EVALUATION OF THE EFFICIENCY OF SINUS LIFTING TECHNIQUES

Sonja Rogoleva Gjurovski

doi:10.35120/medisij010237r

Authors

Sonja Rogoleva Gjurovski Faculty of Medical Sciences, “Goce Delcev” University, Stip, Republic of North Macedonia

DOI:

https://doi.org/10.35120/medisij010237r

Keywords:

Sinus lift techniques, implant placement, bone augmentation, alveolar bone resorption

Abstract

Right after teeth extraction in posterior regions, there is a following process that consists of physiological resorption and nonfunctional atrophy of the remained alveolar bone ridge. That also impacts the quality on the quality and quantity of the remained bone tissue, what later makes the implant incorporation and the prosthetic restoration much harder and complicated than usual it is. In the posterior region of the upper jaw additional complication of the prosthetic restoration process causes the existing of paranasal sinus that is located right in the body of the upper jaw maxilla. It’s post extraction pneumatization reduces the height of bone tissue what causes difficulties in dental implants placement.
The aim of this survey is to evaluate the clinical outcome and the efficiency of the most often used sinus lifting techniques.
Were analyzed totally 78 published studies that were done in the last 12 years. The study is made on narrative review of published articles that were investigating the related subject. Research was done by using the most common data bases: NCBI (US National Library of Medicine), Emedicine, PubMEd, Webmd.
By using the open method for sinus lifting there needs to be formed lateral window in the bone tissue first by elevating the mucoperiosteal flap on the vestibular surface of the maxillary alveolar ridge and after that creating iatrogenic fenestration on the cortical lamina without perforating the sinus membrane. After the sinus membrane is being separated, the following step is augmentation. For this step are used four different types of bone substituent: autogenous, allogeneic, xenogeneic bone graft and synthetic alloplastic materials.
The closed method for sinus lifting is performed after previous created place for the future implant in the residual alveolar bone ridge in the maxilla, after that with special instruments a perforation is being made in the bone floor of the maxillary sinus and carefully elevating the sinus membrane up for a few millimeters. In the created space a bone graft material is being placed and at the same time a dental implant is being applied.
From the gathered results, both of the techniques are considered to be effective, in all of the followed cases the implant placements were successful with high rate of postoperative osseointegration, the healing period was without complications and also successful. There was no prosthetic failure in any case.
From this survey the final conclusion is that both of the techniques are successful when it comes to sinus lifting. Very important is to have a qualitative imaging like computed tomography or roentgen before placing the implants to be able to estimate the bone volume and height. If the residual bone height is less than 5 mm the survival rate of the future implants is not guaranteed.

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References

Francisco Correia, Daniel Humberto Pozza, Sónia Gouveia, António Campos Felino, Ricardo Faria-Almeida, (2021) Advantages of Porcine Xenograft over Autograft in Sinus Lift: A Randomised Clinical Trial, Materials, 10.3390/ma14123439, 14, 12, (3439).

Eugenio Velasco-Ortega, Angela Sierra-Baztan, Alvaro Jiménez-Guerra, Antonio España-López, Iván Ortiz-Garcia, Enrique Núñez-Márquez, Jesús Moreno-Muñoz, José Luis Rondón-Romero, José López-López, Loreto Monsalve-Guil, (2021),Long-Term Clinical Study of Implants Placed in Maxillary Sinus Floor Augmentation Using Beta-Tricalcium Phosphate, International Journal of Environmental Research and Public Health, 10.3390/ijerph18199975, 18, 19, (9975).

Yoichiro Ogino, Yasunori Ayukawa, Noriko Tachikawa, Masahiro Shimogishi, Youji Miyamoto, Keiko Kudoh, Naoyuki Fukuda, Kunio Ishikawa, Kiyoshi Koyano, (2021) Staged Sinus Floor Elevation Using Novel Low-Crystalline Carbonate Apatite Granules: Prospective Results after 3-Year Functional Loading, Materials, 10.3390/ma14195760, 14, 19, (5760).

P. Kenyon, N. West, N. Claydon, (2020), A narrative review of the survival of dental implants placed simultaneously with lateral sinus floor elevations without the use of graft materials, Oral Surgery, 10.1111/ors.12541, 14, 1, (79-90).

Stern A, Green J (2012) Sinus lift procedures: An overview of current techniques. Dent Clin North Am 56(1): 219-233.

Gosau M, Rink D, Driemel O (2009) Maxillary sinus anatomy: A cadaveric study with clinical implications. Anat Rec (Hoboken) 292(3): 352-354.

Sharan A, Madjar D (2008) Maxillary sinus pneumatization following extractions: A radiographic study. Int J Oral Maxillofac Implants 23(1): 48-56.

Shapiro R, Schorr S (1980) A consideration of the systemic factors that influence frontal sinus pneumatization. Invest Radiol 15(3): 191-202.

Thomas A, Raman R (1989) A comparative study of the pneumatization of the mastoid air cells and the frontal and maxillary sinuses. AJNR Am J Neuroradiol 10(5): S88.

Elian N, Bloom M, Dard M, Cho SC, Trushkowsky RD, et al. (2011) Effect of Interimplant Distance (2 and 3 mm) on the Height of Interimplant Bone Crest: A Histomorphometric Evaluation. J Periodontol 82(12): 1749-1756.

Cardoso CL, Curra C, Santos PL, Rodrigues MFM, Ferreira Junior O, et al. (2016) Current considerations on bone substitutes in maxillary sinus lifting. Rev Clin Periodoncia Implantol Rehabil Oral 9(2): 102-107.

https://en.wikipedia.org/wiki/Sinus_lift#History

Peñarrocha Diago M, Galán Gil S, Carrillo García C, Peñarrocha Diago D, Peñarrocha Diago M (2012) Transcrestal sinus lift and implant placement using the sinus balloon technique. Med Oral Patol Oral Cir Bucal 17(1): e122-e128.

Summers RB (1994) A new concept in maxillary implant surgery: The osteotome technique. Compendium 15: 152-158.

Sathvik N, Nessapan T, Ganapathy D (2019) Indirect sinus lift techniques: A literature review. Drug Invention Today 11(2): 90-93.

Emmerich D, Att W, Stappert C (2005) Sinus floor elevation using osteotomes: A systematic review and meta-analysis. J Periodontol 76(8): 1237-1251.

Krennmair G, Krainhofer M, Schmid Schwap M, Piehslinger E (2007) Maxillary sinus lift for single implant-supported restorations: A clinical study. Int J Oral Maxillofac Implants 22(3): 351-358.

Pjetursson BE, Rast C, Urs Brägger, Schmidlin K, Zwahlen M, et al. (2009) Maxillary sinus floor elevation using the (transalveolar) osteotome technique with or without grafting material. Part I: implant survival and patients’ perception. Clin Oral Impl Res 20: 667–676.

Lo Giudice G, Iannello G, Terranova A, Lo Giudice R, Pantaleo G, et al. (2015) Transcrestal sinus lift procedure approaching atrophic maxillary ridge: A 60-month clinical and radiological follow-up evaluation. Int J Dent 2015: 1-8.

Torrella F, Pitarch J, Cabanes G, Anitua E (1998) Ultrasonic ostectomy for the surgical approach of the maxillary sinus: A technical note. Int J Oral Maxillofac Implants 13(5): 697-700.

Troedhan AC, Kurrek A, Wainwright M, Jank S (2010) Hydrodynamic ultrasonic sinus floor elevation an experimental study in sheep. J Oral Maxillofac Surg 68: 1125-1130.

Vercellotti T, De Paoli S, Nevins M (2001) The piezoelectric bony window osteotomy and sinus membrane elevation: Introduction of a new technique for simplification of sinus augmentation procedures. Int J Periodontics Restorative Dent 21(6): 561-567.

Andreasi B, Lopez MA, Confalone L, Fanali S, Carinci F (2013) Hydraulic sinus lift technique: Description of a clinical case. Ann Oral Maxillofac Surg 1(2): 18.

Parthasaradhi T (2015) An alternative maxillary sinus lift technique sinu lift system. J Clin Diagn Res 9(3): ZC33-ZC37.

Chaushu L, Chaushu G, Better H, Sarit Naishlos, Roni Kolerman, et al. (2020) Sinus Augmentation with Simultaneous, Non-Submerged, Implant Placement Using a Minimally Invasive Hydraulic Technique. Medicina (Kaunas) 56(2): 75.

Rosen PS, Summers R, Mellado JR, Salkin LM, Shanaman RH, et al. (1999) The bone-added osteotome sinus floor elevation technique: multicenter retrospective report of consecutively treated patients. Int J Oral Maxillofac Implants 14(6): 853-858.

Hallman M, Sennerby L, Lundgren S. Hallman M, et al. (2020),A clinical and histologic evaluation of implant integration in the posterior maxilla after sinus floor augmentation with autogenous bone, bovine hydroxyapatite, or a 20:80 mixture. Int J Oral Maxillofac Implants. Sep-Oct;17(5):635-43. Int J Oral Maxillofac Implants.

Tawil G, Mawla M. Tawil G, et al. (2021) Sinus floor elevation using a bovine bone mineral (Bio-Oss) with or without the concomitant use of a bilayered collagen barrier (Bio-Gide): a clinical report of immediate and delayed implant placement. Int J Oral Maxillofac Implants.Sep-Oct;16(5):713-21. Int J Oral Maxillofac Implants. 2001

Lee CY, Prasad HS, Suzuki JB, Stover JD, Rohrer MD. Lee CY, et al. (2011)The correlation of bone mineral density and histologic data in the early grafted maxillary sinus: a preliminary report Implant Dent.Jun;20(3):202-14

Ahmed Aldahouk, Ramy R. Elbeialy, Amr Gibaly, Mohamed Shawky, Mohammed Atef, (2021),The assessment of the effect of the size of lateral-antrostomy in graftless balloon elevation of the maxillary sinus membrane with simultaneous implant placement (a randomized controlled clinical trial), Clinical Implant Dentistry and Related Research, 10.1111/cid.12983, 23, 1, (31-42).

Oleksandr Shpachynskyi, Vyacheslav Didkovskyi, Andrii Kopchak, (2021) Radiological changes in maxillary sinus morphology after lateral sinus floor augmentation, Otolaryngologia Polska, 10.5604/01.3001.0014.8015, 75, 2, (1-8).

Genying Zhuang, Jianshui Mao, Guoli Yang, Huiming Wang, (2021), Influence of different incision designs on bone increment of guided bone regeneration (Bio-Gide collagen membrane +Bio-OSS bone powder) during the same period of maxillary anterior tooth implantation, Bioengineered, 10.1080/21655979.2021.1932209, 12, 1, (2155-2163).