INTRODUCTION:The lateral approach for sinus floor augmentation using the trephine-osteotomy is a precise surgical technique. For the time being, in implant dentistry, trephine drills have been used instead of conventional drills to conserve the bone during osteotomy.
AIM OF THE STUDY:To evaluate the effectiveness of trephine osteotomy for lateral sinus lifting technique associated with sinus floor augmentation using the autogenous bone resulting from implant drilling using specialized trephine drills.
MATERIAL AND METHOD:In this clinical study, 12 Patients were included and have been subjected to lateral sinus lifting using trephine osteotomy with simultaneous implant placement with delay loading. A bone graft used in sinus floor augmentation has been prepared using autogenous bone resulting from implant site preparation in addition to β-tricalcium phosphate. Patients were followed up both clinically and radiographically for 6 months after surgery. A Panoramic radiograph was performed immediately postoperatively and CBCT was performed 3 months and 6 months postoperatively. RESULTS: After 6 months, the difference between the primary stability and implant stability was statistically significant as p-value ≤ 0.05. After 6 months, The mean bone density and the mean vertical bone height were increased by 984.7 ± 276.2 mm and 11.71 ± 0.72 mm respectively. CONCLUSION: Trephine osteotomy technique in both lateral approach of sinus lifting and implant site preparation allows preservation of autogenous bone. Moreover, the trephine osteotomy technique in the lateral approach of sinus lifting eliminates the use of an absorbable membrane. However, this technique requires proper case selection and is considered sensitive.