Implant Survival Rates after Osteotome-Mediated Maxillary Sinus Augmentation: A Systematic Review
Corresponding Author
Massimo Del Fabbro BSc, PhD
Researcher, Department of Health Technologies, IRCCS Istituto Ortopedico Galeazzi, Università degli Studi di Milano, Milan, Italy, and Research Center for Oral Health (CRSO), Università degli Studi di Milano, Milan, Italy;
Dr. Massimo Del Fabbro, Department of Health Technologies, IRCCS Istituto Ortopedico Galeazzi, University of Milan, Via Riccardo Galeazzi, 4, 20161 Milan, Italy; e-mail: [email protected]Search for more papers by this authorStefano Corbella DDS, PhD
Specialisation School in Oral Surgery Student, Department of Health Technologies, IRCCS Istituto Ortopedico Galeazzi, Università degli Studi di Milano, Milan, Italy;
Search for more papers by this authorTommaso Weinstein DDS
PhD student, Department of Health Technologies, IRCCS Istituto Ortopedico Galeazzi, Università degli Studi di Milano, Milan, Italy;
Search for more papers by this authorValentina Ceresoli BMT
PhD student, Department of Health Technologies, IRCCS Istituto Ortopedico Galeazzi, Università degli Studi di Milano, Milan, Italy;
Search for more papers by this authorSilvio Taschieri MD, DDS
visiting professor, Department of Health Technologies, IRCCS Istituto Ortopedico Galeazzi, Università degli Studi di Milano, Milan, Italy, and Research Center for Oral Health (CRSO), Università degli Studi di Milano, Milan, Italy
Search for more papers by this authorCorresponding Author
Massimo Del Fabbro BSc, PhD
Researcher, Department of Health Technologies, IRCCS Istituto Ortopedico Galeazzi, Università degli Studi di Milano, Milan, Italy, and Research Center for Oral Health (CRSO), Università degli Studi di Milano, Milan, Italy;
Dr. Massimo Del Fabbro, Department of Health Technologies, IRCCS Istituto Ortopedico Galeazzi, University of Milan, Via Riccardo Galeazzi, 4, 20161 Milan, Italy; e-mail: [email protected]Search for more papers by this authorStefano Corbella DDS, PhD
Specialisation School in Oral Surgery Student, Department of Health Technologies, IRCCS Istituto Ortopedico Galeazzi, Università degli Studi di Milano, Milan, Italy;
Search for more papers by this authorTommaso Weinstein DDS
PhD student, Department of Health Technologies, IRCCS Istituto Ortopedico Galeazzi, Università degli Studi di Milano, Milan, Italy;
Search for more papers by this authorValentina Ceresoli BMT
PhD student, Department of Health Technologies, IRCCS Istituto Ortopedico Galeazzi, Università degli Studi di Milano, Milan, Italy;
Search for more papers by this authorSilvio Taschieri MD, DDS
visiting professor, Department of Health Technologies, IRCCS Istituto Ortopedico Galeazzi, Università degli Studi di Milano, Milan, Italy, and Research Center for Oral Health (CRSO), Università degli Studi di Milano, Milan, Italy
Search for more papers by this authorABSTRACT
Purpose: The aim of the present study was to systematically evaluate the implant survival rate after osteotome-mediated maxillary sinus augmentation with or without using grafting materials.
Materials and Methods: MEDLINE database was searched using a combination of specific search terms. Furthermore, a hand searching of the relevant journals and of the bibliographies of reviews was performed. Prospective and retrospective clinical studies with at least 20 patients treated by osteotome-mediated sinus floor elevation were included.
Results: Nineteen studies were selected for data analysis. A total of 1,822 patients, accounting for 3,131 implants were considered. Mean weighted cumulative implant survival at 1, 2, 3, and 5 years was estimated as 98.12%, 97.40%, 96.75%, and 95.81%, respectively. No significant difference was found in relation to the use of grafting material nor in relation to implant length. Overall implant survival was 92.7% for 331 implants placed in <5 mm ridge height and 96.9% for 2,525 implants inserted in ≥5 mm ridge height. The difference was significant (p = .0003).
Conclusions: The transalveolar sinus augmentation technique could be a viable treatment in case of localized atrophy in the posterior maxilla even in case of minimal residual bone height. The prognosis can be more favorable when the residual ridge is at least 5 mm high.
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