A systematic review of the success of sinus floor elevation and survival of implants inserted in combination with sinus floor elevation Part II: Transalveolar technique

Tan, Wui-Gee; Lang, Niklaus P.; Zwahlen, Marcel; Pjetursson, Bjarni E.

doi:10.1111/j.1600-051x.2008.01273.x

Cited by 317 publications

(350 citation statements)

References 96 publications

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“…La complicación más frecuente es la perforación de la membrana sinusal, que ocurre en un 3,8% de los procedimientos. Infecciones postoperatorias ocurren esporádica-mente con un 0,8% (3,6).…”

Section: Discussionunclassified

“…Para la téc-nica de elevación transalveolar puede variar entre 2% y 25%. La perforación incrementa las posibilidades de una sinusitis maxilar postoperatoria debido a una contaminación bacteriana del injerto y/o migración del injerto dentro del seno (3,6). Evitar la perforación de la membrana sinusal es una gran preocupación al utilizar la técnica de elevación transalveolar, debido a que la elevación de la membrana no se realiza bajo control óptico o táctil y el acceso para la reparación de ésta es limitada.…”

Section: Discussionunclassified

“…Al elevar la membrana con osteótomos, el área de transmisión de la fuerza es igual que el área de superficie de la porción final del osteótomo. Por lo tanto se pueden aplicar fuerzas mayores utilizando osteótomos de mayor diámetro, debido a la mejor distribución de cargas (3).…”

Section: Discussionunclassified

“…Por lo tanto la desventaja de esta técnica es la incertidumbre de una posible perforación de la membrana sinusal. Sin embargo, un estudio endoscópico reveló que el piso del seno puede ser elevado hasta cinco milímetros sin perforación de la membrana sinusal (3).…”

Section: Introductionunclassified

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Levantamiento del piso de seno maxilar mediante la técnica de osteótomos

Colmenares

Dulanto

Vásquez

2014

Rev Estomatol Herediana.

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Levantamiento del piso de seno maxilar mediante la técnica de osteótomos: reporte de caso Runzer-Colmenares ED, Arrascue-Dulanto MV, Ccahuana-Vásquez VZ. Levantamiento del piso de seno maxilar mediante la técnica de osteótomos: reporte de caso. Rev Estomatol Herediana. 2011; 21(3):150-154. RESUMEN El objetivo de este artículo es reportar el caso de una paciente que requería la colocación de dos implantes en zona edéntula posterosuperior izquierda con neumatización del seno maxilar, donde se realizó el levantamiento de la membrana sinusal, mediante la técnica de osteótomos, colocando injerto de hueso liofilizado logrando una elevación de 5 mm de la mucosa e instalando un implante dental inmediato de 10 mm de longitud con buena estabilidad primaria.Palabras clave: SENO MAXILAR. Cirugía / CARGA INMEDIATA DEL IMPLANTE DEN-TAL.Osteotome sinus elevation: a case report ABSTRACT The aim of this article is to report the case of a patient who required the placement of two implants a posterior upper left edentulous area with pneumatization of the maxillary sinus. Lifting of the sinus floor was made using the osteotomes technique by placing lyophilized bone graft obtaining an elevation of 5 mm of the mucosa and installing an immediate dental implant 10 mm in length with good primary stability.

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Section: Discussionunclassified

Section: Introductionunclassified

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Levantamiento del piso de seno maxilar mediante la técnica de osteótomos

Colmenares

Dulanto

Vásquez

2014

Rev Estomatol Herediana.

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“…The predictability of the technique TGSL with immediate implant placement is strictly dependent on the ABH to obtain adequate primary stability. The success and the survival rate of dental implants decrease with reduced height of residual bone (8,53,54). In a retrospective multicentric study (53) was evaluated the result of the Summers technique for placement of implants below the floor of the maxillary sinus: the success rate was 96% when the residual bone height was equal or exceeding to 5 mm, but dropped significantly to 85% when the height of the crestal bone was less than 4 mm.…”

Section: Discussionmentioning

confidence: 99%

Transcrestal guided sinus lift without grafting materials: a 36 months clinical prospective study

Spinelli¹,

Vico²,

Condò

et al. 2015

ORL

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SUMMARYPurpose. This study describes the ability to perform a technique for bone regeneration in maxillary posterior deficit (TGSL) without the use of bone grafting materials using a highly minimally invasive protocol. Materials and methods. Sixty six implants have been inserted in the sinus floor of a total of 39 patients through the transcrestal guided sinus lift technique (TGSL). All patients have been followed for at least three years in function. The drilling protocol was adapted on the basis of bone density of each implant site to achieve a torque between 45 and 55 Ncm. Healing titanium abutments tightened to 35 Ncm have been used. A CAD/CAM metal ceramics final prosthetic restoration has been generated a six months after the tissues healing and the provisional functionalization of the occlusion. Survival rate of implants and prostheses, biological and biomechanical complications, changes in marginal bone levels, and total height of alveolar crest bone before and after surgery have been evaluate and measured by the results obtained in this prospective study. It was also measured the periodontal parameters as well as levels of perception of pain by the patient during the entire recovery period.Results. The result of the data of follow-up was 41.96 (24 to 36) months. Cumulative implant survival was 98.53% at 3 years. There were no biological and mechanical complications and there were no prosthetic failures during the whole period of follow-up. The Marginal Bone Loss (MBL) average during the first year of operation was from 0.33 to 0.36 mm, while the 3-year follow-up, the MBL average was 0.51 to 0.29 mm. The average of residual bone height of alveolar ridge before treatment was 6.7 to 1.6 mm (range 5.1 to 9.2 mm), while the average bone height was gained 6,4 -1.6 mm (range 3.2 to 8.1 mm). All patients reported lower pain levels and found to have normal periodontal parameters. Conclusions. This study suggests that the use of guided surgery to perform transcrestal maxillary sinus lift to increase the sub-antral crestal height is a minimally invasive technique of success for the short and medium-term of follow-up, thus avoiding the extended treatment time and reducing the morbidity associated with the lifting of the floor of the maxillary sinus with traditional technique using bone grafting materials. Furthermore, this protocol without the use of graft materials does not vary the final outcome that have demonstrated the presence of newly formed bone around implants offering always predictable results, and giving a further reduction in the costs of the procedure rehabilitation.

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Interventions for replacing missing teeth: augmentation procedures of the maxillary sinus

Esposito

Grusovin

Rees

et al. 2010

Cochrane Database of Systematic Reviews

100

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A systematic review of the success of sinus floor elevation and survival of implants inserted in combination with sinus floor elevation Part II: Transalveolar technique

Abstract: Survival rates of implants placed in transalveolar sinus floor augmentation sites are comparable to those in non-augmented sites. This technique is predictable with a low incidence of complications during and post-operatively.

Cited by 317 publications

References 96 publications

Levantamiento del piso de seno maxilar mediante la técnica de osteótomos

Levantamiento del piso de seno maxilar mediante la técnica de osteótomos

Transcrestal guided sinus lift without grafting materials: a 36 months clinical prospective study

Interventions for replacing missing teeth: augmentation procedures of the maxillary sinus

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