Dental implant placement simultaneous with maxillary sinus lifting on ridges with severe resorption
Keywords:
maxillary sinus, dental implants, intra-operative complications, post-operative complications, bone graft.Abstract
Introduction: Dental implant placement simultaneous with maxillary sinus lifting on ridges with severe resorption < 4 mm is a sensitive surgical technique that shortens the duration of interventions. However, it is considered to be operator dependent, and may cause complications if not appropriately managed.
Objective: After 24 months of functional load, evaluate the stability of the peri-implant tissue of a dental implant placed simultaneously with maxillary sinus lifting on an alveolar ridge with severe bone resorption.
Case presentation: A case is presented of a male 62-year-old patient with severe bone resorption in the area of the first upper right molar. Analysis of the diagnostic means and scientific evidence involved led to placement of a dental implant simultaneous with maxillary sinus lifting (lateral window technique). The second surgical stage was performed four months later. A zirconium crown was finally placed, and a 24-month follow-up period was started.
Conclusions: With a good diagnosis, appropriate surgical management, patient cooperation and periodic controls, it is a safe technique that ensures the stability of peri-implant tissue.
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References
Khoury F, Hanser T. Three-Dimensional Vertical Alveolar Ridge Augmentation in the Posterior Maxilla: A 10-year Clinical Study. Int J Oral Maxillofac Implants. 2019;34(2):471-80. DOI: 10.11607/jomi.6869
Chiu T, Lee C, Bittner N, Prasad H, Tarnow DP, Schulze-Späte U. Histomorphometric Results of a Randomized Controlled Clinical Trial Studying Maxillary Sinus Augmentation with Two Different Biomaterials and Simultaneous Implant Placement. Int J Oral Maxillofac Implants. 2018;33(6):1320-30. DOI: 10.11607/jomi.6778
Boyne PJ, James RA. Grafting of the maxillary sinus floor with autogenous marrow and bone. J Oral Surg. 1980;38(8):613-6. PMID: 6993637
Tatum H Jr. Maxillary and sinus implant reconstructions. Dent. Clin. N. Am. 1986;30(2):207-29. PMID: 3516738
Bechara S, Kubilius R, Veronesi G, Pires JT, Shibli JA, Mangano FG. Short (6-mm) dental implants versus sinus floor elevation and placement of longer (≥10-mm) dental implants: a randomized controlled trial with a 3-year follow-up. Clin. Oral Implants Res. 2017;28(9):1097-107. DOI: 10.1111/clr.1292
Pohl V, Thoma D, Sporniak T, Garcia A, Taylor T, Haas R, et al. Short dental implants (6 mm) versus long dental implants (11-15 mm) in combination with sinus floor elevation procedures: 3-year results from a multicentre, randomized, controlled clinical trial. J. Clin. Periodontol. 2017;44(4):438-45. DOI: 10.1111/jcpe.12694
Davó R, Felice P, Pistilli R, Barausse C, Marti-Pages C, Ferrer-Fuertes A, et al. Immediately loaded zygomatic implants vs conventional dental implants in augmented atrophic maxillae: 1-year post-loading results from a multicentre randomised controlled trial. Eur J Oral Implantol. 2018;11(2):145-6. PMID: 29806663
Falah M, Sohn D, Srouji S. Graftless sinus augmentation with simultaneous dental implant placement: clinical results and biological perspectives. Int. J. Oral Maxillofac. Surg. 2016;45(9):1147-53. DOI: 10.1016/j.ijom.2016.05.006
Hong J, Baek W, Cha J, Lim H, Lee J, Jung U. Long-term evaluation of sinus floor elevation using a modified lateral approach in the posterior maxilla. Clin. Oral Implants Res. 2017;28(8):946-53. DOI: 10.1111/clr.12901
Fouad W, Osman A, Atef M, Hakam M. Guided maxillary sinus floor elevation using deproteinized bovine bone versus graftless Schneiderian membrane elevation with simultaneous implant placement: Randomized clinical trial. Clin Implant Dent Relat Res. 2018;20(3):424-33. DOI: 10.1111/cid.12601
Summers RB. A new concept in maxillary implant surgery: the osteotome technique. Compend Contin Educ Dent. 1994;15(2):152. PMID: 8055503
Chen M, Shi J. Clinical and Radiological Outcomes of Implants in Osteotome Sinus Floor Elevation with and without Grafting: A Systematic Review and a Meta-Analysis. J Prosthodont. 2018;27(5):394-401. DOI: 10.1111/jopr.12576
Aludden H, Mordenfeld A, Hallman M, Christensen A, Starch T. Osteotome-Mediated Sinus Floor Elevation with or Without a Grafting Material: A Systematic Review and Meta-analysis of Long-term Studies (≥5-Years). Implant Dent. 2018;27(4):488-97. DOI: 10.1097/ID.0000000000000798
Lundgren S, Cricchio G, Hallman M, Jungner M, Rasmusson L, Sennerby L. Sinus floor elevation procedures to enable implant placement and integration: techniques, biological aspects and clinical outcomes. Periodontol. 2000. 2017;73(1):103-20. DOI: 10.1111/prd.12165
Merli M, Moscatelli M, Mariotti G, Rotundo R, Nieri M. Autogenous bone versus deproteinised bovine bone matrix in 1-stage lateral sinus floor elevation in the severely atrophied maxilla: a randomised controlled trial. Eur J Oral Implantol. 2013;6(1):27-37. PMID: 23513200
Silvestri M, Martegani P, D’Avenia F, Farneti M, Capri D, Paolantoni G, et al. Simultaneous sinus augmentation with implant placement: histomorphometric comparison of two different grafting materials. A multicenter double-blind prospective randomized controlled clinical trial. Int J Oral Maxillofac Implants. 2013;28(2):543-9. DOI: 10.11607/jomi.2647
Chaushu G, Mardinger O, Calderon S, Moses O, Nissan J. The use of cancellous block allograft for sinus floor augmentation with simultaneous implant placement in the posterior atrophic maxilla. J. Periodontol. 2009;80(3):422-8. DOI: 10.1902/jop.2009.080451
Tilaveridis I, Lazaridou M, Zouloumis L, Dimitrakopoulos I, Tilaveridis V, Tilaveridou S. The use of mineralized bone allograft as a single grafting material in maxillary sinus lifting with severely atrophied alveolar ridge (1-3 mm) and immediately inserted dental implants. A 3- up to 8-year retrospective study. J. Oral Maxillofac. Surg. 2018;22(3):267-73. DOI: 10.1007/s10006-018-0698-6
Cha H, Kim A, Nowzari H, Chang H, Ahn K. Simultaneous sinus lift and implant installation: prospective study of consecutive two hundred seventeen sinus lift and four hundred sixty-two implants. Clin Implant Dent Relat Res. 2014;16(3):337-47. DOI: 10.1111/cid.12012
Thoma DS, Haas R, Sporniak TK, Garcia A, Taylor TD, Hämmerle CHF. Randomized controlled multicentre study comparing short dental implants (6 mm) versus longer dental implants (11–15 mm) in combination with sinus floor elevation procedures: 5‐Year data. J Clin Periodontol. 2018;45(12):1465-74. DOI: 10.1111/jcpe.13025
Al-Sabbagh M, Eldomiaty W, Khabbaz Y. Can Osseointegration Be Achieved Without Primary Stability? Dent. Clin. N. Am. 2019;63(3):461-73. DOI: 10.1016/j.cden.2019.02.001
Wang H-L, Katranji A. ABC sinus augmentation classification. Int J Periodontics Restorative Dent. 2008;28(4):383-9. PMID: 18717377
Niu L, Wang J, Yu H, Qiu L. New classification of maxillary sinus contours and its relation to sinus floor elevation surgery. Clin Implant Dent Relat Res. 2018;20(4):493-500. DOI: 10.1111/cid.12606
Chavda S, Levin L. Human Studies of Vertical and Horizontal Alveolar Ridge Augmentation Comparing Different Types of Bone Graft Materials: A Systematic Review. J Oral Implantol. 2018;44(1):74-84. DOI: 10.1563/aaid-joi-D-17-00053
Papageorgiou SN, Papageorgiou PN, Deschner J, Götz W. Comparative effectiveness of natural and synthetic bone grafts in oral and maxillofacial surgery prior to insertion of dental implants: Systematic review and network meta-analysis of parallel and cluster randomized controlled trials. J Dent. 2016;48:1-8. DOI: 10.1016/j.jdent.2016.03.010
Parra M, Atala C, Fariña R, Haidar Z, Zaror C, Olate S. Graftless Maxillary Sinus Lift Using Lateral Window Approach: A Systematic Review. Implant Dent. 2018;27(1):111-8. DOI: 10.1097/ID.0000000000000695
Monje A, Ravid? A, Wang H-L, Helms JA, Brunski JB. Relationship Between Primary/Mechanical and Secondary/Biological Implant Stability. Int J Oral Maxillofac Implants. 2019;34:7-23. DOI: 10.11607/jomi.19suppl.g1
Cosyn J, Eghbali A, Hermans A, Vervaeke S, De Bruyn H, Cleymaet R. A 5-year prospective study on single immediate implants in the aesthetic zone. J Clin Periodontol. 2016;43(8):702-9. DOI: 10.1111/jcpe.12571
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