Transcrestal sinus lift using Osseodensification versus lateral window technique with simultaneous implant placement

Author:

Elsaid Mohammed Gamal Abdelftah Hamed1,Aboelhasan Mohsen Fawzy1,Shuman Mohammad Abd Elhamied1,Alashmawy Mohammed Mahgob Mohamed1,Ali Hossam Eldin Mohamed1,Abdelrahman Ahmed Omar Ahmed1,Hassan Mohammed Ali1,Elsayed Mohamed Alaa Eldin1,Elwaseef Safwat Saber Mohamed Mursey Ali1,Mohamed Ahmed Abouelenein Ali2

Affiliation:

1. Al Azhar University

2. Mansoura University

Abstract

Abstract

Aim The main objective of this research was to examine the outcomes of transcrestal sinus lift with simultaneous implant placement employing Osseodensification, in comparison to lateral sinus lifting methods. Patients and Methods Fourteen patients were enrolled in this clinical trial at the clinic of Oral and Maxillofacial Surgery Department, Faculty of Dental Medicine, Al-Azhar University. These patients were randomized allocated into two groups. Group I: Patients who underwent transcrestal sinus floor elevation procedures utilizing osseodensification. Group II: Patients who received treatment involving Lateral Maxillary Sinus Floor Elevation. CBCT scans were acquired immediately postoperatively and at the 6-month follow-up to assess bone height, bone gain, and bone density. Osstell was utilized to evaluate primary implant stability both during the initial placement and at the six-month follow-up. The length of the surgical procedure was meticulously recorded for every group. Results The findings indicated that Group I exhibited a mean bone height gain of 5.33 ± 0.83mm, whereas Group II showed a gain of 10.02 ± 1.82mm, with a significant statistical difference. The average implant stability quotient (ISQ) values for Group I was 80.00 ± 3.11, compared to 75.86 ± 2.91 for Group II, also showing a statistically significant difference. Conclusion Crestal maxillary sinus elevation with Osseodensification shows better bone density and implant stability than lateral lifting. Osseodensification is less invasive and time-consuming, making it a potential alternative to the lateral window technique.

Publisher

Research Square Platform LLC

Reference12 articles.

1. Guided maxillary sinus floor elevation using deproteinized bovine bone versus graftless Schneiderian membrane elevation with simultaneous implant placement: Randomized clinical trial;Fouad W;Clin Implant Dent Relat Res,2018

2. Maxillary and sinus implant reconstructions;Tatum H;Dent Clin North Am,1986

3. Grafting of the maxillary sinus floor with autogenous marrow and bone;Boyne P;J Oral Surg,1980

4. Comparison of lateral window and osteotome techniques in sinus augmentation: histological and histomorphometric evaluation;Esfahanizadeh N;J Dentistry (Tehran Iran),2012

5. Sinus floor elevation with osteotomes;Summers RB;J Esthetic Restor Dentistry,1998

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