Effectiveness Of Direct Sinus LiftWith Simultaneous Implant Placement And Bone Grafting
Effectiveness Of Direct Sinus LiftWith Simultaneous Implant Placement And Bone Grafting
Keywords:
Direct sinus lift, simultaneous implant placement, bovine boneAbstract
Background & Objective: The present study was conducted with the aim to clinically and radiographically
evaluate the efficacy and efficiency of the direct sinus lift with simultaneous implant placement and bone grafting,
and to evaluate bone height with the merits and demerits of lateral approach for sinus membrane elevation.
Methodology: This randomized prospective study consisted of 10 patients who met the inclusion and exclusion
criteria. The patients were selected irrespective of the age, sex & socioeconomic status, with the residual alveolar
bone height between 1 to 4 mm in the edentulous posterior maxillary region. Direct sinus lift was carried out with
simultaneous implant placement. Bovine graft (xenograft) was used as a sole grafting material. Patients were
followed up for 36 months of prosthetic rehabilitation. Results: Pre-operative alveolar bone height was on an average
2.9 mm (ranging from 1 to 4 mm) with the standard deviation of 0.67 mm. After 36 months of loading, there wasn’t
any clinical or radiographical complication. On an average 13 mm bone height was evident (ranging from 11.5 to 14
mm) with the standard deviation of 0.81 mm. Conclusion: Direct sinus lift is an excellent technique for the
rehabilitation in the cases with severely atrophic posterior maxilla. [Shah S NJIRM2016; 7(2): 81 - 86]
References
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bone substitute. J Oral Maxillofac Surg
2012;70:1835-1843.
2. Stephen Wallace. Maxillary sinus augmentation :
Fixed restorations in the compromised posterior
maxilla : A peer review.
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sinus septum using 3-dimensional Computed
Tomography. J Oral Maxillofac Surg 2011;69:1070-
1078.
4. Pal et al. Direct vs. indirect sinus lift procedure: A
comparison. National Journal of Maxillofacial
Surgery 2012;3(1):31-37.
5. Kunal Jodia et al. Sinus elevation with an alloplastic
material & simultaneous implant placement : A 1-
stage procedure in severely atrophic maxilla. J
Maxillofac Oral Surg 2014;13(3):271-280.
6. Zijderveld et al. Anatomical & surgical findings &
complications in 100 consecutive maxillary sinus
floor elevation procedures. J Oral Maxillofac Surg
2008;66:1426-1438.
7. Papa et al. Outcome of 47 consecutive sinus lift
operations using aragonitic calcium carbonate
associated with autologous platelet-rich plasma :
Clinical, histologic, & histomorphometrical
evaluations. J Craniofac Surg 2009;20:2067-2074.
8. Manso & Wassal. A 10-year longitudinal study of
160 implants simultaneously installed in severely
atrophic posterior maxillas grafted with
autogenous bone & a synthetic bioactive
resorbable graft. Implant Dentistry 2010;19(4):351-
360.
9. Fugazzotto & Vlassis. Long term success of sinus
augmentation using various surgical approaches &
grafting materials. Int J Oral Maxillofac Implants
1998;13:52–58.
10. Sohn et al. New bone formation in the maxillary
sinus using only absorbable gelatin sponge. J Oral
Maxillofac Surg 2010;68:1327-1333.
11. Peleg et al. Predictability of simultaneous implant
placement in the severely atrophic posterior
maxilla : A 9 year longitudinal experience study of
2,132 implants placed into 731 human sinus grafts.
Int J Oral Maxillofac Implants 2006;21:94-102.
12. Cho-Lee et al. A 12-year retrospective analytic
study of the implant survival rate in 177
consecutive maxillary sinus augmentation
procedures. Int J Oral Maxillofac Implants
2010;25:1019-1027.
13. Cricchio et al. Sinus bone formation & implant
survival after sinus membrane elevation & implant
placement : A 1 to 6 year follow-up study. Clin.
Oral Impl Res 2011;xx:1-13.
14. Woo & Le. Maxillary sinus floor elevation : Review
of anatomy & two techniques. Implant Dent
2004;13:28-32.
15. S. Sakka & C. Krenkel et al. Simultaneous maxillary
sinus lifting & implant placement with autogenous
parietal bone graft : Outcome of 17 cases. Journal
of Cranio-Maxillo-Facial Surgery 2011;39:e187-191.
16. Hurzeler et al. Maxillary sinus augmentation using
different grafting materials & dental implants in
monkeys. Part I. Evaluation of anorganic bovine
derived bone matrix. Clin Oral Impl Res
1997;8:476-486.
17. Quinones et al. Maxillary sinus augmentation using
different grafting materials & osseointegrated
dental implants in monkeys. Part II. Evaluation of
porous hydroxyapatite as a grafting material. Clin
Oral Impl Res 1997;8:487-496.
18. Leonardis & Pecora. Prospective study on the
augmentation of the maxillary sinus with calcium
sulphate : Histological results. J Periodontol
2000;71:940-947.
19. Del Fabbro et al. Review implant survival rates
after maxillary sinus augmentation. Eur J Oral Sci
2008;116:497-506.
20. Esfahanizadeh et al. Comparison of lateral window
& osteotome techniques in sinus augmentation:
Histological & histomorphometric evaluation.
Journal of Dentistry 2012;9(3):237-246.
21. Jose Vina-Almunia et al. Influence of perforation of
the sinus membrane on the survival rate of
implants placed after direct sinus lift. Literature
update. Med Oral Patol Oral Cir Bucal.
2009;14(3):e133-136.
22. Cristina Sanchez-Recio at al. Maxillary sinus lift
performed using ultrasound. Evaluation of 21
patients. Med Oral Patol Oral Cir Bucal
2010;15(2):e371-374.
23. Nkenke & Stelzle. Clinical outcomes of sinus floor
augmentation for implant placement using
autogenous bone or bone substitutes : A
systematic review. Clin Oral Impl Res
2009;20(Suppl.4):124-133.
24. Jorg Handschel et al. A histomorphometric metaanalysis
of sinus elevation with various grafting
materials. Head & Face Medicine 2009;5:12.
25. Jesica Cabezas-Mojon et al. Meta-analytic study of
implant survival following sinus augmentation.
Med Oral Pathol Oral Cir Bucal. 2012;17(1):e135-
139.
26. Stephen Wallace. Evidence-based decision making
& practical surgical management for sinus
augmentation surgery. ADI masterclass 2006.
maxillary sinus augmentation using an alloplast
bone substitute. J Oral Maxillofac Surg
2012;70:1835-1843.
2. Stephen Wallace. Maxillary sinus augmentation :
Fixed restorations in the compromised posterior
maxilla : A peer review.
3. Park et al. Analysis of the anatomy of the maxillary
sinus septum using 3-dimensional Computed
Tomography. J Oral Maxillofac Surg 2011;69:1070-
1078.
4. Pal et al. Direct vs. indirect sinus lift procedure: A
comparison. National Journal of Maxillofacial
Surgery 2012;3(1):31-37.
5. Kunal Jodia et al. Sinus elevation with an alloplastic
material & simultaneous implant placement : A 1-
stage procedure in severely atrophic maxilla. J
Maxillofac Oral Surg 2014;13(3):271-280.
6. Zijderveld et al. Anatomical & surgical findings &
complications in 100 consecutive maxillary sinus
floor elevation procedures. J Oral Maxillofac Surg
2008;66:1426-1438.
7. Papa et al. Outcome of 47 consecutive sinus lift
operations using aragonitic calcium carbonate
associated with autologous platelet-rich plasma :
Clinical, histologic, & histomorphometrical
evaluations. J Craniofac Surg 2009;20:2067-2074.
8. Manso & Wassal. A 10-year longitudinal study of
160 implants simultaneously installed in severely
atrophic posterior maxillas grafted with
autogenous bone & a synthetic bioactive
resorbable graft. Implant Dentistry 2010;19(4):351-
360.
9. Fugazzotto & Vlassis. Long term success of sinus
augmentation using various surgical approaches &
grafting materials. Int J Oral Maxillofac Implants
1998;13:52–58.
10. Sohn et al. New bone formation in the maxillary
sinus using only absorbable gelatin sponge. J Oral
Maxillofac Surg 2010;68:1327-1333.
11. Peleg et al. Predictability of simultaneous implant
placement in the severely atrophic posterior
maxilla : A 9 year longitudinal experience study of
2,132 implants placed into 731 human sinus grafts.
Int J Oral Maxillofac Implants 2006;21:94-102.
12. Cho-Lee et al. A 12-year retrospective analytic
study of the implant survival rate in 177
consecutive maxillary sinus augmentation
procedures. Int J Oral Maxillofac Implants
2010;25:1019-1027.
13. Cricchio et al. Sinus bone formation & implant
survival after sinus membrane elevation & implant
placement : A 1 to 6 year follow-up study. Clin.
Oral Impl Res 2011;xx:1-13.
14. Woo & Le. Maxillary sinus floor elevation : Review
of anatomy & two techniques. Implant Dent
2004;13:28-32.
15. S. Sakka & C. Krenkel et al. Simultaneous maxillary
sinus lifting & implant placement with autogenous
parietal bone graft : Outcome of 17 cases. Journal
of Cranio-Maxillo-Facial Surgery 2011;39:e187-191.
16. Hurzeler et al. Maxillary sinus augmentation using
different grafting materials & dental implants in
monkeys. Part I. Evaluation of anorganic bovine
derived bone matrix. Clin Oral Impl Res
1997;8:476-486.
17. Quinones et al. Maxillary sinus augmentation using
different grafting materials & osseointegrated
dental implants in monkeys. Part II. Evaluation of
porous hydroxyapatite as a grafting material. Clin
Oral Impl Res 1997;8:487-496.
18. Leonardis & Pecora. Prospective study on the
augmentation of the maxillary sinus with calcium
sulphate : Histological results. J Periodontol
2000;71:940-947.
19. Del Fabbro et al. Review implant survival rates
after maxillary sinus augmentation. Eur J Oral Sci
2008;116:497-506.
20. Esfahanizadeh et al. Comparison of lateral window
& osteotome techniques in sinus augmentation:
Histological & histomorphometric evaluation.
Journal of Dentistry 2012;9(3):237-246.
21. Jose Vina-Almunia et al. Influence of perforation of
the sinus membrane on the survival rate of
implants placed after direct sinus lift. Literature
update. Med Oral Patol Oral Cir Bucal.
2009;14(3):e133-136.
22. Cristina Sanchez-Recio at al. Maxillary sinus lift
performed using ultrasound. Evaluation of 21
patients. Med Oral Patol Oral Cir Bucal
2010;15(2):e371-374.
23. Nkenke & Stelzle. Clinical outcomes of sinus floor
augmentation for implant placement using
autogenous bone or bone substitutes : A
systematic review. Clin Oral Impl Res
2009;20(Suppl.4):124-133.
24. Jorg Handschel et al. A histomorphometric metaanalysis
of sinus elevation with various grafting
materials. Head & Face Medicine 2009;5:12.
25. Jesica Cabezas-Mojon et al. Meta-analytic study of
implant survival following sinus augmentation.
Med Oral Pathol Oral Cir Bucal. 2012;17(1):e135-
139.
26. Stephen Wallace. Evidence-based decision making
& practical surgical management for sinus
augmentation surgery. ADI masterclass 2006.
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Published
2018-02-07
How to Cite
Mehta, D. D., Shah, D. S. P., & Shah, D. N. M. (2018). Effectiveness Of Direct Sinus LiftWith Simultaneous Implant Placement And Bone Grafting: Effectiveness Of Direct Sinus LiftWith Simultaneous Implant Placement And Bone Grafting. National Journal of Integrated Research in Medicine, 7(2), 81–86. Retrieved from http://www.nicpd.ac.in/ojs-/index.php/njirm/article/view/1362
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