Sinus lifting procedure
Identifieur interne : 004521 ( Istex/Corpus ); précédent : 004520; suivant : 004522Sinus lifting procedure
Auteurs : Karl-Erik Kahnberg ; Peter Nilsson ; Jan-Michaél Hirsch ; Annika Ekestubbe ; Kerstin GröndahlSource :
- Clinical Oral Implants Research [ 0905-7161 ] ; 2001-10.
English descriptors
- KwdEn :
- Abutment, Abutment connection, Alveolar bone, Alveolar process, Alveolar ridge, Arrow heads, Augmentation, Bone graft, Bone grafts, Bone height, Bone transplant, Bone window, Bony window, Cancellous bone, Clin, Cumulative survival rates, Dead space, Dental implants, Dental panorama, Different studies, Edentulous, Endosseous implants, Endosteal implants, First postoperative radiographic examination, Graft, Grafted, Grafted bone, Hueso injertado, Immediate endosseous implants, Impl, Implant, Implant stability, Implant system, Inferior border, Inlay, Inlay graft, Inlay grafts, International journal, Intraoral radiographs, Johansson, Kahnberg, Life table analysis, Line marks, Marginal bone level, Marginal bone level changes, Marginal crest, Maxillary, Maxillary sinus, Maxillary sinus augmentation, Maxillary sinuses, Maxillofacial, Maxillofacial implants, Maxillofacial surgery, Months postoperatively, Nobel biocare, Oral impl, Osseointegrated implants, Patient group, Permanent bridges, Postoperative, Postoperative examination, Present study, Previous extent, Prospective study, Radiograph, Radiographic, Radiographic evaluation, Radiographic examination, Radiographic signs, Reference point, Restorative dentistry, Round burr, Scanoraa technique, Sinus, Sinus cavity, Sinus inlay, Sinus mucosa, Sinusitis, Sola fase, Success rate, Surgical, Survival rate, Survival rates, Ternational journal, Time period, Tobacco chemicals, Transplant, Xture, Xture installation, Xture survival, Xtures.
- Teeft :
- Abutment, Abutment connection, Alveolar bone, Alveolar process, Alveolar ridge, Arrow heads, Augmentation, Bone graft, Bone grafts, Bone height, Bone transplant, Bone window, Bony window, Cancellous bone, Clin, Cumulative survival rates, Dead space, Dental implants, Dental panorama, Different studies, Edentulous, Endosseous implants, Endosteal implants, First postoperative radiographic examination, Graft, Grafted, Grafted bone, Hueso injertado, Immediate endosseous implants, Impl, Implant, Implant stability, Implant system, Inferior border, Inlay, Inlay graft, Inlay grafts, International journal, Intraoral radiographs, Johansson, Kahnberg, Life table analysis, Line marks, Marginal bone level, Marginal bone level changes, Marginal crest, Maxillary, Maxillary sinus, Maxillary sinus augmentation, Maxillary sinuses, Maxillofacial, Maxillofacial implants, Maxillofacial surgery, Months postoperatively, Nobel biocare, Oral impl, Osseointegrated implants, Patient group, Permanent bridges, Postoperative, Postoperative examination, Present study, Previous extent, Prospective study, Radiograph, Radiographic, Radiographic evaluation, Radiographic examination, Radiographic signs, Reference point, Restorative dentistry, Round burr, Scanoraa technique, Sinus, Sinus cavity, Sinus inlay, Sinus mucosa, Sinusitis, Sola fase, Success rate, Surgical, Survival rate, Survival rates, Ternational journal, Time period, Tobacco chemicals, Transplant, Xture, Xture installation, Xture survival, Xtures.
Abstract
Abstract: A prospective study of one‐stage surgery with intrasinus bone transplant and implants has been performed in 26 patients (13 males and 13 females). The aim of the study was to evaluate the success rate with the one‐stage sinus lifting procedure in patients with a need for bony augmentation of the alveolar process. Fifteen patients were partially dentate and 11 edentulous. The mean height of the alveolar ridge was 2.5 mm preoperatively (range 1–5.5 mm). 126 fixtures were inserted, 93 in grafted bone and 33 in alveolar bone. Twenty‐two patients have been followed for three years, 21 for four years and 11 for five years. The clinical overall survival rate was 69.6% although only 61.2% in grafted bone. Ten of the patients had varying degree of sinusitis post‐fixture installation. At the end of the study, 23 patients had permanent bridges. The survival rate was low for inlay supported implants when the one‐stage surgical technique was applied. Two‐stage surgery may be a safer method.
Url:
DOI: 10.1034/j.1600-0501.2001.120508.x
Links to Exploration step
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<front><div type="abstract">Abstract: A prospective study of one‐stage surgery with intrasinus bone transplant and implants has been performed in 26 patients (13 males and 13 females). The aim of the study was to evaluate the success rate with the one‐stage sinus lifting procedure in patients with a need for bony augmentation of the alveolar process. Fifteen patients were partially dentate and 11 edentulous. The mean height of the alveolar ridge was 2.5 mm preoperatively (range 1–5.5 mm). 126 fixtures were inserted, 93 in grafted bone and 33 in alveolar bone. Twenty‐two patients have been followed for three years, 21 for four years and 11 for five years. The clinical overall survival rate was 69.6% although only 61.2% in grafted bone. Ten of the patients had varying degree of sinusitis post‐fixture installation. At the end of the study, 23 patients had permanent bridges. The survival rate was low for inlay supported implants when the one‐stage surgical technique was applied. Two‐stage surgery may be a safer method.</div>
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<abstract>Abstract: A prospective study of one‐stage surgery with intrasinus bone transplant and implants has been performed in 26 patients (13 males and 13 females). The aim of the study was to evaluate the success rate with the one‐stage sinus lifting procedure in patients with a need for bony augmentation of the alveolar process. Fifteen patients were partially dentate and 11 edentulous. The mean height of the alveolar ridge was 2.5 mm preoperatively (range 1–5.5 mm). 126 fixtures were inserted, 93 in grafted bone and 33 in alveolar bone. Twenty‐two patients have been followed for three years, 21 for four years and 11 for five years. The clinical overall survival rate was 69.6% although only 61.2% in grafted bone. Ten of the patients had varying degree of sinusitis post‐fixture installation. At the end of the study, 23 patients had permanent bridges. The survival rate was low for inlay supported implants when the one‐stage surgical technique was applied. Two‐stage surgery may be a safer method.</abstract>
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<title level="a" type="sub">I. One‐stage surgery with bone transplant and implants</title>
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<author xml:id="author-0000" role="corresp"><persName><forename type="first">Karl‐Erik</forename>
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*Karl‐Erik Kahnberg, DDS, PhD,
Professor and Chairman
Department of Oral and Maxillofacial Surgery
Faculty of Odontology
Göteborg University
Box 450, SE 405 30 Göteborg
Sweden
Tel: +46 31 773 3200
Fax: +46 31 826 091
e‐mail: k‐e_kahnberg@odontologi.gu.se</affiliation>
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<profileDesc><abstract xml:lang="en" style="main"><p><hi rend="bold">Abstract:</hi>
A prospective study of one‐stage surgery with intrasinus bone transplant and implants has been performed in 26 patients (13 males and 13 females). The aim of the study was to evaluate the success rate with the one‐stage sinus lifting procedure in patients with a need for bony augmentation of the alveolar process. Fifteen patients were partially dentate and 11 edentulous. The mean height of the alveolar ridge was 2.5 mm preoperatively (range 1–5.5 mm). 126 fixtures were inserted, 93 in grafted bone and 33 in alveolar bone. Twenty‐two patients have been followed for three years, 21 for four years and 11 for five years. The clinical overall survival rate was 69.6% although only 61.2% in grafted bone. Ten of the patients had varying degree of sinusitis post‐fixture installation. At the end of the study, 23 patients had permanent bridges. The survival rate was low for inlay supported implants when the one‐stage surgical technique was applied. Two‐stage surgery may be a safer method.</p>
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<abstract xml:lang="fr" style="main"><head>Résumé</head>
<p>Une étude prospective d’une chirurgie en une étape avec un transplant osseux intrasinusal et des implants a été effectuée chez 26 patients (treize hommes et treize femmes). Le but de cette étude a été d’évaluer le taux de succès dans un processus d’épaississement du plancher sinusal en une étape chez des patients qui nécessitaient un épaississement osseux du processus alvéolaire. Quinze patients étaient partiellement édentés et onze édentés. La hauteur osseuse restante était de 2.5 mm avant l’opération (1–5.5 mm). Cent vingt‐six implants ont été insérés, 93 dans l’os greffé et 33 dans l’os alvéolaire. Vingt‐deux patients ont été suivis pendant trois années, 21 pendant quatre années et onze pendant cinq ans. Le taux de survie général clinique était de 70% bien que seulement de 61% dans l’os greffé. Dix des patients avaient un degré variable de sinusite après le placement des implants. A la fin de l’étude, 20 patients ont pû obtenir des bridges permanents. Le taux de survie était bas pour les implants appuyés sur inlay lorsque la technique de chirurgie était effectuée en une étape. La chirurgie en deux étapes semblerait une méthode plus sûre.</p>
</abstract>
<abstract xml:lang="de" style="main"><head>Zusammenfassung</head>
<p>Bei 26 Patienten (13 männliche und 13 weibliche) wurde eine prospektive Studie über die Anhebung des Sinus durchgeführt, bei welcher in einem einzigen chirurigischen Eingriff ein Knochentransplantat in den Sinus eingebracht und Implantate eingesetzt wurden. Es war das Ziel der Studie, die Erfolgsrate der Anhebung des Sinus in einem einzigen chirurgischen Eingriff bei Patienten, welche eine Augmentation des Alveolarfortsatzes benötigten, zu untersuchen. Fünfzehn Patienten waren teilbezaht und 11 waren zahnlos. Die mittere Höhe des Alveolarfortsatzes betrug vor der Operation 2.5 mm (Bandbreite 1–5.5 mm). Es wurden insgesamt 126 Implantate eingesetzt, 93 davon in transplantierten Knochen und 33 in bestehenden Alveolarknochen. Zweiundzwanzig Patienten konnten über 3 Jahre, 21 über 4 Jahre und 11 über 5 Jahre nachuntersucht werden. Die gesamte klinische Ueberlebensrate der Implantate betrug 69.6%, während die Ueberlebensrate im transplantierten Knochen lediglich 61.2% erreichte. Zehn der Patienten litten nach der Implantation an unterschiedlich ausgeprägten Sinusitiden. Beim Abschluss der Studie trugen 20 Patienten festsitzende Rekonstruktionen. Die Ueberlebensrate für die im Transplantat verankerten Implantate war tief, wenn die Behandlung in einem einzigen chirurgischen Eingriff durchgeführt wurde. Das Vorgehen in zwei chirurgischen Eingriffen könnte die sicherere Methode darstellen.</p>
</abstract>
<abstract xml:lang="es" style="main"><head>Resumen</head>
<p>Se llevó a cabo un estudio prospectivo de cirurgía de una sola fase con transplante de hueso intrasinusal e implantes en 26 pacientes (13 varones y 13 hembras). La intención del estudio fue evaluar el índice de éxito con el procedimiento de elevación del seno en una sola fase en pacientes con necesidad de aumento del proceso alveolar. Quince pacientes estaban parcialmente dentados y 11 edéntulos. La altura media de la cresta alveolar fue de 2.5 mm preoperatoriamente (rango 1–5.5 mm). Se insertaron 126 fijaciones, 93 en hueso injertado y 33 en hueso alveolar. Veintidós pacientes han sido seguidos durante tres años, 21 durante cuatro años y 11 durante cinco años. El indice total de supervivencia clínica fue del 69.6% aunque solo 61.2% en hueso injertado. Diez de los pacientes tuvieron diversos grados de sinusitis tras la instalación de la fijación. Al final del estudio 20 pacientes tenían puentes permanentes. El índice de supervivencia fue bajo para implantes colocados aplicando la técnica quirúrgica de una sola fase. La cirugía de dos fases puede ser un método mas seguro.</p>
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Professor and Chairman
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Box 450, SE 405 30 Göteborg
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Tel: +46 31 773 3200
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<abstractGroup><abstract type="main" xml:lang="en"><p><b>Abstract:</b>
A prospective study of one‐stage surgery with intrasinus bone transplant and implants has been performed in 26 patients (13 males and 13 females). The aim of the study was to evaluate the success rate with the one‐stage sinus lifting procedure in patients with a need for bony augmentation of the alveolar process. Fifteen patients were partially dentate and 11 edentulous. The mean height of the alveolar ridge was 2.5 mm preoperatively (range 1–5.5 mm). 126 fixtures were inserted, 93 in grafted bone and 33 in alveolar bone. Twenty‐two patients have been followed for three years, 21 for four years and 11 for five years. The clinical overall survival rate was 69.6% although only 61.2% in grafted bone. Ten of the patients had varying degree of sinusitis post‐fixture installation. At the end of the study, 23 patients had permanent bridges. The survival rate was low for inlay supported implants when the one‐stage surgical technique was applied. Two‐stage surgery may be a safer method.</p>
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<abstract type="main" xml:lang="fr"><title type="main">Résumé</title>
<p>Une étude prospective d’une chirurgie en une étape avec un transplant osseux intrasinusal et des implants a été effectuée chez 26 patients (treize hommes et treize femmes). Le but de cette étude a été d’évaluer le taux de succès dans un processus d’épaississement du plancher sinusal en une étape chez des patients qui nécessitaient un épaississement osseux du processus alvéolaire. Quinze patients étaient partiellement édentés et onze édentés. La hauteur osseuse restante était de 2.5 mm avant l’opération (1–5.5 mm). Cent vingt‐six implants ont été insérés, 93 dans l’os greffé et 33 dans l’os alvéolaire. Vingt‐deux patients ont été suivis pendant trois années, 21 pendant quatre années et onze pendant cinq ans. Le taux de survie général clinique était de 70% bien que seulement de 61% dans l’os greffé. Dix des patients avaient un degré variable de sinusite après le placement des implants. A la fin de l’étude, 20 patients ont pû obtenir des bridges permanents. Le taux de survie était bas pour les implants appuyés sur inlay lorsque la technique de chirurgie était effectuée en une étape. La chirurgie en deux étapes semblerait une méthode plus sûre.</p>
</abstract>
<abstract type="main" xml:lang="de"><title type="main">Zusammenfassung</title>
<p>Bei 26 Patienten (13 männliche und 13 weibliche) wurde eine prospektive Studie über die Anhebung des Sinus durchgeführt, bei welcher in einem einzigen chirurigischen Eingriff ein Knochentransplantat in den Sinus eingebracht und Implantate eingesetzt wurden. Es war das Ziel der Studie, die Erfolgsrate der Anhebung des Sinus in einem einzigen chirurgischen Eingriff bei Patienten, welche eine Augmentation des Alveolarfortsatzes benötigten, zu untersuchen. Fünfzehn Patienten waren teilbezaht und 11 waren zahnlos. Die mittere Höhe des Alveolarfortsatzes betrug vor der Operation 2.5 mm (Bandbreite 1–5.5 mm). Es wurden insgesamt 126 Implantate eingesetzt, 93 davon in transplantierten Knochen und 33 in bestehenden Alveolarknochen. Zweiundzwanzig Patienten konnten über 3 Jahre, 21 über 4 Jahre und 11 über 5 Jahre nachuntersucht werden. Die gesamte klinische Ueberlebensrate der Implantate betrug 69.6%, während die Ueberlebensrate im transplantierten Knochen lediglich 61.2% erreichte. Zehn der Patienten litten nach der Implantation an unterschiedlich ausgeprägten Sinusitiden. Beim Abschluss der Studie trugen 20 Patienten festsitzende Rekonstruktionen. Die Ueberlebensrate für die im Transplantat verankerten Implantate war tief, wenn die Behandlung in einem einzigen chirurgischen Eingriff durchgeführt wurde. Das Vorgehen in zwei chirurgischen Eingriffen könnte die sicherere Methode darstellen.</p>
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<abstract type="main" xml:lang="es"><title type="main">Resumen</title>
<p>Se llevó a cabo un estudio prospectivo de cirurgía de una sola fase con transplante de hueso intrasinusal e implantes en 26 pacientes (13 varones y 13 hembras). La intención del estudio fue evaluar el índice de éxito con el procedimiento de elevación del seno en una sola fase en pacientes con necesidad de aumento del proceso alveolar. Quince pacientes estaban parcialmente dentados y 11 edéntulos. La altura media de la cresta alveolar fue de 2.5 mm preoperatoriamente (rango 1–5.5 mm). Se insertaron 126 fijaciones, 93 en hueso injertado y 33 en hueso alveolar. Veintidós pacientes han sido seguidos durante tres años, 21 durante cuatro años y 11 durante cinco años. El indice total de supervivencia clínica fue del 69.6% aunque solo 61.2% en hueso injertado. Diez de los pacientes tuvieron diversos grados de sinusitis tras la instalación de la fijación. Al final del estudio 20 pacientes tenían puentes permanentes. El índice de supervivencia fue bajo para implantes colocados aplicando la técnica quirúrgica de una sola fase. La cirugía de dos fases puede ser un método mas seguro.</p>
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<subTitle>I. One‐stage surgery with bone transplant and implants</subTitle>
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<titleInfo type="abbreviated" lang="en"><title>Sinus lifting procedure</title>
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<titleInfo type="alternative" contentType="CDATA" lang="en"><title>Sinus lifting procedure</title>
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<name type="personal"><namePart type="given">Karl‐Erik</namePart>
<namePart type="family">Kahnberg</namePart>
<affiliation>Department of Oral and Maxillofacial Surgery, Faculty of Odontology, Göteborg</affiliation>
<affiliation>E-mail: k‐e_kahnberg@odontologi.gu.se</affiliation>
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<name type="personal"><namePart type="given">Peter</namePart>
<namePart type="family">Nilsson</namePart>
<affiliation>Department of Oral and Maxillofacial Surgery, Faculty of Odontology, Göteborg</affiliation>
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<name type="personal"><namePart type="given">Jan‐Michaél</namePart>
<namePart type="family">Hirsch</namePart>
<affiliation>Department of Oral and Maxillofacial Surgery, Faculty of Odontology, Göteborg</affiliation>
<affiliation>Department of Surgical Sciences, Uppsala University Hospital, Uppsala, Sweden</affiliation>
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<name type="personal"><namePart type="given">Annika</namePart>
<namePart type="family">Ekestubbe</namePart>
<affiliation>Department of Oral and Maxillofacial Radiology, Faculty of Odontology, Göteborg University, Göteborg, Sweden</affiliation>
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<name type="personal"><namePart type="given">Kerstin</namePart>
<namePart type="family">Gröndahl</namePart>
<affiliation>Department of Oral and Maxillofacial Radiology, Faculty of Odontology, Göteborg University, Göteborg, Sweden</affiliation>
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<originInfo><publisher>Munksgaard International Publishers</publisher>
<place><placeTerm type="text">Copenhagen</placeTerm>
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<dateIssued encoding="w3cdtf">2001-10</dateIssued>
<edition>Date: Accepted 18 September 2000</edition>
<copyrightDate encoding="w3cdtf">2001</copyrightDate>
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<languageTerm type="code" authority="iso639-2b">eng</languageTerm>
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<abstract>Abstract: A prospective study of one‐stage surgery with intrasinus bone transplant and implants has been performed in 26 patients (13 males and 13 females). The aim of the study was to evaluate the success rate with the one‐stage sinus lifting procedure in patients with a need for bony augmentation of the alveolar process. Fifteen patients were partially dentate and 11 edentulous. The mean height of the alveolar ridge was 2.5 mm preoperatively (range 1–5.5 mm). 126 fixtures were inserted, 93 in grafted bone and 33 in alveolar bone. Twenty‐two patients have been followed for three years, 21 for four years and 11 for five years. The clinical overall survival rate was 69.6% although only 61.2% in grafted bone. Ten of the patients had varying degree of sinusitis post‐fixture installation. At the end of the study, 23 patients had permanent bridges. The survival rate was low for inlay supported implants when the one‐stage surgical technique was applied. Two‐stage surgery may be a safer method.</abstract>
<abstract lang="fr">Une étude prospective d’une chirurgie en une étape avec un transplant osseux intrasinusal et des implants a été effectuée chez 26 patients (treize hommes et treize femmes). Le but de cette étude a été d’évaluer le taux de succès dans un processus d’épaississement du plancher sinusal en une étape chez des patients qui nécessitaient un épaississement osseux du processus alvéolaire. Quinze patients étaient partiellement édentés et onze édentés. La hauteur osseuse restante était de 2.5 mm avant l’opération (1–5.5 mm). Cent vingt‐six implants ont été insérés, 93 dans l’os greffé et 33 dans l’os alvéolaire. Vingt‐deux patients ont été suivis pendant trois années, 21 pendant quatre années et onze pendant cinq ans. Le taux de survie général clinique était de 70% bien que seulement de 61% dans l’os greffé. Dix des patients avaient un degré variable de sinusite après le placement des implants. A la fin de l’étude, 20 patients ont pû obtenir des bridges permanents. Le taux de survie était bas pour les implants appuyés sur inlay lorsque la technique de chirurgie était effectuée en une étape. La chirurgie en deux étapes semblerait une méthode plus sûre.</abstract>
<abstract lang="de">Bei 26 Patienten (13 männliche und 13 weibliche) wurde eine prospektive Studie über die Anhebung des Sinus durchgeführt, bei welcher in einem einzigen chirurigischen Eingriff ein Knochentransplantat in den Sinus eingebracht und Implantate eingesetzt wurden. Es war das Ziel der Studie, die Erfolgsrate der Anhebung des Sinus in einem einzigen chirurgischen Eingriff bei Patienten, welche eine Augmentation des Alveolarfortsatzes benötigten, zu untersuchen. Fünfzehn Patienten waren teilbezaht und 11 waren zahnlos. Die mittere Höhe des Alveolarfortsatzes betrug vor der Operation 2.5 mm (Bandbreite 1–5.5 mm). Es wurden insgesamt 126 Implantate eingesetzt, 93 davon in transplantierten Knochen und 33 in bestehenden Alveolarknochen. Zweiundzwanzig Patienten konnten über 3 Jahre, 21 über 4 Jahre und 11 über 5 Jahre nachuntersucht werden. Die gesamte klinische Ueberlebensrate der Implantate betrug 69.6%, während die Ueberlebensrate im transplantierten Knochen lediglich 61.2% erreichte. Zehn der Patienten litten nach der Implantation an unterschiedlich ausgeprägten Sinusitiden. Beim Abschluss der Studie trugen 20 Patienten festsitzende Rekonstruktionen. Die Ueberlebensrate für die im Transplantat verankerten Implantate war tief, wenn die Behandlung in einem einzigen chirurgischen Eingriff durchgeführt wurde. Das Vorgehen in zwei chirurgischen Eingriffen könnte die sicherere Methode darstellen.</abstract>
<abstract lang="es">Se llevó a cabo un estudio prospectivo de cirurgía de una sola fase con transplante de hueso intrasinusal e implantes en 26 pacientes (13 varones y 13 hembras). La intención del estudio fue evaluar el índice de éxito con el procedimiento de elevación del seno en una sola fase en pacientes con necesidad de aumento del proceso alveolar. Quince pacientes estaban parcialmente dentados y 11 edéntulos. La altura media de la cresta alveolar fue de 2.5 mm preoperatoriamente (rango 1–5.5 mm). Se insertaron 126 fijaciones, 93 en hueso injertado y 33 en hueso alveolar. Veintidós pacientes han sido seguidos durante tres años, 21 durante cuatro años y 11 durante cinco años. El indice total de supervivencia clínica fue del 69.6% aunque solo 61.2% en hueso injertado. Diez de los pacientes tuvieron diversos grados de sinusitis tras la instalación de la fijación. Al final del estudio 20 pacientes tenían puentes permanentes. El índice de supervivencia fue bajo para implantes colocados aplicando la técnica quirúrgica de una sola fase. La cirugía de dos fases puede ser un método mas seguro.</abstract>
<subject lang="en"><genre>keywords</genre>
<topic>implants</topic>
<topic>bone</topic>
<topic>transplant</topic>
<topic>sinus lifting</topic>
<topic>intrasinus implant</topic>
</subject>
<relatedItem type="host"><titleInfo><title>Clinical Oral Implants Research</title>
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<genre type="journal" authority="ISTEX" authorityURI="https://publication-type.data.istex.fr" valueURI="https://publication-type.data.istex.fr/ark:/67375/JMC-0GLKJH51-B">journal</genre>
<identifier type="ISSN">0905-7161</identifier>
<identifier type="eISSN">1600-0501</identifier>
<identifier type="DOI">10.1111/(ISSN)1600-0501</identifier>
<identifier type="PublisherID">CLR</identifier>
<part><date>2001</date>
<detail type="volume"><caption>vol.</caption>
<number>12</number>
</detail>
<detail type="issue"><caption>no.</caption>
<number>5</number>
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<extent unit="pages"><start>479</start>
<end>487</end>
<total>9</total>
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<identifier type="DOI">10.1034/j.1600-0501.2001.120508.x</identifier>
<identifier type="ArticleID">CLR120508</identifier>
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