Use of Implant-Derived Minimally Invasive Sinus Floor Elevation: A Multicenter Clinical Observational Study With 12- to 65-Month Follow-Up
The aim of this study is to evaluate the performance of implant-derived minimally invasive sinus floor elevation. A multicenter retrospective study was performed in 5 dental clinics. Patients requiring sinus augmentation for single implant placement were recorded and followed up. The dental implant used in this trial was a self-tapping endosseous dental implant that contains an internal channel to allow the introduction of liquids through the implant body into the maxillary sinus; those liquids include saline and a flowable bone grafting material. Overall, 37 implants were installed in 37 patients. The age range of the patients was 37–75 years (mean: 51.2 years). The average residual bone height prior to the procedure was 5.24 ± 1 mm. Of all cases, 25 implants replaced the maxillary first molar and 12 replaced the maxillary second premolar. All surgeries were uneventful with no apparent perforation of the sinus membrane. The mean follow-up time was 24.81 ± 13 months ranging from 12 to 65 months. All implants integrated and showed stable marginal bone level. No adverse events were recorded during the follow-up period. The presented method for transcrestal sinus floor elevation procedure can be accomplished using a specially designed dental implant. Further long-term studies are warranted to reaffirm the results of this study.
The dental implant used in this trial was a self-tapping endosseous dental implant that contains an internal channel to allow the introduction of liquids through the implant body and into the maxillary sinus.
Pre-op computerized tomographic scan; the distance from the maxillary crest to a point 1 mm to 2 mm below the sinus membrane was calculated, using the preoperative radiographic imaging.
Figure 3. The osteotomy site was widened to the desired diameter with the full drilling sequence. The implant was first inserted into the osteotomy until it reached the end of the prepared osteotomy. The implant was then slowly advanced until the sinus floor was penetrated (approximately 1 mm). Figure 4. The desired volume of bone graft material was slowly injected through the implant into the sinus. The bone graft syringe was subsequently disconnected from the tubing port and the applicator and tubing together were disconnected from the implant (Figure 4). Figure 5. A 12-month follow-up of the restored implant. Figure 6. A visual view of the intact sinus membrane. Figure 7. Pre-op computerized tomographic scan.
Figure 8. The implant is first inserted into the osteotomy until it reaches the end of the prepared osteotomy and then slowly advanced until the sinus floor was penetrated. Figure 9. The desired volume of bone graft material is injected through the implant into the sinus. Figure 10. The bone graft syringe is subsequently disconnected from the tubing port and the applicator and tubing together were disconnected from the implant. Figure 11. A 25-month follow-up of the restored implant.
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