peri-Implant Diseases and Conditions.J Clin Periodontol. 2018; 45: S286-S291https://doi.org/10.1111/jcpe.12957
- Success criteria in implant dentistry: a systematic review.J Dent Res. 2012; 91: 242-248https://doi.org/10.1177/0022034511431252
- A prospective controlled trial comparing xenograft/autogenous bone and collagen-stabilized xenograft for maxillary sinus augmentation—complications, patient-reported outcomes and volumetric analysis.Clin Oral Implants Res. 2018; 29: 248-262https://doi.org/10.1111/clr.13107
Katsuyama H., Jensen S.S. : Sinus floor elevation procedures. ITI Treatment Guide, volume 5. Quintessence, 2011.
- A radiographic study of the posterior superior alveolar artery.Implant Dent. 2011; 20: 306-310https://doi.org/10.1097/ID.0b013e31822634bd
- Prevalence of bony septa, antral pathology, and dimensions of the maxillary sinus from a sinus augmentation perspective: a retrospective cone-beam computed tomography study.Imaging Sci Dent. 2016; 46: 109-115https://doi.org/10.5624/isd.2016.46.2.109
- Maxillary sinus elevation difficulty score with lateral wall technique.Int J Oral Maxillofac Implants. 2020; 35: 631-638https://doi.org/10.11607/jomi.8034
- ITI treatment guide, volume 5: sinus floor elevation procedures.Br Dent J. 2012; 212512
- Sinus floor elevation utilizing the transalveolar approach.Periodontology 2000. 2014; 66: 59-71https://doi.org/10.1111/prd.12043
- Assessment of dentists’ subjective satisfaction with a newly developed device for maxillary sinus membrane elevation by the crestal approach.J Periodontal Implant Sci. 2013; 43: 308-314https://doi.org/10.5051/jpis.2013.43.6.308
- Sinus floor elevation and antrostomy healing: a histomorphometric clinical study in humans.Implant Dent. 2019; 28: 537-542https://doi.org/10.1097/ID.0000000000000932
- Nonlinear biomechanical characteristics of the Schneiderian membrane: experimental study and numerical modeling.Biomed Res Int. 2018; 20182829163https://doi.org/10.1155/2018/2829163
- Osteotome sinus floor elevation with or without grafting: a preliminary clinical trial.Clin Oral Implants Res. 2010; 21: 520-526https://doi.org/10.1111/j.1600-0501.2009.01889.x
- Comparison of three different methods of internal sinus lifting for elevation heights of 7 mm: an ex vivo study.Int J Implant Dent. 2017; 340https://doi.org/10.1186/s40729-017-0103-5
- Transcrestal maxillary sinus augmentation: Summers’ versus a piezoelectric technique—an experimental cadaver study.Clin Oral Implants Res. 2016; 27: 126-129https://doi.org/10.1111/clr.12546
- Osteotome-mediated sinus floor elevation: a systematic review and meta-analysis.Int J Oral Maxillofac Implants. 2014; 29: 558-576https://doi.org/10.11607/jomi.3206
- Meta-analysis of the increase in height in maxillary sinus elevations with osteotome.Med Oral Patol Oral Cir Bucal. 2012; 17: e146-e152https://doi.org/10.4317/medoral.16921
- Clinical outcomes of reamer- vs osteotome-mediated sinus floor elevation with simultaneous implant placement: a 2-year retrospective study.Int J Oral Maxillofac Implants. 2015; 30: 925-930https://doi.org/10.11607/jomi.3779
- Classification of sinus membrane perforations occurring during transcrestal sinus floor elevation and related treatment.Int J Periodontics Restor Dent. 2020; 40: 111-118https://doi.org/10.11607/prd.3602
Article info
Publication history
Published online: September 01, 2022
Accepted:
August 15,
2022
Identification
Copyright
© 2022 International Association of Oral and Maxillofacial Surgeons. Published by Elsevier Inc. All rights reserved.
